Evidence map›Paper›PMID 39988645›Full record

Observational studyGeneral thoracic and cardiovascular surgery2025

Postoperative outcomes of cardiovascular surgery managed by nurse practitioners.

Masato Saitoh, Takuma Yamasaki, Tomoaki Tanabe, Shuichi Tochigi, Daiki Hirayama, Kiyotaka Aoyama, Imun Tei

Abstract readObservational StudyComparative Study
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In one paragraph

Observational study in General thoracic and cardiovascular surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Masato SaitohDepartment of Cardiovascular Surgery, Ayase Heart Hospital, 2-16-7 Yanaka, Adachi-Ku, Tokyo, 120-0006, Japan. m.saito@ayaseheart.or.jp.ORCID http://orcid.org/0009-0006-9328-3581
Takuma YamasakiDepartment of Cardiovascular Surgery, Ayase Heart Hospital, 2-16-7 Yanaka, Adachi-Ku, Tokyo, 120-0006, Japan.
Tomoaki TanabeDepartment of Cardiovascular Surgery, Ayase Heart Hospital, 2-16-7 Yanaka, Adachi-Ku, Tokyo, 120-0006, Japan.
Shuichi TochigiDepartment of Cardiovascular Surgery, Ayase Heart Hospital, 2-16-7 Yanaka, Adachi-Ku, Tokyo, 120-0006, Japan.
Daiki HirayamaDepartment of Cardiovascular Surgery, Ayase Heart Hospital, 2-16-7 Yanaka, Adachi-Ku, Tokyo, 120-0006, Japan.
Kiyotaka AoyamaDepartment of Cardiovascular Surgery, Ayase Heart Hospital, 2-16-7 Yanaka, Adachi-Ku, Tokyo, 120-0006, Japan.
Imun TeiDepartment of Cardiovascular Surgery, Ayase Heart Hospital, 2-16-7 Yanaka, Adachi-Ku, Tokyo, 120-0006, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe significant workload of cardiovascular surgeons in Japan has led to a growing interest in implementing nurse practitioners as a means to address this issue. This study seeks to evaluate the postoperative outcomes of cardiovascular surgeries in which nurse practitioners were involved at our institution.

methodsThis study utilized a retrospective observational study design. This study included patients who underwent scheduled cardiovascular surgeries at our hospital between April 1, 2019, and March 31, 2024. Patients were divided into two groups for postoperative care management: the DR group (physician only) and the NP group (co-management by physician and nurse practitioner). The primary end point was the 30-day mortality. We compared the two groups.

resultsA total of 394 patients were classified into two groups: DR group (n = 101) and NP group (n = 293). There was no significant difference in the 30-day mortality between the two groups. The NP group had significantly shorter hospital stay (NP 20.6 ± 11.1 vs. DR 24.0 ± 11.8; p = 0.01; effect size = 0.299), postoperative length of stay (NP 14.5 ± 8.9 vs. DR 18.0 ± 10.4; p = 0.001; effect size = 0.376), ICU stay (NP 5.2 ± 3.5 vs. DR 6.3 ± 4.5; p = 0.014; effect size = 0.284), and time until 50-m walking (NP 3.8 ± 3.5 vs. DR 5.1 ± 5.1; p = 0.004; effect size = 0.342). There were no significant differences in the incidence of postoperative complications between the two groups.

conclusionsNurse practitioners have the potential to provide safe care equivalent to that of physicians, and it may contribute to reduced hospital stays and improved postoperative recovery in patients.

Indexed as

Cardiovascular Surgical ProceduresNurse PractitionersNurse's RolePostoperative CarePostoperative ComplicationsAgedFemaleHumansJapanLength of StayMaleMiddle AgedPatient Care TeamRetrospective StudiesRisk FactorsTime FactorsCardiovascular surgeryNurse practitionerPostoperative outcome

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.