An investigation of the variables associated with normal and delayed hospital discharge following first time isolated coronary artery bypass graft surgery

M.G Cox
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Abstract

The optimum day for discharge after coronary artery bypass graft (CABG) surgery has been subject to some debate yet there has been a steady increase in the number of patients discharged within 5 days of surgery. Delayed discharges may result in the under use of surgical capacity and impact upon patient outcomes.

The author conducted a retrospective; correlational study of 333 patients to investigate the variables associated with delayed discharge after CABG. The results suggest it is possible to identify patients likely to achieve a 5-day discharge from their age and Parsonnet score [Circulation, 79(Suppl. I), 1989, 3]. The introduction of a policy of adopting a 5-day discharge for those patients could maximise surgical capacity and improve patient outcomes. Further prospective study is recommended after the policy has been implemented to evaluate the effectiveness of age and Parsonnet score to predict a 5-day discharge.

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第一次孤立冠状动脉搭桥手术后正常出院和延迟出院相关变量的调查
冠状动脉旁路移植术(CABG)术后最佳出院日期一直存在争议,但手术后5天内出院的患者数量稳步增加。延迟出院可能导致手术能力不足,影响患者预后。作者进行了回顾性研究;对333例患者进行相关性研究,探讨冠脉搭桥后延迟出院的相关变量。结果表明,有可能根据患者的年龄和Parsonnet评分来确定可能达到5天出院的患者[循环,79(补品)]。[j].农业科学,1989,3。对这些患者采用5天出院政策可以最大限度地提高手术能力并改善患者预后。建议在政策实施后进行进一步的前瞻性研究,以评估年龄和Parsonnet评分预测5天出院的有效性。
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