Fast tracking in cardiac surgery: is it safe?
Abstract Background While fast track clinical pathways have been demonstrated to reduce resource utilization in patients undergoing cardiac surgery, it remains unclear as to whether they adversely affect post-operative outcomes. The purpose of this study was to determine the impact of fast tracking...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-022-01815-9 |
| _version_ | 1819209912702468096 |
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| author | Jeffrey B. MacLeod Kenneth D’Souza Christie Aguiar Craig D. Brown Zlatko Pozeg Christopher White Rakesh C. Arora Jean-François Légaré Ansar Hassan |
| author_facet | Jeffrey B. MacLeod Kenneth D’Souza Christie Aguiar Craig D. Brown Zlatko Pozeg Christopher White Rakesh C. Arora Jean-François Légaré Ansar Hassan |
| author_sort | Jeffrey B. MacLeod |
| collection | DOAJ |
| description | Abstract Background While fast track clinical pathways have been demonstrated to reduce resource utilization in patients undergoing cardiac surgery, it remains unclear as to whether they adversely affect post-operative outcomes. The purpose of this study was to determine the impact of fast tracking on post-operative outcomes following cardiac surgery. Methods In a retrospective study, all patients undergoing first-time, on-pump, non-emergent coronary artery bypass grafting, valve, or coronary artery bypass grafting + valve at a single centre between 2010 and 2017 were included. Patients were considered to have been fast tracked if they were extubated and transferred from intensive care to a step-down unit on the same day as their procedure. The risk-adjusted effect of fast tracking on a 30-day composite of all-cause mortality, stroke, renal failure, infection, atrial fibrillation, and readmission to hospital was determined. Furthermore, propensity score matching was used to match fasting track patients in a 1-to-1 manner with their nearest “neighbor” in the control group and subsequently compared in terms of 30-day post-operative outcomes. Results 3252 patients formed the final study population (fast track: n = 245; control: n = 3007). Patients who were fast tracked experienced reduced time to initial extubation (4.3 vs. 5.6 h, p < 0.0001) and lower median initial intensive care unit length of stay (7.8 vs. 20.4 h, p < 0.0001). Fast tracked patients experienced lower 30-day rates of the composite outcome (42.4% vs. 51.5%, p = 0.008). However, following propensity score matching, fast tracked patients experienced similar 30-day rates of the composite outcome as the control group (42.4% vs. 44.5%, p = 0.72). After risk adjustment using multivariable regression modeling, fast tracking was predictive of an improved 30-day composite outcome (OR 0.75, 95% CI 0.57–0.98, p = 0.03). Conclusion Fast track clinical pathways was associated with reduced intensive care unit, overall length of stay and similar 30-day post-operative outcomes. These results suggest that fast tracking appropriate patients may reduce resource utilization, while maintaining patient safety. Graphical abstract |
| first_indexed | 2024-12-23T06:02:49Z |
| format | Article |
| id | doaj.art-854540f570964cf6995e57ee50ebea87 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-23T06:02:49Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-854540f570964cf6995e57ee50ebea872022-12-21T17:57:38ZengBMCJournal of Cardiothoracic Surgery1749-80902022-04-011711810.1186/s13019-022-01815-9Fast tracking in cardiac surgery: is it safe?Jeffrey B. MacLeod0Kenneth D’Souza1Christie Aguiar2Craig D. Brown3Zlatko Pozeg4Christopher White5Rakesh C. Arora6Jean-François Légaré7Ansar Hassan8Cardiovascular Research New Brunswick, Saint John Regional HospitalCardiovascular Research New Brunswick, Saint John Regional HospitalCardiovascular Research New Brunswick, Saint John Regional HospitalCardiovascular Research New Brunswick, and Department of Cardiac Surgery, Saint John Regional HospitalCardiovascular Research New Brunswick, and Department of Cardiac Surgery, Saint John Regional HospitalCardiovascular Research New Brunswick, and Department of Cardiac Surgery, Saint John Regional HospitalMax Rady College of Medicine, Department of Surgery, University of Manitoba, St. Boniface HospitalCardiovascular Research New Brunswick, and Department of Cardiac Surgery, Saint John Regional HospitalDepartment of Cardiovascular Surgery, Maine Medical CenterAbstract Background While fast track clinical pathways have been demonstrated to reduce resource utilization in patients undergoing cardiac surgery, it remains unclear as to whether they adversely affect post-operative outcomes. The purpose of this study was to determine the impact of fast tracking on post-operative outcomes following cardiac surgery. Methods In a retrospective study, all patients undergoing first-time, on-pump, non-emergent coronary artery bypass grafting, valve, or coronary artery bypass grafting + valve at a single centre between 2010 and 2017 were included. Patients were considered to have been fast tracked if they were extubated and transferred from intensive care to a step-down unit on the same day as their procedure. The risk-adjusted effect of fast tracking on a 30-day composite of all-cause mortality, stroke, renal failure, infection, atrial fibrillation, and readmission to hospital was determined. Furthermore, propensity score matching was used to match fasting track patients in a 1-to-1 manner with their nearest “neighbor” in the control group and subsequently compared in terms of 30-day post-operative outcomes. Results 3252 patients formed the final study population (fast track: n = 245; control: n = 3007). Patients who were fast tracked experienced reduced time to initial extubation (4.3 vs. 5.6 h, p < 0.0001) and lower median initial intensive care unit length of stay (7.8 vs. 20.4 h, p < 0.0001). Fast tracked patients experienced lower 30-day rates of the composite outcome (42.4% vs. 51.5%, p = 0.008). However, following propensity score matching, fast tracked patients experienced similar 30-day rates of the composite outcome as the control group (42.4% vs. 44.5%, p = 0.72). After risk adjustment using multivariable regression modeling, fast tracking was predictive of an improved 30-day composite outcome (OR 0.75, 95% CI 0.57–0.98, p = 0.03). Conclusion Fast track clinical pathways was associated with reduced intensive care unit, overall length of stay and similar 30-day post-operative outcomes. These results suggest that fast tracking appropriate patients may reduce resource utilization, while maintaining patient safety. Graphical abstracthttps://doi.org/10.1186/s13019-022-01815-9OutcomesPatient safetyPostoperative care |
| spellingShingle | Jeffrey B. MacLeod Kenneth D’Souza Christie Aguiar Craig D. Brown Zlatko Pozeg Christopher White Rakesh C. Arora Jean-François Légaré Ansar Hassan Fast tracking in cardiac surgery: is it safe? Journal of Cardiothoracic Surgery Outcomes Patient safety Postoperative care |
| title | Fast tracking in cardiac surgery: is it safe? |
| title_full | Fast tracking in cardiac surgery: is it safe? |
| title_fullStr | Fast tracking in cardiac surgery: is it safe? |
| title_full_unstemmed | Fast tracking in cardiac surgery: is it safe? |
| title_short | Fast tracking in cardiac surgery: is it safe? |
| title_sort | fast tracking in cardiac surgery is it safe |
| topic | Outcomes Patient safety Postoperative care |
| url | https://doi.org/10.1186/s13019-022-01815-9 |
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