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Updated: Jul 5, 2025
Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
Non-pharmacological interventions to support coronary artery bypass graft (CABG) patient recovery following
Justin Nathan Billard1, Robert Wells2, Alison Farrell3
1Faculty of Medicine, Memorial University of Newfoundland and Labrador, St. John's, Newfoundland and Labrador, Canada jnbillard@mun.ca.
Insights
This scoping review identifies non-pharmacological interventions to aid recovery for patients discharged after coronary artery bypass grafting (CABG). The findings will help improve postoperative care and reduce hospital readmissions for CABG patients.
Area of Science:
- Cardiovascular Surgery
- Rehabilitation Medicine
- Health Services Research
Background:
- Coronary artery bypass grafting (CABG) is performed on approximately 15,000 Canadians annually.
- A significant percentage (9.5%) of CABG patients face urgent hospital readmission within 30 days post-surgery.
- Effective postoperative interventions are crucial for enhancing recovery and reducing readmissions in CABG patients.
Purpose of the Study:
- To conduct a scoping review identifying non-pharmacological interventions for post-discharge recovery in community settings.
- To enumerate available interventions and pinpoint gaps in postoperative care for CABG patients.
- To inform the development of targeted and innovative interventions to support patient recovery.
Main Methods:
- The review will employ the Arksey and O'Malley methodological framework.
- A comprehensive search of electronic databases (Medline, Embase, Cochrane Library, CINAHL) will be conducted.
- Studies will undergo screening and data extraction by two independent reviewers, with preliminary searches in March 2022 and full-text screening completed by May 2023.
Main Results:
- Data extraction is scheduled from September to October 2023.
- The review will analyze previously published studies.
- Results will identify non-pharmacological interventions and highlight gaps in postoperative recovery support.
Conclusions:
- This scoping review will provide a comprehensive overview of non-pharmacological interventions for CABG patient recovery.
- Findings will guide the development of improved postoperative care strategies.
- Dissemination through peer-reviewed journals, conferences, and stakeholder meetings will ensure broad impact.
Background:
In Canada, approximately 15 000 people undergo coronary artery bypass grafting (CABG) each year. However, 9.5% of these patients are urgently readmitted to hospital within 30 days of surgery. Postoperative interventions following discharge play an important role in reducing readmissions and improving CABG patient outcomes. Therefore, it is important to determine effective interventions available to enhance CABG patient recovery following postoperative discharge.
Objectives:
Our scoping review aims to identify non-pharmacological interventions available to support recovery of patients who are discharged after CABG in the community setting.
Methods:
The methodological framework described by Arksey and O'Malley will be applied to this review. Our search strategy will include electronic databases (Medline, Embase, Cochrane Library and CINAHL), and studies will be screened and reviewed by two independent reviewers. Studies looking at non-pharmacological interventions targeting patients who are discharged after CABG will be included. Preliminary searches were conducted March 2022 and following abstract screening, full-text screening was completed May 2023. Data extraction is planned to begin September 2023 with an expected finish date of October 2023. The study is expected to be completed by January 2024.
Ethics And Dissemination:
This scoping review will retrieve and analyse previously published studies in which informed consent was obtained by primary investigators. Therefore, no ethical review or approval will be required. This scoping review aims to enumerate available non-pharmacological interventions to support recovery of patients who are discharged after CABG and identify gaps in postoperative recovery after discharge to support the development of innovative and targeted interventions. On completion of this review, we will ensure broad dissemination of our findings through peer-reviewed, open-access journals, conference presentations and hold meetings to engage stakeholders, including clinicians, policy makers and others.
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