Insil Jang
Department of Nursing, Ulsan University, Ulsan, South Korea
Title: The Effect of an Early Discharge Protocol Program After CABG
Biography
Biography: Insil Jang
Abstract
Purpose: The purpose of this study was to identify the effect of an early discharge protocol after coronary artery bypass graft surgery in Korea. Methods: The sample for this study consisted of 29 patients in an early discharge protocol (EDP) group and 31 patients in an conventional discharge protocol (CDP) group. The EDP group, led by the APNs, was formed to conduct a randomized controlled trial. A power analysis was performed using the outcome variable of hopital LOS. Results: Statistical analysis revealed that the EDP had discharged patients after an average of 6.87days, which was 2.39 days shorter than with the CDP. The safety of the EDP was evaluated by examining wound infection and postoperative complication in outpatient clinic. And other indicators were any emergency room visits and readmission by reviewing medical records in outpatient clinic. Although there were differences in the indicators between the EDP and CDP groups, the differences were not statistically significant, indicating that patient safety was maintained equally in the two groups. Conclusion: The results of the study levealed that an EDP program can be successfully implemented to guide best practice, reduce LOS, and reduce costs while maintaing patient safety outcomed in patients undergone CABG surgery in Korea.