Early discharge following abdominal aortic aneurysm repair: Impact on patients and caregivers

Although early discharge is common place, little is known about its impact after abdominal aortic aneurysm (AAA) surgery. We sought to prospectively describe patient outcomes and caregiving experience after early discharge following elective AAA repair using a standard or endovascular grafting syste...

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Bibliographic Details
Published in:Research in nursing & health 2002-10, Vol.25 (5), p.345-356
Main Authors: Jones, Mildred A., Hoffman, Leslie A., Makaroun, Michel S., Zullo, Thomas G., Chelluri, Lakshmipathi
Format: Article
Language:English
Subjects:
abdominal aortic aneurysm
Aged
Aortic Aneurysm, Abdominal - rehabilitation
Aortic Aneurysm, Abdominal - surgery
Biological and medical sciences
Blood and lymphatic vessels
Blood Vessel Prosthesis Implantation
Cardiology. Vascular system
Caregivers
caregiving
Diseases of the aorta
early discharge
endovascular grafting system
Female
Health Services - utilization
health-related quality of life
Humans
Length of Stay
Male
Medical sciences
minimally invasive surgery
Minimally Invasive Surgical Procedures
Multivariate Analysis
Nursing
Patient Discharge
Prospective Studies
Quality of Life
Treatment Outcome
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Summary:Although early discharge is common place, little is known about its impact after abdominal aortic aneurysm (AAA) surgery. We sought to prospectively describe patient outcomes and caregiving experience after early discharge following elective AAA repair using a standard or endovascular grafting system (EGS) procedure. Fifty‐one patients (Standard, n=25; EGS, n=26) completed questionnaires on symptoms and health‐related quality of life (HRQoL) while hospitalized and 1, 4, and 8 weeks after discharge. Data were also obtained from caregivers. HRQoL decreased at Week 1 in both groups but returned to near baseline by Week 8. Standard AAA patients experienced more symptoms and activity limitations, but these were concentrated in Week 1. Most caregivers were positive about caregiving and required no additional resources. Findings suggest that most patients who undergo early discharge following elective AAA surgery experience few problems. Those problems that occur concentrate in the week following discharge, suggesting the need for closer monitoring at this time. © 2002 Wiley Periodicals, Inc. Res Nurs Health 25:345–356, 2002
ISSN:0160-6891
1098-240X
DOI:10.1002/nur.10052