ArticleMedicine2026
Impact of evidence-based nursing interventions on postoperative recovery and complications after endovascular aneurysm intervention: A retrospective cohort study.
Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
6 authors.
Funding
Abstract
Endovascular aneurysm intervention is increasingly used for aortic and peripheral aneurysmal disease, yet postoperative recovery may be delayed by access-site events, cardiopulmonary instability, symptom burden, and renal vulnerability related to iodinated contrast exposure. This single-center retrospective cohort study evaluated the association between an evidence-based nursing bundle and postoperative outcomes in adults undergoing endovascular aneurysm intervention between January 2024 and December 2025. Patients treated in 2024 received routine perioperative nursing (control, n = 68), whereas those treated in 2025 received a standardized evidence-based nursing program (intervention, n = 69). Baseline demographic, clinical, procedural, and preoperative laboratory characteristics were comparable between groups. The intervention group demonstrated shorter postoperative length of stay (6.04 ± 1.62 vs 7.52 ± 1.91 days; P <.001) and lower intensive care unit admission (11.6% vs 26.5%; P = .026), with reduced ICU duration among admitted patients (median 1.08 vs 2.59 days; P = .013). Recovery milestones occurred earlier in the intervention group, including first ambulation, oral intake, flatus, and defecation (all P ≤ .023). Symptom control improved, with lower Numeric Rating Scale pain scores at 6, 24, and 48 hours (all P <.001) and reduced postoperative nausea and vomiting (14.5% vs 32.4%; P = .013). Any postoperative complication occurred less frequently with evidence-based nursing (17.4% vs 35.3%; P = .017). Postoperative serum creatinine change was smaller (P = .021), while contrast-associated acute kidney injury was numerically lower (P = .097). Evidence-based nursing was associated with accelerated recovery, improved symptom control, and reduced overall complications after endovascular aneurysm intervention.
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