title: [Short-stay programme in cardiac surgery. Analysis of short-term outcomes of 533 cases in five years].
abstract: BACKGROUND
  In 1999 so as to decrease the list of cardiac surgery the "fast track" program was started for patients with very mortality low risk. In 2004, this program was extended to moderate risk patients.
  
  
  OBJECTIVE
  A prospective, descriptive study to evaluate the clinical and demographic characteristics of "fast track" program patients for elective cardiac surgery. We also analyzed the hospital stay, mortality, complications and readmissions.
  
  
  METHODS
  From March 2004 to February we included adult patients with indications for cardiac surgery, low to intermediate risk of mortality and complete preoperative requirements.
  
  
  RESULTS
  From a total of 598 patients, 533 were analyzed, aged 47±14 years, 62.5% female. They were classified in four groups: valvular (68%), congenital (25%), coronary artery disease (5%), and mixed (2%). The average hospital stay was: preoperative 1.9, intensive care unit three, postoperative in hospitalization 6.9 and total 11.9 days. We found that 17.8% had a hospital stay longer than 14 days due to: reoperations, pulmonary complications, arrhythmias or infections. The mortality was 4.1 and 2.8% had readmissions three months after surgery.
  
  
  CONCLUSIONS
  This program shows a low rate of mortality, hospital stay and readmissions."
authors.affiliation: Cardiólogos Adscritos al Departamento de Consulta Externa. Instituto Nacional de Cardiología Ignacio Chávez.
authors.forename: Laura Leticia
authors.initials: LL
authors.lastname: Rodríguez-Chavez
authors.forename: Jorge
authors.initials: J
authors.lastname: Kuri-Alfaro
authors.forename: Nydia
authors.initials: N
authors.lastname: Avila-Vanzzini
authors.forename: Sergio
authors.initials: S
authors.lastname: Trevethan-Cravioto
authors.forename: Alejandro
authors.initials: A
authors.lastname: Quiróz-Martínez
authors.forename: Carlos Eder
authors.initials: CE
authors.lastname: Muñoz-Consuegra
authors.forename: Francisco Fernando
authors.initials: FF
authors.lastname: Rodríguez-Rosales
authors.forename: Oscar Javier
authors.initials: OJ
authors.lastname: Fiscal-López
authors.forename: Rodolfo
authors.initials: R
authors.lastname: Barragán-García
authors.forename: Valentín
authors.initials: V
authors.lastname: Herrera-Alarcón
authors.forename: Felipe
authors.initials: F
authors.lastname: Santibañez-Escobar
authors.forename: Ma Del Carmen
authors.initials: Mdel C
authors.lastname: Lacy-Niebla
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Martínez-Ríos
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014850:Waiting Lists