ArticleScientific reports2021
Safe and effective protocol for discharge 3 days after cardiac surgery.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Efficacy of enhanced recovery programmes for cardiac surgery: a systematic review and meta-analysis.British journal of anaesthesia · 2025Pooled it
- Impact of rapid rehabilitation surgery on perioperative nursing in patients undergoing cardiac surgery: A meta-analysis.Journal of cardiac surgery · 2022Pooled it
- Contributing Factors to Infectious Disease Risk and Vaccine Strategy Optimization in Cardiac Surgery Patients.Vaccines · 2026Review
- Optimizing CABG in Brazil: Why Superspecialization and Personalized Care Matter Now.Brazilian journal of cardiovascular surgery · 2026Article
- Enhanced Recovery After Surgery (ERAS) in Latin America and the Caribbean: A Scoping Review of Implementation Strategies, Clinical Outcomes, and Health System Impact.World journal of surgery · 2026Article
- Improving implementation of Enhanced Recovery After Surgery (ERAS) to increase timeliness of recovery after cardiac surgery: a quality improvement project.BMJ open quality · 2026Article
- The imperative integration of patient blood management into ERACS: bridging the gap for optimizing outcomes in cardiac surgery.Perioperative medicine (London, England) · 2025Review
- Elements for Implementing Perioperative Optimization in Cardiac Surgery Based on Enhanced Recovery after Surgery.Arquivos brasileiros de cardiologia · 2025Article
- Article
- Value-Based Healthcare in Cardiology: How to Integrate a more Comprehensive View into Medical Decision-Making?Arquivos brasileiros de cardiologia · 2025Review
- Exploring ethnic differences in the perioperative course of thoracic aortopathy.Frontiers in cardiovascular medicine · 2025Article
- Is It Safe to Use Arterial Grafts in Patients with Acute Myocardial Infarction? Short-Mid-Term Propensity Analysis.Brazilian journal of cardiovascular surgery · 2024Article
- Atrial Fibrillation After Coronary Artery Bypass Grafting and Its Relationship with Hospital Complications in São Paulo State.Brazilian journal of cardiovascular surgery · 2024Observational
- Data-driven coaching to improve statewide outcomes in CABG: before and after interventional study.International journal of surgery (London, England) · 2024Article
- Safety and Efficacy of Surgical and Percutaneous Cardiac Interventions for Adults With Down Syndrome.Mayo Clinic proceedings. Innovations, quality & outcomes · 2024Article
- Predictors of 30-Day Hospital Readmission Following CABG in a Multicenter Database: A Cross-Sectional Study.Arquivos brasileiros de cardiologia · 2024Article
- From Volume to Value Creation in Cardiac Surgery: What is Needed to Get off the Ground in Brazil?Arquivos brasileiros de cardiologia · 2023Article
- Preparing Patients And Optimizing Processes In The Perioperative Period Of Cardiac Surgery: How To Redesign The Flow Of Care After COVID-19.Arquivos brasileiros de cardiologia · 2022Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Enhanced Recovery After Surgery (ERAS) protocol affected traditional cardiac surgery processes and COVID-19 is expected to accelerate its scalability. The aim of this study was to assess the impact of an ERAS-based protocol on the length of hospital stay after cardiac surgery. From January 2019 to June 2020, 664 patients underwent consecutive cardiac surgery at a Latin American center. Here, 46 patients were prepared for a rapid recovery through a multidisciplinary institutional protocol based on the ERAS concept, the "TotalCor protocol". After the propensity score matching, 46 patients from the entire population were adjusted for 12 variables. Patients operated on the TotalCor protocol had reduced intensive care unit time (P < 0.025), postoperative stay (P ≤ 0.001) and length of hospital stay (P ≤ 0.001). In addition, there were no significant differences in the occurrence of complications and death between the two groups. Of the 10-central metrics of TotalCor protocol, 6 had > 70% adherences. In conclusion, the TotalCor protocol was safe and effective for a 3-day discharge after cardiac surgery. Postoperative atrial fibrillation and renal failure were predictors of postoperative stay > 5 days.
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