title: Effectiveness of a program of early hospital discharge of cardiac surgery patients.
abstract: Managed care was the impetus for a program designed to move adult patients from acute care to the lowest level of appropriate services after cardiac surgery. Clinical pathways and a home care cardiac specialty team were the major components of the Early Discharge Program. The program was evaluated based on both financial and clinical outcomes. A convenience sample of 119 pretest patients was compared with 101 posttest patients 3 months after program implementation. Hospital length of stay decreased only 0.34 days on average, but inpatient direct variable costs decreased by an average of $1,790 per patient. Based on the 101 patients in the posttest group, $180,790 in direct variable hospital costs were saved. The largest decrease in resource use was in those patients who were discharged to home care. Complications and home caregiver burden after discharge were no higher in patients discharged early. Early discharge of cardiac surgery patients appears to be safe and cost-effective.
authors.affiliation: School of Nursing, San Diego State University, California, USA.
authors.forename: B
authors.initials: B
authors.lastname: Riegel
authors.forename: D M
authors.initials: DM
authors.lastname: Gates
authors.forename: I
authors.initials: I
authors.lastname: Gocka
authors.forename: L
authors.initials: L
authors.lastname: Medina
authors.forename: C
authors.initials: C
authors.lastname: Odell
authors.forename: M
authors.initials: M
authors.lastname: Rich
authors.forename: J S
authors.initials: JS
authors.lastname: Finken
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures / Q000191:economics / Q000523:psychology* / Q000706:statistics & numerical data; D016009:Chi-Square Distribution; D019091:Critical Pathways; D005260:Female; D006699:Home Care Services; D017721:Hospital Costs; D006801:Humans; D007902:Length of Stay / Q000191:economics / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D010348:Patient Care Team; D010351:Patient Discharge / Q000191:economics / Q000706:statistics & numerical data; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D013997:Time Factors