{"title":"减少冠状动脉搭桥再入院：评估护士执业引导的出院后早期随访","authors":"Alison Davidson, Roberto Galao-Malo, Joel Estabillo, Lindsay Condrat, Farzan Filsoufi, Julie Swain","doi":"10.1016/j.nurpra.2025.105508","DOIUrl":null,"url":null,"abstract":"<div><div>Reducing 30-day readmissions after coronary artery bypass grafting is clinically and financially important. From 2017 to 2022, we implemented and refined a nurse practitioner–led protocol shifting postoperative visits from 4 weeks to 1 week after discharge. This significantly increased early follow-up adherence (<em>P</em> < .001) and reduced missed visits with the surgical team (<em>P</em> < .001). Patients seen within 1 week had the lowest readmissions, particularly avoidable ones related to pleural effusions, heart failure, or wounds. This project demonstrates that early nurse practitioner follow-up improves outcomes and ensures continuity of care after coronary artery bypass grafting. Further work defining avoidable readmission reasons could enhance future quality improvement initiatives.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105508"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Reducing CABG Readmissions: Evaluating Nurse Practitioner–Led Early Follow-up After Discharge\",\"authors\":\"Alison Davidson, Roberto Galao-Malo, Joel Estabillo, Lindsay Condrat, Farzan Filsoufi, Julie Swain\",\"doi\":\"10.1016/j.nurpra.2025.105508\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Reducing 30-day readmissions after coronary artery bypass grafting is clinically and financially important. From 2017 to 2022, we implemented and refined a nurse practitioner–led protocol shifting postoperative visits from 4 weeks to 1 week after discharge. This significantly increased early follow-up adherence (<em>P</em> < .001) and reduced missed visits with the surgical team (<em>P</em> < .001). Patients seen within 1 week had the lowest readmissions, particularly avoidable ones related to pleural effusions, heart failure, or wounds. This project demonstrates that early nurse practitioner follow-up improves outcomes and ensures continuity of care after coronary artery bypass grafting. Further work defining avoidable readmission reasons could enhance future quality improvement initiatives.</div></div>\",\"PeriodicalId\":101233,\"journal\":{\"name\":\"The Journal for Nurse Practitioners\",\"volume\":\"21 9\",\"pages\":\"Article 105508\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Journal for Nurse Practitioners\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1555415525001916\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal for Nurse Practitioners","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1555415525001916","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Reducing CABG Readmissions: Evaluating Nurse Practitioner–Led Early Follow-up After Discharge
Reducing 30-day readmissions after coronary artery bypass grafting is clinically and financially important. From 2017 to 2022, we implemented and refined a nurse practitioner–led protocol shifting postoperative visits from 4 weeks to 1 week after discharge. This significantly increased early follow-up adherence (P < .001) and reduced missed visits with the surgical team (P < .001). Patients seen within 1 week had the lowest readmissions, particularly avoidable ones related to pleural effusions, heart failure, or wounds. This project demonstrates that early nurse practitioner follow-up improves outcomes and ensures continuity of care after coronary artery bypass grafting. Further work defining avoidable readmission reasons could enhance future quality improvement initiatives.
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