CABG Annotated Bibliography and Bibliography

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    Annotated Bibliography

    Allen, L. A., Hernandez, A. F., Peterson, E. D., Curtis, L. H., Dai, D., Masoudi, F. A., Fonarow, G.C. (2011). Discharge to a skilled nursing facility and subsequent clinical outcomes among olderpatients hospitalized for heart failure. Circulation. Heart Failure, 4(3), 293300.

    doi:10.1161/CIRCHEARTFAILURE.110.959171

    Observational analysis: Patient factors associated with discharge to SNF included longer

    length of stay, advanced age, female sex, hypotension, higher ejection fraction, absence of

    ischemic heart disease, and a variety of comorbidities

    Andrikopoulos, G., Tzeis, S., Mantas, I., Olympios, C., Kitsiou, A., Kartalis, A., Vardas, P. (2012).Epidemiological characteristics and in-hospital management of acute coronary syndrome patientsin Greece: results from the TARGET study.Hellenic Journal of Cardiology: HJC = HellnikKardiologik Epithers, 53(1), 3340. Retrieved fromhttp://www.ncbi.nlm.nih.gov/pubmed/22275741

    Conduction of national surveys:The TARGET study is a [two phase] observational study

    ClinicalTrials.gov link:http://clinicaltrials.gov/ct2/show/NCT01061086

    Bates, O. L., OConnor, N., Dunn, D., & Hasenau, S. M. (2014). Applying STAAR interventions inincremental bundles: improving post-CABG surgical patient care. Worldviews on Evidence-Based Nursing / Sigma Theta Tau International, Honor Society of Nursing, 11(2), 8997.doi:10.1111/wvn.12028

    Qualitative comparative study: Unlike the Hannan et al. (2011)study, the current study did

    not find a significant relationship between age, gender, race, or BMI and 30-day readmissions

    even though both samples were similar in makeup. Age was not found to be a statistically

    significant predictor of 30-day rehospitalization in other literature as well (Stewart et al.,2000).

    Several studies that looked at gender differences in CABG patients found female gender to have

    a statistically significant correlation with 30-day readmission

    http://www.ncbi.nlm.nih.gov/pubmed/21447803http://www.ncbi.nlm.nih.gov/pubmed/21447803http://www.ncbi.nlm.nih.gov/pubmed/21447803http://www.ncbi.nlm.nih.gov/pubmed/22275741http://www.ncbi.nlm.nih.gov/pubmed/22275741http://clinicaltrials.gov/ct2/show/NCT01061086http://clinicaltrials.gov/ct2/show/NCT01061086http://clinicaltrials.gov/ct2/show/NCT01061086http://dx.doi.org/10.1111%2Fwvn.12028http://dx.doi.org/10.1111%2Fwvn.12028http://dx.doi.org/10.1111%2Fwvn.12028http://onlinelibrary.wiley.com/doi/10.1111/wvn.12028/full#wvn12028-bib-0010http://onlinelibrary.wiley.com/doi/10.1111/wvn.12028/full#wvn12028-bib-0010http://onlinelibrary.wiley.com/doi/10.1111/wvn.12028/full#wvn12028-bib-0010http://onlinelibrary.wiley.com/doi/10.1111/wvn.12028/full#wvn12028-bib-0026http://onlinelibrary.wiley.com/doi/10.1111/wvn.12028/full#wvn12028-bib-0026http://onlinelibrary.wiley.com/doi/10.1111/wvn.12028/full#wvn12028-bib-0026http://onlinelibrary.wiley.com/doi/10.1111/wvn.12028/full#wvn12028-bib-0026http://onlinelibrary.wiley.com/doi/10.1111/wvn.12028/full#wvn12028-bib-0010http://dx.doi.org/10.1111%2Fwvn.12028http://clinicaltrials.gov/ct2/show/NCT01061086http://www.ncbi.nlm.nih.gov/pubmed/22275741http://www.ncbi.nlm.nih.gov/pubmed/21447803
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    Carey, J. S., Parker, J. P., Robertson, J. M., Misbach, G. A., & Fisher, A. L. (2003). Hospitaldischarge to other healthcare facilities: impact on in-hospital mortality.Journal of the AmericanCollege of Surgeons, 197(5), 806812. doi:10.1016/j.jamcollsurg.2003.07.010

    Retrospective study: Transfer to another healthcare facility rather than discharge home is a

    common practice after cardiac surgery. A substantial percentage of in-hospital deaths occurs

    after discharge from the primary institution.

