Key result
Systematic 2-hour patient turning after CABG cuts SICU stay by ~32% and lowers postoperative fever.
Why the study?
Pulmonary complications, particularly atelectasis, occur frequently after coronary artery bypass surgery, and the effect of early postoperative immobility on these complications was unclear.
Does systematic turning every 2 hours reduce pulmonary complications and postoperative morbidity in patients after coronary artery bypass surgery?
Population
35 patients after coronary artery bypass surgery
Comparison
Systematic turning every 2 hours vs supine position for first 24 hours postoperatively
Design
Randomized controlled trial
Follow-up
24 hours intervention period and subsequent SICU stay
Authors
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Supports routine q2h turning in first 24h post-CABG; extends evidence for simple nursing interventions shortening SICU stay.
RCT (n=35)
Does systematic turning every 2 hours reduce pulmonary complications and postoperative morbidity in patients after coronary artery bypass surgery?
Effect estimate: 32% reduction in SICU stay
p-value: p=<0.001
Systematic turning of patients every 2 hours during the first 24 hours after coronary artery bypass surgery significantly reduces postoperative fever and SICU length of stay.
Chulay et al. (1982) conducted an RCT in Coronary artery bypass (CAB) surgery (n=35). Systematic turning vs. Supine position was evaluated on Postoperative fever and duration of stay in the Surgical Intensive Care Unit (SICU) (32% reduction in SICU stay, p=<0.001). Systematic turning of patients every 2 hours for the first 24 hours after CAB surgery significantly decreased postoperative fever (P<0.001) and reduced SICU stay duration by 32%.
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