Rapid recovery following cardiac surgery: a nursing perspective
| Autor: | Lisa Cheek, Kim O'Hara, Corina Naughton |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Audit Nurse's Role Teaching hospital Postoperative Complications Primary outcome Nursing Intensive care London medicine Humans Prospective Studies Cardiac Surgical Procedures Hospitals Teaching Intensive care medicine General Nursing Aged Postoperative Care business.industry Incidence Nursing Audit Length of Stay Middle Aged Patient Discharge Cardiac surgery Nursing Evaluation Research Patient Satisfaction Critical Pathways Female Safety Postanesthesia Nursing business Hospital stay |
| Zdroj: | British Journal of Nursing. 14:214-219 |
| ISSN: | 2052-2819 0966-0461 |
| DOI: | 10.12968/bjon.2005.14.4.17606 |
| Popis: | Fast-track or rapid-recovery pathways following cardiac surgery are becoming common practice in many cardiac units in order to maximize use of scarce critical care resources. Within the UK, rapid recovery generally describes same-day discharge from the initial intensive care facility to a lower-dependency unit. There are no nationally agreed protocols to help guide this practice. In a London teaching hospital a nurse-led audit was undertaken to identify which patients were selected for rapid recovery and to evaluate safety (length of hospital stay and incidences of postoperative complications) compared to a conventional recovery pathway. The study also sought to gain insight into the patients' views on rapid recovery. Data were collected on 104 patients, all patients (n=56) who followed a rapid-recovery pathway were included. A comparison group (n=48) was selected from patients who followed a conventional recovery but who were eligible for rapid recovery. The primary outcome, median length of hospital stay was 6 days for both groups, but the rapid-recovery group experienced significantly less postoperative complications. Rapid recovery as currently practised on this unit is safe for carefully selected cardiac surgical patients but barriers to rapid recovery need to be explored. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|