Interventions to Prevent Readmissions in Hospitalized Peripheral Vascular Surgery Patients: A Systematic Review.
Elizabeth R DossLori L PopejoyPublished in: Clinical nursing research (2022)
A large proportion of peripheral vascular patients worldwide experience unplanned hospital readmissions after inpatient vascular surgery. This review was conducted to identify acute care and post-discharge interventions that may help in reducing unplanned vascular surgery readmissions. A computer-based search of four databases was conducted July 2021 for original research reports published 2000 to 2021. Eight studies met inclusion criteria, with interventions including multidisciplinary care teams, advance practice provider discharge coordination, individualized case management, home care nursing, early primary care provider or telephone follow-up, and telehealth driven follow up evaluated. Some reductions in readmission rates were associated with most interventions but were inconsistent across studies. Further research is necessary to clarify and validate these findings, incorporate patient perspectives, and explore the role of technology-based interventions. This work is key to improving the patient's experience, reduce healthcare costs, and strengthen the quality of vascular surgery care.
Keyphrases
- healthcare
- primary care
- minimally invasive
- coronary artery bypass
- end stage renal disease
- acute care
- physical activity
- quality improvement
- palliative care
- newly diagnosed
- ejection fraction
- chronic kidney disease
- peritoneal dialysis
- prognostic factors
- surgical site infection
- systematic review
- case report
- acute coronary syndrome
- emergency department
- randomized controlled trial
- patient reported outcomes
- social media
- chronic pain
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- artificial intelligence
- chemotherapy induced
- atrial fibrillation
- affordable care act
- health insurance