Perceived control and length of stay post coronary artery bypass graft surgery
,
Abstract
Background & Aim: Patients undergoing CABG might have increased complications postoperatively, especially prolonging postoperative Length of Stay (LOS). Perceived Control (PC) affects LOS post CABG and complications among different cardiac populations. However, this relation is not well-studied post CABG. This study aimed to determine whether PC was an independent predictor of LOS among patients post CABG.
Methods & Materials: A prospective observational design was used. A consecutive sample consisted of 220 patients from four hospitals in Amman, Jordan, who underwent elective CABG between July 2020 and January 2021. PC was assessed using the Arabic Version of the Control Attitude Scale-Revised. LOS and other necessary information were retrieved from the patients' medical records. Data were analyzed using stepwise multiple regression.
Results: 169 males and 51 females participated in this study. Age, female gender, as well as PC were found to be independent predictors for the hospital LOS. On the one hand, advanced age and female gender increased the hospital LOS, while higher levels of PC were protective. A one-year increase in age increased hospital LOS by 0.16 days, being female increased hospital LOS by 0.17 days, and a one-point increase in PC levels decreased LOS by 0.33 days. On the other hand, only female gender and PC were independent predictors for the ICU LOS. Similarly to hospital LOS, the female gender increased ICU LOS by 0.18 days while the one-point increase in PC decreased the ICU LOS by 0.21 days.
Conclusion: PC was an independent predictor that affects LOS after CABG. Increasing PC among this population, especially females and the elderly, might improve outcomes of their CABG surgery decrease hospital's LOS, and the resultant morbidity
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15. AbuRuz ME. Evidence of Arabic Version of the Control Attitude Scale-Revised Efficacy to Measure Perceived Control in Acute Myocardial Infarction Patients. Journal of Nursing Measurement. 2019 Sep 11;27(2):247-58.
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21. AbuRuz ME. Patients with ST segment elevation myocardial infarction: moderating effect of perceived control on the relationship between depression and in-hospital complications. BMC Cardiovascular Disorders. 2019;19(1):143.
22. Årestedt K, Beattie JM, Evangelista LS, Liao S, Motie M, De Michelis N, Lombardo D. On-going palliative care enhances perceived control and patient activation and reduces symptom distress in patients with symptomatic heart failure: a pilot study. European Journal of Cardiovascular Nursing. 2014 Apr 1;13(2):116-23.
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24. Patterson C, Moxham L, Taylor E, Sumskis S, Perlman D, Brighton R, Heffernan T, Keough E. Perceived control among people with severe mental illness: a comparative study. Archives of Psychiatric Nursing. 2016 Oct 1;30(5):563-7.
25. AbuRuz ME. Anxiety and depression predicted quality of life among patients with heart failure. Journal of Multidisciplinary Healthcare. 2018;11:367-73.
26. Simha Ravven M, Bader C, Azar A, Rudolph JL. Depressive symptoms after CABG surgery: A meta-analysis. Harvard Review of Psychiatry. 2013 Mar;21(2):59-69.
27. Afrasiabi F, Molazem Z, Mani A, Ardekani AA. The Effect of Cardiopulmonary Resuscitation and Cardiac Chest Pain Management Training on Perceived Control, Depression, Stress and Anxiety in the Spouses of the Patients with Myocardial Infarction: A Randomized Controlled Trial. International Journal of Community Based Nursing and Midwifery. 2020 Apr;8(2):116-26.
28. Chen YC, Chen KC, Lu LH, Wu YL, Lai TJ, Wang CH. Validating the 6-minute walk test as an indicator of recovery in patients undergoing cardiac surgery: A prospective cohort study. Medicine. 2018 Oct;97(42): e12925.
29. Ai AL, Wink P, Shearer M. Secular reverence predicts shorter hospital length of stay among middle-aged and older patients following open-heart surgery. Journal of Behavioral Medicine. 2011 Dec;34(6):532-41.
30. Correa-Rodríguez M, Abu Ejheisheh M, Suleiman-Martos N, Membrive-Jiménez MJ, Velando-Soriano A, Schmidt-RioValle J, Gómez-Urquiza JL. Prevalence of depression in coronary artery bypass surgery: A systematic review and meta-analysis. Journal of Clinical Medicine. 2020 Apr;9(4):909.
31. Vaccarino V, Lin ZQ, Kasl SV, Mattera JA, Roumanis SA, Abramson JL, Krumholz HM. Gender differences in recovery after coronary artery bypass surgery. Journal of the American College of Cardiology. 2003 Jan 15;41(2):307-14.
32. AbuRuz ME, Al-Dweik G. Depressive symptoms and complications early after acute myocardial infarction: gender differences. Open Nursing Journal. 2018;12:205-14.
33. American Psychiatric Association A. Diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association; 1980 Jan 1.
34. AbuRuz ME, Alaloul F, Al-Dweik G. Depressive symptoms are associated with in-hospital complications following acute myocardial infarction. Applied Nursing Research. 2018 Feb 1;39:65-70.
