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Published on: December 11, 2013
Current Status and Associated Factors of Discharge Readiness in Lower Extremity Peripheral Artery Disease Patients: A
Yaqing Wang1, Yaqiong Li1, Bihui Zhang1
1Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China.
Abstract:
This study investigated the current readiness for hospital discharge (RHD) among patients with lower extremity peripheral arterial disease (PAD) following endovascular revascularization within an enhanced recovery after surgery (ERAS) model and analyzed its associated factors. This cross-sectional study was conducted at a large tertiary hospital in China. A total of 200 lower extremity PAD patients was conducted between December 2024 and August 2025. Data were collected using a general information questionnaire, the RHD Scale, and the Quality of Discharge Teaching Scale. The total score for RHD was 92.31 ± 16.10, and the total score for discharge teaching quality was 166.16 ± 18.72. The RHD score was positively correlated with the discharge teaching quality score (r = 0.400, p < 0.001). Marital status, education level, residence, number of comorbidities, length of stay, Fontaine's stage, and discharge teaching quality were identified as factors significantly correlated with RHD. The findings indicate that overall RHD in lower extremity PAD patients undergoing endovascular revascularization treatment is moderate, suggesting that the quality of discharge guidance requires further enhancement. Medical professionals should assess the quality of discharge teaching and RHD levels in order to take targeted intervention measures. Establishing a transitional care team and implementing long-term care management is crucial for reducing the rate of unplanned readmission.
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Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
