The impact of open to collaborative care model in cardiovascular surgical unit

Hsing-Ying Wu; Heng-Sheng Chao; Hsin-Chin Shih; Chun-Che Shih; Shi-Chuan Chang

doi:10.1016/j.jcma.2017.08.008

The impact of open to collaborative care model in cardiovascular surgical unit

J Chin Med Assoc. 2018 Jan;81(1):64-69. doi: 10.1016/j.jcma.2017.08.008. Epub 2017 Oct 16.

Authors

Hsing-Ying Wu¹, Heng-Sheng Chao², Hsin-Chin Shih³, Chun-Che Shih⁴, Shi-Chuan Chang⁵

Affiliations

¹ Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
² General Chest Medicine, Department of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Institute of Biomedical Informatics, National Yang-Ming University, Taipei, Taiwan, ROC.
³ Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan, ROC; Department of Emergency Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
⁴ Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC; Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
⁵ Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan, ROC; General Chest Medicine, Department of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC. Electronic address: scchang@vghtpe.gov.tw.

PMID: 29042185
DOI: 10.1016/j.jcma.2017.08.008

Abstract

Background: When compared with open care model, a closed one improves patient care in intensive care units (ICUs), mixed ICUs, surgical ICUs and trauma centers. We wanted to evaluate the benefit of a collaborative care model in highly specialized cardiovascular care unit.

Methods: This study was a retrospective, observational study conducted in the cardiovascular care unit of a teaching hospital. All patients who were above 20 years old and had received cardiovascular operation were enrolled for data collection and analysis.

Results: A total of 270 subjects were enrolled for analysis during the 2-year study period. In the collaborative care model, the CVSU length of stay (p = 0.001) and CVSU-free days (p = 0.0008) were significantly better than those in an open care model.

Discussion: The collaborative care model improved postoperative outcome in the cardiovascular surgical unit for those needing prolonged ICU care.

Keywords: Cardiovascular surgery; Collaborative care model; Intensive care unit; Intensivist; Open care model.

Publication types

Observational Study

MeSH terms

Aged
Aged, 80 and over
Cardiovascular Surgical Procedures*
Delivery of Health Care*
Female
Humans
Intensive Care Units*
Intersectoral Collaboration
Male
Middle Aged
Retrospective Studies