35. Almashrafi A, Alsabti H, Mukaddirov M, Balan B, Aylin P. Factors associated with prolonged length of stay following cardiac surgery in a major referral hospital in Oman: A retrospective observational study. BMJ Open. 2016 Jun 1;6(6):e010764.
36. Chan SP, Ip KY, Irwin MG. Peri‐operative optimisation of elderly and frail patients: a narrative review. Anaesthesia. 2019 Jan;74 Suppl 1:80-9.
37. Lakatta EG, Levy D. Arterial and cardiac aging: major shareholders in cardiovascular disease enterprises: Part II: the aging heart in health: links to heart disease. Circulation. 2003;107(2):346-54.
2. Varshney H, Allahloh AS, Sarfraz M. IoT Based eHealth Management System Using Arduino and Google Cloud Firestore. In2019 International Conference on Electrical, Electronics and Computer Engineering (UPCON). 2019 Nov 8. IEEE.
3. El-Shafey WE, Elnagar TM, Kamal AA, Kamal AM. Early results of coronary artery bypass graft (CABG) in patients with low ejection fraction. World Journal of Cardiovascular Diseases. 2020 Apr 29;10(5):319-28.
4. Dominici C, Salsano A, Nenna A, Spadaccio C, Barbato R, Mariscalco G, Santini F, Biancari F, Chello M. A nomogram for predicting long length of stay in the intensive care unit in patients undergoing CABG: Results from the multicenter E-CABG registry. Journal of Cardiothoracic and Vascular Anesthesia. 2020 Nov 1;34(11):2951-61.
5. Carey K. Measuring the hospital length of stay/readmission cost trade‐off under a bundled payment mechanism. Health economics. 2015 Jul;24(7):790-802.
6. Baek H, Cho M, Kim S, Hwang H, Song M, Yoo S. Analysis of length of hospital stay using electronic health records: A statistical and data mining approach. PloS one. 2018 Apr 13;13(4):e0195901.
7. Almashrafi A, Elmontsri M, Aylin P. Systematic review of factors influencing length of stay in ICU after adult cardiac surgery. BMC Health Services Research. 2016 Dec;16(1):1-2.
8. Vargo PR, Steffen RJ, Bakaeen FG, Navale S, Soltesz EG. The impact of obesity on cardiac surgery outcomes. Journal of Cardiac Surgery. 2018 Oct;33(10):588-94.
9. Taggart DP. Impact of type 1 and 2 Diabetes Mellitus on long-term outcomes after CABG. Journal of the American College of Cardiology. 2015 Apr 28;65(16):1653-4.
10. Kaw R, Pasupuleti V, Deshpande A, Hamieh T, Walker E, Minai OA. Pulmonary hypertension: an important predictor of outcomes in patients undergoing non-cardiac surgery. Respiratory Medicine. 2011;105(4):619-24.
11. Miceli A, Romeo F, Glauber M, de Siena PM, Caputo M, Angelini GD. Preoperative anemia increases mortality and postoperative morbidity after cardiac surgery. Journal of Cardiothoracic Surgery. 2014 Dec;9(1):1-7.
12. AbuRuz ME, Al-Dweik G, Al-Akash HY. Checking the moderating effect of perceived control on the relationship between anxiety and postoperative hospital length of stay among coronary artery bypass graft patients. International Journal of General Medicine. 2019 Jan 30;12:79-85.
13. Capdeville M, Lee JH, Taylor AL. Effect of gender on fast-track recovery after coronary artery bypass graft surgery. Journal of Cardiothoracic and Vascular Anesthesia. 2001 Apr 1;15(2):146-51.
14. Pagnini F, Bercovitz K, Langer E. Perceived control and mindfulness: Implications for clinical practice. Journal of Psychotherapy Integration. 2016 Jun;26(2):91-102.
15. AbuRuz ME. Evidence of Arabic Version of the Control Attitude Scale-Revised Efficacy to Measure Perceived Control in Acute Myocardial Infarction Patients. Journal of Nursing Measurement. 2019 Sep 11;27(2):247-58.
16. Moser DK, Riegel B, McKinley S, Doering LV, Meischke H, Heo S, Lennie TA, Dracup K. The control attitudes Scale-Revised: psychometric evaluation in three groups of cardiac patients. Nursing Research. 2009;58(1):42.
17. Barbareschi G, Sanderman R, Kempen GI, Ranchor AV. The mediating role of perceived control on the relationship between socioeconomic status and functional changes in older patients with coronary heart disease. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2008 Nov 1;63(6):P353-61.
18. Doering LV, Chen B, Deng M, Mancini D, Kobashigawa J, Hickey K. Perceived control and health-related quality of life in heart transplant recipients. European Journal of Cardiovascular Nursing. 2018 Aug 1;17(6):513-20.
19. McKinley S, Fien M, Riegel B, Meischke H, AbuRuz ME, Lennie TA, Moser DK. Complications after acute coronary syndrome are reduced by perceived control of cardiac illness. Journal of Advanced Nursing. 2012 Oct;68(10):2320-30.
