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MENDing Recovery: Comprehensive Perioperative Care Cuts Hospital Stay After Minimally Invasive CABG.
Christine Ashenhurst1,2, Omar Toubar1,3, Menaka Ponnambalam1
1Division of Cardiac Surgery, University of Ottawa Heart Institute, ON, Canada.
Innovations (Philadelphia, Pa.)
|August 1, 2025
Summary
The Multimodal ENhanced Discharge (MEND) program significantly reduced hospital length of stay (LOS) for minimally invasive coronary artery bypass grafting (MICS CABG) patients. This initiative optimized recovery without increasing readmission rates.
Area of Science:
- Cardiovascular Surgery
- Health Services Research
- Patient Recovery Protocols
Background:
- Minimally invasive coronary artery bypass grafting (MICS CABG) requires optimized patient recovery pathways.
- Multidisciplinary initiatives can enhance patient discharge processes.
- Reducing hospital length of stay (LOS) is crucial for healthcare efficiency.
Purpose of the Study:
- To evaluate the impact of the Multimodal ENhanced Discharge (MEND) program on length of stay (LOS) for MICS CABG patients.
- To assess the effect of MEND on patient readmission rates after MICS CABG.
Main Methods:
- Retrospective analysis of 198 patients undergoing MICS CABG.
- Comparison of 107 patients in the MEND program versus 91 patients receiving routine care (RC).
- Analysis of length of stay (LOS) and readmission data.
Main Results:
- MEND program associated with a 33% shorter median ward LOS (2 vs 3 days) and 40% shorter total hospital LOS (2 vs 5 days).
- Readmission rates were 6.6% for MEND versus 14.3% for RC (P=0.12).
- No significant differences in baseline characteristics between groups.
Conclusions:
- The MEND program effectively reduces LOS in MICS CABG patients without increasing readmissions.
- MEND is a potentially generalizable model for optimizing surgical recovery and improving healthcare capacity.
- This approach may positively impact healthcare costs and surgical wait times.
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