Journal article

"Keep Your Move in the Tube" safely increases discharge home following cardiac surgery

Richard Gach, Susan Triano, Gerald O Ogola, Briget da Graca, John Shannon, Doa El-Ansary, Tim Bilbrey, Michael Cortelli, Jenny Adams

PM&R | WILEY | Published : 2021

Abstract

BACKGROUND: Restrictive sternal precautions intended to prevent cardiac surgery patients from damaging healing sternotomies lack supporting evidence and may decrease independence and increase postacute care utilization. Data regarding the impact of alternative approaches on safety and outcomes are needed to guide evidence-based best practices. OBJECTIVE: To examine whether an approach allowing greater freedom during activities of daily living than permitted under commonly used restrictive sternal precautions can safely decrease postacute care utilization. DESIGN: Before-and-after study, using propensity score adjustment to account for differences in patient clinical and demographic character..

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