Key result
Paid caregiver linked to ~2-fold higher odds of prolonged stay after cardiac surgery.
Why the study?
The association between having a caregiver and clinical outcomes after cardiac surgery was unclear, especially regarding length of stay and rehospitalization or death at 1 year.
Does having a caregiver predict longer length of stay and higher rehospitalization or death rates in patients undergoing cardiac surgery?
Population
665 patients consecutively admitted for cardiac surgery, mean age 65 years, 35% women, 21% racial/ethnic minorities
Comparison
Having a paid or informal caregiver vs no caregiver
Design
Cohort study with interviewer-assisted questionnaire and hospital-based outcome documentation
Follow-up
1 year
Authors
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May flag prolonged-stay risk after cardiac surgery; hypothesis-generating for caregiver status in perioperative models.
Cohort (n=665)
Does having a caregiver predict longer length of stay and higher rehospitalization or death rates in patients undergoing cardiac surgery?
Odds Ratio: 2.13 (95% CI 1–4.55)
Caregiver status assessment, particularly identifying the need for a paid caregiver, may serve as a simple marker for increased risk of prolonged hospital stay and adverse outcomes in cardiac surgery patients.
Greenberger et al. (2013) conducted a cohort in cardiac surgery (n=665). Paid caregiver vs. No caregiver was evaluated on postoperative length of stay >7 days (OR 2.13, 95% CI 1.00-4.55). Having a paid caregiver was independently associated with a longer postoperative length of stay (>7 days) after cardiac surgery (OR 2.13; 95% CI 1.00-4.55).
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