Evaluation of the impact of an integrated care pathway for pulmonary embolism: a quasi-experimental pre-post study

Autor:	Romina Abelleira, Vanessa Riveiro, Nuria Rodríguez-Núñez, Carlos Rábade, Jorge Ricoy, José Ramón González-Juanatey, Francisco-Javier González-Barcala, Ana Iglesias Casal, Luis Valdés, Alberto Ruano-Ravina, Antonio Golpe, Lucía Ferreiro, José Manuel Álvarez-Dobaño, M. Elena Toubes, Adriana Lama, Juan Suárez-Antelo
Rok vydání:	2021
Předmět:	Pulmonary and Respiratory Medicine medicine.medical_specialty business.industry medicine.disease Logistic regression Patient care Pulmonary embolism Integrated care Internal medicine medicine Original Article business Hospital stay Oral anticoagulation
Zdroj:	J Thorac Dis
ISSN:	2077-6624 2072-1439
Popis:	BACKGROUND: An integrated care pathway (ICP) is intended to improve the management of prevalent resource-consuming, life-threatening diseases. The purpose of this study was to determine whether the quality of patient care improved with the establishment of a dedicated unit for pulmonary embolism (PE). METHODS: A quasi-experimental pre-post study (pre: years 2010–2013; post: 2015–2020; year 2014, “washing” period) of PE patients ≥18 years (January 2010–June 2020). The intervention involved the implementation of an ICP for PE. RESULTS: The sample was composed of 1,142 patients (510 pre-intervention and 612 post-intervention) without significant differences between the two populations. In the post-intervention period, significant reductions were observed in the median length of hospital stay (LOS) (8 vs. 6 days); time to start of oral anticoagulation therapy (4.5 vs. 3.5 days; P
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::37554d267748abf362ed357bf883b7d1 https://doi.org/10.21037/jtd-21-595 Zobrazit plný text záznamu