Safe and effective protocol for discharge 3 days after cardiac surgery

Abstract The Enhanced Recovery After Surgery (ERAS) protocol affected traditional cardiac surgery processes and COVID-19 is expected to accelerate its scalability. The aim of this study was to assess the impact of an ERAS-based protocol on the length of hospital stay after cardiac surgery. From Janu...

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Autores principales:	Omar Asdrúbal Vilca Mejia, Gabrielle Barbosa Borgomoni, Nilza Lasta, Mariana Yumi Okada, Mariana Silva Biason Gomes, Mary Lee Norris Nelsen Foz, Helga Priscila Giugno Bischoff, Tatiana Saruhashi, Livia Maria Garcia Melro, Márcio Campos Sampaio, Pedro Gabriel Melo de Barros e Silva, José Carlos Teixeira Garcia, Valter Furlan
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/19b30b21703c433eb477742cc4e448a0
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spelling	oai:doaj.org-article:19b30b21703c433eb477742cc4e448a02021-12-02T17:39:32ZSafe and effective protocol for discharge 3 days after cardiac surgery10.1038/s41598-021-88582-02045-2322https://doaj.org/article/19b30b21703c433eb477742cc4e448a02021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-88582-0https://doaj.org/toc/2045-2322Abstract The Enhanced Recovery After Surgery (ERAS) protocol affected traditional cardiac surgery processes and COVID-19 is expected to accelerate its scalability. The aim of this study was to assess the impact of an ERAS-based protocol on the length of hospital stay after cardiac surgery. From January 2019 to June 2020, 664 patients underwent consecutive cardiac surgery at a Latin American center. Here, 46 patients were prepared for a rapid recovery through a multidisciplinary institutional protocol based on the ERAS concept, the “TotalCor protocol”. After the propensity score matching, 46 patients from the entire population were adjusted for 12 variables. Patients operated on the TotalCor protocol had reduced intensive care unit time (P < 0.025), postoperative stay (P ≤ 0.001) and length of hospital stay (P ≤ 0.001). In addition, there were no significant differences in the occurrence of complications and death between the two groups. Of the 10-central metrics of TotalCor protocol, 6 had > 70% adherences. In conclusion, the TotalCor protocol was safe and effective for a 3-day discharge after cardiac surgery. Postoperative atrial fibrillation and renal failure were predictors of postoperative stay > 5 days.Omar Asdrúbal Vilca MejiaGabrielle Barbosa BorgomoniNilza LastaMariana Yumi OkadaMariana Silva Biason GomesMary Lee Norris Nelsen FozHelga Priscila Giugno BischoffTatiana SaruhashiLivia Maria Garcia MelroMárcio Campos SampaioPedro Gabriel Melo de Barros e SilvaJosé Carlos Teixeira GarciaValter FurlanNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Omar Asdrúbal Vilca Mejia Gabrielle Barbosa Borgomoni Nilza Lasta Mariana Yumi Okada Mariana Silva Biason Gomes Mary Lee Norris Nelsen Foz Helga Priscila Giugno Bischoff Tatiana Saruhashi Livia Maria Garcia Melro Márcio Campos Sampaio Pedro Gabriel Melo de Barros e Silva José Carlos Teixeira Garcia Valter Furlan Safe and effective protocol for discharge 3 days after cardiac surgery
description	Abstract The Enhanced Recovery After Surgery (ERAS) protocol affected traditional cardiac surgery processes and COVID-19 is expected to accelerate its scalability. The aim of this study was to assess the impact of an ERAS-based protocol on the length of hospital stay after cardiac surgery. From January 2019 to June 2020, 664 patients underwent consecutive cardiac surgery at a Latin American center. Here, 46 patients were prepared for a rapid recovery through a multidisciplinary institutional protocol based on the ERAS concept, the “TotalCor protocol”. After the propensity score matching, 46 patients from the entire population were adjusted for 12 variables. Patients operated on the TotalCor protocol had reduced intensive care unit time (P < 0.025), postoperative stay (P ≤ 0.001) and length of hospital stay (P ≤ 0.001). In addition, there were no significant differences in the occurrence of complications and death between the two groups. Of the 10-central metrics of TotalCor protocol, 6 had > 70% adherences. In conclusion, the TotalCor protocol was safe and effective for a 3-day discharge after cardiac surgery. Postoperative atrial fibrillation and renal failure were predictors of postoperative stay > 5 days.
format	article
author	Omar Asdrúbal Vilca Mejia Gabrielle Barbosa Borgomoni Nilza Lasta Mariana Yumi Okada Mariana Silva Biason Gomes Mary Lee Norris Nelsen Foz Helga Priscila Giugno Bischoff Tatiana Saruhashi Livia Maria Garcia Melro Márcio Campos Sampaio Pedro Gabriel Melo de Barros e Silva José Carlos Teixeira Garcia Valter Furlan
author_facet	Omar Asdrúbal Vilca Mejia Gabrielle Barbosa Borgomoni Nilza Lasta Mariana Yumi Okada Mariana Silva Biason Gomes Mary Lee Norris Nelsen Foz Helga Priscila Giugno Bischoff Tatiana Saruhashi Livia Maria Garcia Melro Márcio Campos Sampaio Pedro Gabriel Melo de Barros e Silva José Carlos Teixeira Garcia Valter Furlan
author_sort	Omar Asdrúbal Vilca Mejia
title	Safe and effective protocol for discharge 3 days after cardiac surgery
title_short	Safe and effective protocol for discharge 3 days after cardiac surgery
title_full	Safe and effective protocol for discharge 3 days after cardiac surgery
title_fullStr	Safe and effective protocol for discharge 3 days after cardiac surgery
title_full_unstemmed	Safe and effective protocol for discharge 3 days after cardiac surgery
title_sort	safe and effective protocol for discharge 3 days after cardiac surgery
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/19b30b21703c433eb477742cc4e448a0
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Safe and effective protocol for discharge 3 days after cardiac surgery

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