20. Moser DK, Riegel B, McKinley S, Doering LV, An K, Sheahan S. Impact of anxiety and perceived control on in-hospital complications after acute myocardial infarction. Psychosomatic medicine. 2007 Jan 1;69(1):10-6.
21. AbuRuz ME. Patients with ST segment elevation myocardial infarction: moderating effect of perceived control on the relationship between depression and in-hospital complications. BMC Cardiovascular Disorders. 2019;19(1):143.
22. Årestedt K, Beattie JM, Evangelista LS, Liao S, Motie M, De Michelis N, Lombardo D. On-going palliative care enhances perceived control and patient activation and reduces symptom distress in patients with symptomatic heart failure: a pilot study. European Journal of Cardiovascular Nursing. 2014 Apr 1;13(2):116-23.
23. Hammash M, McEvedy SM, Wright J, Cameron J, Miller J, Ski CF, Thompson DR, Biddle MJ, Wimsatt A, Schrader M, Smith RV. Perceived control and quality of life among recipients of implantable cardioverter defibrillator. Australian Critical Care. 2019 Sep 1;32(5):383-90.
24. Patterson C, Moxham L, Taylor E, Sumskis S, Perlman D, Brighton R, Heffernan T, Keough E. Perceived control among people with severe mental illness: a comparative study. Archives of Psychiatric Nursing. 2016 Oct 1;30(5):563-7.
25. AbuRuz ME. Anxiety and depression predicted quality of life among patients with heart failure. Journal of Multidisciplinary Healthcare. 2018;11:367-73.
26. Simha Ravven M, Bader C, Azar A, Rudolph JL. Depressive symptoms after CABG surgery: A meta-analysis. Harvard Review of Psychiatry. 2013 Mar;21(2):59-69.
27. Afrasiabi F, Molazem Z, Mani A, Ardekani AA. The Effect of Cardiopulmonary Resuscitation and Cardiac Chest Pain Management Training on Perceived Control, Depression, Stress and Anxiety in the Spouses of the Patients with Myocardial Infarction: A Randomized Controlled Trial. International Journal of Community Based Nursing and Midwifery. 2020 Apr;8(2):116-26.
28. Chen YC, Chen KC, Lu LH, Wu YL, Lai TJ, Wang CH. Validating the 6-minute walk test as an indicator of recovery in patients undergoing cardiac surgery: A prospective cohort study. Medicine. 2018 Oct;97(42): e12925.
29. Ai AL, Wink P, Shearer M. Secular reverence predicts shorter hospital length of stay among middle-aged and older patients following open-heart surgery. Journal of Behavioral Medicine. 2011 Dec;34(6):532-41.
30. Correa-Rodríguez M, Abu Ejheisheh M, Suleiman-Martos N, Membrive-Jiménez MJ, Velando-Soriano A, Schmidt-RioValle J, Gómez-Urquiza JL. Prevalence of depression in coronary artery bypass surgery: A systematic review and meta-analysis. Journal of Clinical Medicine. 2020 Apr;9(4):909.
31. Vaccarino V, Lin ZQ, Kasl SV, Mattera JA, Roumanis SA, Abramson JL, Krumholz HM. Gender differences in recovery after coronary artery bypass surgery. Journal of the American College of Cardiology. 2003 Jan 15;41(2):307-14.
32. AbuRuz ME, Al-Dweik G. Depressive symptoms and complications early after acute myocardial infarction: gender differences. Open Nursing Journal. 2018;12:205-14.
33. American Psychiatric Association A. Diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association; 1980 Jan 1.
34. AbuRuz ME, Alaloul F, Al-Dweik G. Depressive symptoms are associated with in-hospital complications following acute myocardial infarction. Applied Nursing Research. 2018 Feb 1;39:65-70.
35. Almashrafi A, Alsabti H, Mukaddirov M, Balan B, Aylin P. Factors associated with prolonged length of stay following cardiac surgery in a major referral hospital in Oman: A retrospective observational study. BMJ Open. 2016 Jun 1;6(6):e010764.
36. Chan SP, Ip KY, Irwin MG. Peri‐operative optimisation of elderly and frail patients: a narrative review. Anaesthesia. 2019 Jan;74 Suppl 1:80-9.
37. Lakatta EG, Levy D. Arterial and cardiac aging: major shareholders in cardiovascular disease enterprises: Part II: the aging heart in health: links to heart disease. Circulation. 2003;107(2):346-54.
| Files | ||
| Issue | Vol 9 No 2 (2022): Spring | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/npt.v9i2.8899 | |
| Keywords | ||
| perceived control length of stay coronary artery bypasses | ||
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How to Cite
1.
Aburuz M, Dahger N, Al-Akash H, Momani A, Ahmed F. Perceived control and length of stay post coronary artery bypass graft surgery. NPT. 2022;9(2):170-178.
