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Impact of a Modified Discharge Program on Health Outcomes After Coronary Bypass Surgery: A Randomized Trial

Hayat S Abu Shaikha1, Duaa Al Maghaireh2, Mariam Kawafha3

  • 1Nursing, Al-Balqa` Applied University, Salt, Jordan.

Medicinski Glasnik : Official Publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina
|October 13, 2025
PubMed

Insights

A modified Re-Engineered Discharge (RED) intervention did not significantly reduce major adverse events or readmissions 30 days post-Coronary Artery Bypass Graft (CABG) surgery. Further research is needed to optimize discharge protocols for cardiac surgery patients.

Area of Science:

  • Cardiology
  • Health Services Research
  • Patient Outcomes

Background:

  • Coronary Artery Bypass Graft (CABG) surgery requires effective post-discharge care to prevent complications.
  • Standard discharge protocols may not fully address the complexities of recovery after major cardiac procedures.
  • Optimizing discharge interventions is crucial for improving patient outcomes and reducing healthcare costs.

Purpose of the Study:

  • To evaluate the impact of a modified Re-Engineered Discharge (RED) intervention on Major Adverse Cardiovascular and Cerebrovascular Events (MACCE) and readmission rates.
  • To compare outcomes between patients receiving the modified RED intervention and those receiving standard discharge care after CABG surgery.
  • To assess the feasibility and effectiveness of integrating structured discharge programs into routine cardiac surgery care.

Main Methods:

  • A randomized clinical trial involving 104 participants undergoing elective CABG surgery.
  • Participants were randomized into an intervention group (modified RED) or a control group (standard discharge).
  • Data on MACCE and 30-day readmission rates were collected and analyzed for both groups.

Main Results:

  • No statistically significant differences were observed in MACCE or readmission rates between the intervention and control groups.
  • The modified RED intervention did not demonstrate a superior effect compared to the standard discharge protocol.
  • Patient outcomes were similar across both groups 30 days after discharge.

Conclusions:

  • The modified Re-Engineered Discharge intervention, as implemented, did not yield significant improvements in preventing adverse events or readmissions post-CABG.
  • Integrating structured discharge programs into clinical practice presents challenges related to planning, resources, and follow-up.
  • Further investigation into comprehensive discharge planning and extended follow-up strategies is warranted to enhance patient recovery after cardiac surgery.
Abstract

Keywords:
Coronary BypassDischargeHealthOutcomeProgramSurgery

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