Evidence map›Paper›PMID 40745945›Full record

ArticleInnovations (Philadelphia, Pa.)

MENDing Recovery: Comprehensive Perioperative Care Cuts Hospital Stay After Minimally Invasive CABG.

Christine Ashenhurst, Omar Toubar, Menaka Ponnambalam, Roy Masters, Ming Hao Guo, Hugo Issa, Marc Ruel

Abstract read
In one paragraph

Article in Innovations (Philadelphia, Pa.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Christine AshenhurstDivision of Cardiac Surgery, University of Ottawa Heart Institute, ON, Canada.ORCID 0009-0003-3036-9589
Omar ToubarDivision of Cardiac Surgery, University of Ottawa Heart Institute, ON, Canada.
Menaka PonnambalamDivision of Cardiac Surgery, University of Ottawa Heart Institute, ON, Canada.ORCID 0009-0009-4883-4665
Roy MastersDivision of Cardiac Surgery, University of Ottawa Heart Institute, ON, Canada.
Ming Hao GuoDivision of Cardiac Surgery, University of Ottawa Heart Institute, ON, Canada.
Hugo IssaDivision of Cardiac Surgery, University of Ottawa Heart Institute, ON, Canada.ORCID 0000-0002-7068-890X
Marc RuelDivision of Cardiac Surgery, University of Ottawa Heart Institute, ON, Canada.ORCID 0000-0002-0487-1319

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of a novel multidisciplinary initiative, known as the Multimodal ENhanced Discharge (MEND), on length of stay (LOS) for patients undergoing minimally invasive coronary artery bypass grafting (MICS CABG).

methodsThe MEND program aims to optimize the patient's preoperative condition and increase preparedness, provide individualized perioperative care, and ensure early postdischarge follow-up to support active recovery and facilitate early discharge. This single-center, retrospective analysis reviewed LOS and readmission data for 198 consecutive patients who underwent MICS CABG by a single surgeon. Of these, 91 patients received routine care (RC) and 107 patients received care through the MEND program.

resultsThe median ward (non-intensive care unit) LOS was significantly shorter by 33% in the MEND group versus the RC group (2 vs 3 days,

conclusionsImplementation of the MEND program in patients undergoing MICS CABG was associated with significantly shorter overall hospital LOS without an increase in readmission rates. No statistically significant differences in baseline characteristics between the RC and MEND cohorts were observed. These findings suggest MEND is an effective and generalizable program for optimizing recovery. Ultimately, this model of care has the potential to positively affect health care costs, improve surgical wait times, and expand capacity in MICS CABG programs.

Indexed as

Coronary Artery BypassLength of StayMinimally Invasive Surgical ProceduresPerioperative CareAgedEnhanced Recovery After SurgeryFemaleHumansMaleMiddle AgedPatient DischargePatient ReadmissionRetrospective Studiescomprehensive carecoronary artery bypass graftinglength of stayminimally invasiveperioperative optimization

Identifiers

PMID40745945
PMCPMC12398631

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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.