Very Early Discharge After Coronary Artery Bypass Grafting Does Not Affect Readmission or Survival

Outcomes of Expedited Discharge After Isolated Coronary Artery Bypass Grafting

“…A study by Afflu et al examined institutional data of CABG patients undergoing expedited discharge. 13 The authors noted low rates of postoperative complications in those discharged early, as well as similar 1-and 5-year mortality for both groups. Whereas Afflu et al examined all patients within their institution regardless of illness severity, the authors' study here was limited to patients without major morbidity or complications.…”

“…29 The authors' findings highlighted the potential benefits of adopting ERAS and expedited discharge protocols across hospitals nationally, particularly as these guidelines and their efficacy are well-established in the literature. 2,12,13 Patient outcomes likely would be improved by the widespread acceptance and implementation of expedited discharge protocols in the postoperative setting.…”

“…The fourth postoperative day was selected as the threshold for expedited discharge based on available literature. 13 Patients with prolonged hospitalization durations (8 days), any major perioperative complications, nonelective admission, CABG-valve operations, <18 years of age, and those missing key variables of interest were excluded from analysis (Supplemental Fig 1).…”

“…[10][11][12] Although expedited discharge may reduce overall healthcare costs and improve recovery pathways, concerns regarding readmission and late complications remain. 13 The impact of expedited discharge on healthcare expenditures could be particularly significant in the context of isolated CABG, considering that >300,000 procedures are performed each year in the United States. 14,15 Therefore, the present study evaluated the impact of expedited postoperative discharge on index hospitalization cost, discharge to home, and 90-day readmission in a nationally representative cohort of patients undergoing isolated CABG.…”

Parsimonious machine learning models to predict resource use in cardiac surgery across a statewide collaborative

“… 15 Consistent with this notion, several prior studies have demonstrated wide variation in hospital practices that may influence LOS, such as expedited discharge after lung resection and CABG. 25 , 26 A nationwide study of minimally invasive esophagectomy in the Netherlands demonstrated great heterogeneity in ICU LOS, pointing to differences in use of early extubation protocols and analgesic modalities as contributing factors. 27 Investigation at a broader scale is necessary to confirm the generalizability of our findings and to identify modifiable practice patterns that increase LOS.…”