Anderson Jane A, Petersen Nancy J, Kistner Clara, Soltero Ernesto R, Willson Pamela
Stroke Center, Houston, TX 77030, USA.
J Am Acad Nurse Pract. 2006 Aug;18(8):386-92. doi: 10.1111/j.1745-7599.2006.00152.x.
To examine the relationship between demographic and clinical characteristics of cardiac surgery patients with postoperative length of stay (PLOS) greater than 7 days and determine the demographic, social, and clinical predictors of the need for transitional cardiac rehabilitation (TCR) after cardiac surgery.
A retrospective review of characteristics, clinical indices, caregiver availability, and patient status (whether living alone) was completed for 304 patients undergoing cardiac surgery over 24 consecutive months. Univariate analyses and multivariable logistic regression models were used to evaluate risk factor characteristics for PLOS greater than 7 days and to predict discharge disposition to TCR or home.
Older patients, those with preoperative comorbidities, and those without a caregiver at home experience delays in functional recovery and discharge and are more likely to need TCR services.
Our findings support the addition of functional recovery and social support risk items to the preoperative cardiac surgery risk assessment.
研究术后住院时间（PLOS）超过7天的心脏手术患者的人口统计学和临床特征之间的关系，并确定心脏手术后过渡性心脏康复（TCR）需求的人口统计学、社会和临床预测因素。
对连续24个月内接受心脏手术的304例患者的特征、临床指标、护理人员可获得性和患者状况（是否独居）进行了回顾性分析。采用单因素分析和多变量逻辑回归模型评估PLOS超过7天的危险因素特征，并预测出院去向是接受TCR还是回家。
老年患者、术前合并症患者以及家中无护理人员的患者在功能恢复和出院方面会出现延迟，并且更有可能需要TCR服务。
我们的研究结果支持在术前心脏手术风险评估中增加功能恢复和社会支持风险项目。