    Crouch, D. S., McLafferty, R. B., Karch, L. A., Mattos, M. A., Ramsey, D. E., Henretta, J. P., Sumner, D. S. (2001). A prospective study of discharge disposition after vascular surgery.Journal of Vascular Surgery, 34(1), 6268. doi:10.1067/mva.2001.115597

    Prospective study: reveals that a large proportion of patients (39%) had a decline in

    disposition after vascular surgery. A hospital stay more than 6 days, emergency operation, open

    operative wound, systemic complications, and minor amputation were strong independent

    predictors of decline. Factors significantly associated with a decline in disposition at discharge

    by univariate analysis included diabetes mellitus (P

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    Asians, Hispanics, and Native Americans were less likely to use [post-acute care services] after

    hospitalization

    Dolansky, M. A., Zullo, M. D., Hassanein, S., Schaefer, J. T., Murray, P., & Boxer, R. (2012).Cardiac rehabilitation in skilled nursing facilities: a missed opportunity.Heart & Lung: TheJournal of Critical Care, 41(2), 115124. doi:10.1016/j.hrtlng.2011.08.006

    Retrospective review + Surveys:Overall, 19 participants (21%) had 1 or more cardiac

    disorders that placed them in the AACVPR high-exercise risk category, indicating a potential for

    cardiac decompensation during exercise. Two additional indicators for the severity of illness

    were length of hospital stay (57% hospitalized for more than 1 week, n = 46) and chronic dialysis

    (10%, n = 8). Eight (6.4%) patients demonstrated cognitive impairment. Upon admission, 10

    patients (8%) were unable to walk, and only 5 regained the ability to walk as of discharge.

    Patients who did not regain their ability to walk were discharged to a long-term nursing home.

    Physical function, as measured by FIM scores upon both admission and discharge, was well

    below the midpoint of 72, indicating impairment. Thirty-eight percent of patients were receiving

    an antidepressant, and 16% (n = 13) presented documentation of daily complaints of pain at

    moderate intensity. Thirty percent of the patients had both 3 or more hospital complications and

    SNF complications. Comorbidity was high, ie, patients exhibited a mean of 3 comorbid

    conditions. The social variables that were measured included marital status (30% were married)

    and living arrangements (30% lived alone). TABLE INCLUDED

    Dunckley, M., Ellard, D., Quinn, T., & Barlow, J. (2008). Coronary artery bypass grafting: patientsand health professionals views of recovery after hospital discharge.European Journal of

    Cardiovascular Nursing: Journal of the Working Group on Cardiovascular Nursing of the

    European Society of Cardiology, 7(1), 3642. doi:10.1016/j.ejcnurse.2007.06.001

    http://www.sciencedirect.com/science/article/pii/S0147956311004717http://www.sciencedirect.com/science/article/pii/S0147956311004717http://www.sciencedirect.com/science/article/pii/S0147956311004717http://www.sciencedirect.com/science/article/pii/S0147956311004717#tbl1http://www.sciencedirect.com/science/article/pii/S0147956311004717#tbl1http://www.ncbi.nlm.nih.gov/pubmed/17644041http://www.ncbi.nlm.nih.gov/pubmed/17644041http://www.ncbi.nlm.nih.gov/pubmed/17644041http://www.ncbi.nlm.nih.gov/pubmed/17644041http://www.sciencedirect.com/science/article/pii/S0147956311004717#tbl1http://www.sciencedirect.com/science/article/pii/S0147956311004717
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    The most significant predictors of dying or still being in a facility at 1 year include being on

    dialysis, right heart failure, and having chronic lung disease. Considering perioperative

    complications, requiring prolonged ventilation decreases the odds of being home and alive at 1

    year by 67%: one-year survival at home, 95.4%; rehabilitation, 63.6%; SNF, 52.3%; and LTAC,

    30.8%.

    Elfstrom, K. M., Hatefi, D., Kilgo, P. D., Puskas, J. D., Thourani, V. H., Guyton, R. A., & Halkos, M.E. (2012). What happens after discharge? An analysis of long-term survival in cardiac surgicalpatients requiring prolonged intensive care.Journal of Cardiac Surgery, 27(1), 1319.doi:10.1111/j.1540-8191.2011.01341.x

    Retrospective study: survival after discharge is significantly reduced in patients requiring

    prolonged ICU care.

    DISCUSSION OF RESULTS

    Filardo, G., Hamilton, C., Grayburn, P. A., Xu, H., Hebeler, R. F., Jr, & Hamman, B. (2012).Established preoperative risk factors do not predict long-term survival in isolated coronary arterybypass grafting patients. The Annals of Thoracic Surgery, 93(6), 19431948.doi:10.1016/j.athoracsur.2012.02.072

    A Cox survival model:Established operative risk factors may not be good predictors of

    long-term post-CABG survival. Late mortality may be attributable to many causes, not

    necessarily related to patients' cardiovascular and general health at the time of operation.

    TABLE OF PATIENT RISK FACTORS

    Fredericks, S. (2012). Memory loss following coronary artery bypass graft surgery: a discussion ofthe implications for nursing. Canadian Journal of Cardiovascular Nursing, 22(2), 3336.Retrieved fromhttp://www.ncbi.nlm.nih.gov/pubmed/22803287

    http://onlinelibrary.wiley.com/doi/10.1111/j.1540-8191.2011.01341.x/abstracthttp://onlinelibrary.wiley.com/doi/10.1111/j.1540-8191.2011.01341.x/abstracthttp://onlinelibrary.wiley.com/doi/10.1111/j.1540-8191.2011.01341.x/abstracthttp://onlinelibrary.wiley.com/doi/10.1111/j.1540-8191.2011.01341.x/full#ss4http://onlinelibrary.wiley.com/doi/10