Redução do período de internação e de despesas no atendimento de portadores de cardiopatias congênitas submetidos à intervenção cirúrgica cardíaca no protocolo da via rápida
| Autor: | Sonia M. Franchi, Marilde de Albuquerque Piccioni, José Antonio Franchini Ramires, Alfredo José Mansur, Jorge Wiliam Gadioli, Sérgio de Almeida Oliveira, Alfredo Manoel da Silva Fernandes, Luis Fernando Canêo, Cristina Machado Camargo Afiune, Domingos Dias Lourenço |
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| Jazyk: | portugalština |
| Rok vydání: | 2004 |
| Předmět: |
Ischemic Heart Diseases
medicine.medical_specialty business.industry Hospital unit Postoperative recovery relação custo-benefício After discharge cirurgia cardíaca Surgery Discharge rate Cardiac surgery cardiopatias congênitas medicine Hospital discharge Cardiology and Cardiovascular Medicine business tratamento Perfusion |
| Zdroj: | Arquivos Brasileiros de Cardiologia v.83 n.1 2004 Arquivos Brasileiros de Cardiologia Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
| Popis: | OBJECTIVE: To assess the care provided to patients with congenital heart diseases and ischemic heart diseases undergoing cardiac surgery according to the fast-track recovery protocol compared with those undergoing the conventional procedure. METHODS: The transfer of patients from one hospital unit to another was assessed for 175 patients, 107 (61%) men and 68 (39%) women, with ages ranging from 0.3 to 81 years. RESULTS: The discharge rate from the different hospital units per unit of time of the patients with congenital heart diseases treated according to the fast-track recovery protocol compared with that of patients conventionally treated was as follows: a) 11.3 times faster than the discharge rate of patients treated according to the conventional protocol, in regard to the time spent in the operating room; b) 6.3 times faster in regard to the duration of the surgical intervention; c) 6.8 times faster in regard to the duration of anesthesia; d) 1.5 times faster in regard to the duration of perfusion; e) 2.8 times faster in regard to the stay in the postoperative recovery I unit; f) 6.7 times faster in regard to hospital stay (time period between hospital admission and hospital discharge); g) 2.8 times faster in regard to the stay in the preoperative unit; h) 2.1 times faster in regard to the stay in the admission unit after discharge from postoperative recovery; i) associated with reduced costs. The difference was not significant for patients with ischemic heart disease. CONCLUSION: A reduction in the length of hospital stay and costs for the care of patients undergoing cardiac surgery according to the fast-track protocol was observed. |
| Databáze: | OpenAIRE |
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