دورية أكاديمية
أعرض في EDS

Intermediate Care Unit After Cardiac Surgery: Impact on Length of Stay and Outcomes.

التفاصيل البيبلوغرافية
العنوان: Intermediate Care Unit After Cardiac Surgery: Impact on Length of Stay and Outcomes.
المؤلفون: Labata C; Servicio de Cardiología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain. Electronic address: clabata@hotmail.com., Oliveras T; Servicio de Cardiología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain., Berastegui E; Servicio de Cirugía Cardiaca, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain., Ruyra X; Servicio de Cirugía Cardiaca, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain., Romero B; Servicio de Cirugía Cardiaca, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain., Camara ML; Servicio de Cirugía Cardiaca, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain., Just MS; Servicio de Medicina Intensiva, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain., Serra J; Servicio de Cardiología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain., Rueda F; Servicio de Cardiología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain., Ferrer M; Servicio de Cardiología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain., García-García C; Servicio de Cardiología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain., Bayes-Genis A; Servicio de Cardiología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain; Instituto de Investigación en Ciencias de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain.
المصدر: Revista espanola de cardiologia (English ed.) [Rev Esp Cardiol (Engl Ed)] 2018 Aug; Vol. 71 (8), pp. 638-642. Date of Electronic Publication: 2017 Nov 20.
نوع المنشور: Journal Article; Observational Study
اللغة: English; Spanish; Castilian
بيانات الدورية: Publisher: Elsevier Doyma Country of Publication: Spain NLM ID: 101587954 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1885-5857 (Electronic) Linking ISSN: 18855857 NLM ISO Abbreviation: Rev Esp Cardiol (Engl Ed) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Barcelona : Elsevier Doyma
مواضيع طبية MeSH: Cardiac Surgical Procedures*, Heart Diseases/*surgery , Intensive Care Units/*statistics & numerical data , Length of Stay/*trends , Postoperative Care/*methods , Postoperative Complications/*epidemiology, Aged ; Female ; Follow-Up Studies ; Heart Diseases/mortality ; Hospital Mortality/trends ; Hospitals, University/statistics & numerical data ; Humans ; Incidence ; Male ; Patient Readmission/trends ; Retrospective Studies ; Risk Factors ; Spain/epidemiology ; Time Factors
مستخلص: Introduction and Objectives: Current postoperative management of adult cardiac surgery often comprises transfer from the intensive care unit (ICU) to a conventional ward. Intermediate care units (IMCU) permit hospital resource optimization. We analyzed the impact of an IMCU on length of stay (both ICU and in-hospital) and outcomes (in-hospital mortality and 30-day readmissions) after adult cardiac surgery (IMCU-CS).
Methods: From November 2012 to April 2015, 1324 consecutive patients were admitted to a university hospital for cardiac surgery. In May 2014, an IMCU-CS was established for postoperative care. For the purposes of this study, patients were classified into 2 groups, depending on the admission period: pre-IMCU-CS (November 2012-April 2014, n=674) and post-IMCU-CS (May 2014-April 2015, n=650).
Results: There were no statistically significant differences in age, sex, risk factors, comorbidities, EuroSCORE 2, left ventricular ejection fraction, or the types of surgery (valvular in 53%, coronary in 26%, valvular plus coronary in 11.5%, and aorta in 1.8%). The ICU length of stay decreased from 4.9±11 to 2.9±6 days (mean±standard deviation; P<.001); 2 [1-4] to 1 [0-3] (median [Q1-Q3]); in-hospital length of stay decreased from 13.5±15 to 12.7±11 days (mean±standard deviation; P=.01); 9 [7-13] to 9 [7-11] (median [Q1-Q3]), in pre-IMCU-CS to post-IMCU-CS, respectively. There were no statistically significant differences in in-hospital mortality (4.9% vs 3.5%; P=.28) or 30-day readmission rate (4.3% vs 4.2%; P=.89).
Conclusions: After the establishment of an IMCU-CS for postoperative cardiac surgery, there was a reduction in ICU and in-hospital mean lengths of stay with no increase in in-hospital mortality or 30-day readmissions.
(Copyright © 2017 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.)
فهرسة مساهمة: Keywords: Cardiac surgery; Cirugía cardiaca; Cuidado posoperatorio; Intermediate care unit; Postoperative care; Unidad de cuidados intermedios
تواريخ الأحداث: Date Created: 20171122 Date Completed: 20181126 Latest Revision: 20181126
رمز التحديث: 20240628
DOI: 10.1016/j.rec.2017.10.018
PMID: 29158075
قاعدة البيانات: MEDLINE
الوصف
تدمد:1885-5857
DOI:10.1016/j.rec.2017.10.018