PMID: 9652468Jul 4, 1998Paper

Impact of a critical pathway on postoperative length of stay and outcomes after infrainguinal bypass

Journal of Vascular Surgery
A C StanleyJ O Menzoian

Abstract

To determine the effect of a critical pathway on postoperative length of stay and outcomes after infrainguinal bypass. A critical pathway for care of patients after infrainguinal bypass was introduced in December 1995 to coordinate postoperative care at our institution. We compared care of 67 consecutively treated patients before institution of the pathway with care of 69 consecutively treated patients with the critical pathway in place. Data collection was done by means of chart review. Univariate analyses were used to identify differences between prepathway and postpathway patients and to identify factors influencing postoperative length of stay. Multivariate analysis was used to identify factors that influenced length of stay and to examine the effect of use of the pathway after adjusting for other factors. Patients on the pathway were similar to prepathway controls with respect to comorbid illnesses, vascular risk factors, indications for surgical treatment, type of conduit, and type of operation. Factors associated with longer postoperative stays included distal anastomoses to tibial rather than popliteal vessels (p = 0.02), preexisting cardiac disease (p = 0.005), postoperative complications (p = 0.0003), lower preoperati...Continue Reading

References

Jan 16, 1986·The New England Journal of Medicine·R S RhodesP K Jones
Jun 1, 1995·Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing·K A BoutronC H Niznik
Dec 1, 1995·Journal of Vascular Surgery·K D CalligaroD A DeLaurentis
Aug 1, 1996·Journal of Vascular Surgery·S G Katz, R D Kohl
Sep 1, 1996·Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing·K D CalligaroD A DeLaurentis

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Citations

Dec 12, 2007·Journal of Evaluation in Clinical Practice·Noha El BazSijmen A Reijneveld
May 29, 2000·American Journal of Surgery·J J SkillmanK C Kent
Feb 1, 2003·International Journal of Palliative Nursing·Andrew FowellLindsey Minto
Nov 28, 2017·International Journal of Evidence-based Healthcare·Hosein ShabaninejadBahram Delgoshaei
Apr 11, 2001·The Joint Commission Journal on Quality Improvement·M D WalshJ O Menzoian

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