Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

OBJECTIVE: Open aortic aneurysm repair is traditionally associated with an extended hospital stay. The aim of this study was to examine the feasibility of reducing post-operative stay through the implementation of a fast-track, goal directed, clinical pathway for elective open aortic surgery. METHODS: A fast-track clinical pathway for aortic surgery was introduced in a regional vascular unit in September 2005. The pathway has daily goals and targets discharge for all patients on the 3rd post operative day. This study compares thirty consecutive discharges of unselected patients undergoing elective infra-renal aortic surgery following introduction of the pathway to the thirty consecutive cases preceding its introduction. Reasons for prolonged hospital stay were recorded. RESULTS: Six of thirty patients achieved discharge by Day 3. The median hospital stay reduced from 9 (range 4 to 17 days) to 5 days (range 2 to 12 days) following introduction of the pathway. There was one readmission within 30 days and no complications attributable to the pathway implementation. Cardiac complications and home planning were the most common causes of delayed discharge. CONCLUSION: Post-operative stay in patients undergoing standard elective open infra-renal aortic surgery can be safely reduced with the introduction of a goal directed pathway.

Original publication

DOI

10.1016/j.ejvs.2007.04.018

Type

Journal article

Journal

Eur J Vasc Endovasc Surg

Publication Date

09/2007

Volume

34

Pages

274 - 278

Keywords

Aged, Aged, 80 and over, Aortic Aneurysm, Critical Pathways, Early Ambulation, Elective Surgical Procedures, England, Feasibility Studies, Female, Goals, Humans, Length of Stay, Male, Middle Aged, Quality of Health Care, Treatment Outcome, Vascular Surgical Procedures