To shorten hospital stay after cardiac surgery, several risk factors have been defined to identify patients who can be discharged early.
These risk factors are dependant on the patient : no studies exist on the influence of the treating physician himself on postoperative patient stay.
In a university affiliated cardiac surgical clinic we investigated patients who were postoperatively treated either on medical wards with no cardiac surgeon's presence or on a cardiac surgical ward ; at both types of wards physicians had several years experience with cardiac surgical patients.
Taking several risk factors for postoperative morbidity into account, postoperative length of stay and incidence of wound healing complications have been compared.
Within a 3-month period, 84 patients were treated at the cardiac surgical ward, 102 patients at the medical wards.
Risk factors for postoperative morbidity were present in 87% of patients, statistically mdependent of postoperative wards.
Although demographic data and median ICU-stay of both patient groups was comparable, the median post-ICU stay was 9 days at the surgical and 13 days at the medical wards (P<0.0001).
Incidence of wound healing complication was higher (19.6%) at the medical wards than at the surgical ward (10.7%), without reaching statistical significance. (...)
Mots-clés Pascal : Chirurgie, Coeur, Homme, Hospitalisation, Durée, Postopératoire, Pronostic, Chirurgien, Complication, Organisation santé, Qualité, Soin
Mots-clés Pascal anglais : Surgery, Heart, Human, Hospitalization, Duration, Postoperative, Prognosis, Surgeon, Complication, Public health organization, Quality, Care
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0514393
Code Inist : 002B25E. Création : 18/05/2000.