Factors Associated with Unplanned Readmissions Following Cardiac Surgery

Fasken, Lauri Lynn; Wipke‐Tevis, Deidre D.; Sagehorn, Kelli K.

doi:10.1111/j.0889-7204.2001.00590.x

Cited by 21 publications

(33 citation statements)

References 19 publications

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“…Results indicated minimal to zero effect on self‐care knowledge and compliance with self‐care instructions; physical functioning, specifically mobility, ambulation and body care/movement; or symptom frequency. A possible reason for the minimal effectiveness of existing CVS patient education interventions might be the time during which the education is provided, which is sometimes be characterized by some form of short‐term memory loss, dementia and/or delirium, which could be present in up to 50% of all CVS patients following heart surgery . The majority of patients return to full cognitive functioning within 2 weeks of surgery .…”

Section: Web‐based Patient Educationmentioning

confidence: 99%

Using knowledge translation as a framework for the design of a research protocol

Fredericks

Martorella

Catallo

2015

Int J of Nursing Practice

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Knowledge translation has been defined as the synthesis, dissemination, exchange and ethically sound application of knowledge to improve health, resulting in a stronger health-care system. Using KT activities to aid in the adoption of evidence into practice can address current health-care challenges such as increasing organizational practice standards, alleviating the risk for adverse events and meeting practitioner needs for evidence at the bedside. Two general forms of KT have been identified. These being integrated KT and end-of-grant KT. Integrated KT involves the knowledge users in the research team and in the majority of stages of the research process. End-of-grant KT relates to the translation of findings through a well-developed dissemination plan. This paper describes the process of using an integrated knowledge translation approach to design a research protocol that will examine the effectiveness of a web-based patient educational intervention. It begins with a description of integrated knowledge translation, followed by the presentation of a specific case example in which integrated knowledge translation is used to develop a nursing intervention. The major elements of integrated knowledge translation pertain to need for a knowledge user who represents the broad target user group, and who is knowledgeable in the area under investigation and who as authority to enact changes to practice. Use of knowledge users as equal partners within the research team; exploring all feasible opportunities for knowledge exchange; and working with knowledge users to identify all outcomes related to knowledge translation are the other major elements of integrated knowledge translation that are addressed throughout this paper. Furthermore, the relevance of psychosocial or educational interventions to knowledge translation is also discussed as a source of knowledge. In summary, integrated knowledge translation is an important tool for the development of new interventions, as it helps to apply science to practice accurately. It supports the elaboration of the design while enhancing the relevance of the intervention through the validation of feasibility and acceptability with clinicians and patients.

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Section: Web‐based Patient Educationmentioning

confidence: 99%

Using knowledge translation as a framework for the design of a research protocol

Fredericks

Martorella

Catallo

2015

Int J of Nursing Practice

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“…In relation to cardiac surgery, gender and race were also found to be associated with risk postdischarge. Specifically, the female gender (Connerney, Shapiro, McLaughlin, Bagiella, & Sloan, 2001;Faskin, Wipke-Tevis, & Sagehorn, 2001) and African American race (Fasken et al, 2001) were associated with adversity postdischarge, while males (Schwarz & Elman, 2003) were at increased risk for heart failure.…”

Section: Demographic Factorsmentioning

confidence: 99%

“…Length of hospital stay has been frequently reported as a risk factor for older adults (Cornette et al, 2005a;Douglas, Daly, Brennan, Gordon, & Uthis, 2001;Fasken et al, 2001;Miller et al, 2001;Lee, 2006;Shipton, 1996;Wu et al, 2006). The length of stay also has implications when considering functional status and patient age.…”

Section: Medical and Physical Factorsmentioning

confidence: 99%

Evidence-based Risk Factors for Adverse Health Outcomes in Older Patients after Discharge Home and Assessment Tools: A Systematic Review

Preyde

Brassard

2011

Journal of Evidence-Based Social Work

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The current health care system is discharging elderly patients "quicker" and "sicker" from acute care facilities. Consequently, hospital readmission is common; however, readmission may be only one aspect of adverse outcomes of importance to social work discharge planners. The early recognition of risk factors might ensure a successful transition from the hospital to the home. A systematic review was conducted to identify factors associated with adverse outcomes in older patients discharged from hospital to home. Using a content analysis, factors were characterized in five domains: demographic factors, patient characteristics, medical and biological factors, social factors, and discharge factors. The most frequently reported risks were depression, poor cognition, comorbidities, length of hospital stay, prior hospital admission, functional status, patient age, multiple medications, and lack of social support. A systematic search identified four discharge assessment tools for use with the general population of elderly patients. Practice and research implications are offered.

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“…Postoperative infections occur in about a quarter of all heart surgery patients (Fasken et al. 2001).…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…They can range from minor skin infections that are treated with antibiotics to major sternal infections requiring longer hospitalisations, removal of the sternum, or rehospitalisation. The most common areas for infection following heart surgery are sternal wound and/or donor site (Fasken et al. 2001).…”

Section: Conceptual Frameworkmentioning

confidence: 99%

An examination of the postdischarge recovery experience of patients who have had heart surgery

Fredericks¹,

DaSilva²

2010

J of Nursing and Healthcare

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fredericks s & dasilva m (2010) Journal of Nursing and Healthcare of Chronic Illness2, 281–291 An examination of the postdischarge recovery experience of patients who have had heart surgery Aim. This review was conducted to address the clinically relevant question: What is the postoperative recovery experience of the individual who has had Coronary Artery Bypass Graft and Valve Replacement surgery? Background. Although resources to promote recovery following Coronary Artery Bypass Graft and Valve Replacement surgery are provided, over a quarter of all patients are being readmitted to hospitals with postoperative complications experienced during the first 3 months of recovery. A possible reason for the high rate of readmission following heart surgery is the quality of patient engagement in the performance of self‐care behaviours. In particular, patients who have had CABG and/or VR may not be fully engaged in the required self‐care behaviours during their first 3 months of recovery. Methods. A review of studies that examined the postoperative recovery experience of patients who had CABG and/or VR was conducted. Results. Findings suggest the type of post‐operative complication identified during the first 3 months of recovery following Coronary Artery Bypass Graft and Valve Replacement was either cognitive or cardiac in nature. As well, the number of self‐care behaviours patients engage in during their hospital discharge was slightly less than the number of behaviours patients performed while in hospital. Conclusion and relevance to clinical practice. As close to half of the sample reported some form of cognitive impairment within the first 3 months following surgery, it is possible that this impairment may have influenced the type and number of self‐care behaviours performed. Therefore, further research is needed to determine the best time to educate patients during their recovery following hospital discharge.

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Factors Associated with Unplanned Readmissions Following Cardiac Surgery

Cited by 21 publications

References 19 publications

Using knowledge translation as a framework for the design of a research protocol

Using knowledge translation as a framework for the design of a research protocol

Evidence-based Risk Factors for Adverse Health Outcomes in Older Patients after Discharge Home and Assessment Tools: A Systematic Review

An examination of the postdischarge recovery experience of patients who have had heart surgery

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