Randomized Study of Rapid Recovery Protocol Versus Standard Care in Coronary Artery Bypass Surgery to Reduce Hospital Stay

What this Trial Is About

Researchers are evaluating a rapid recovery protocol for patients undergoing coronary artery bypass grafting CABG in a hospital serving the Brazilian Unified Health System SUS. This prospective, randomized trial compares outcomes between patients receiving care under the rapid recovery protocol and those following standard institutional care. The study aims to assess differences in postoperative hospital stay, morbidity, mortality, patient satisfaction, costs, healthcare team learning, protocol adherence, and patient safety culture. The study involves two groups one receiving usual care and the other managed with the Tempos Certos protocol designed to enhance recovery through a multidisciplinary approach using scientifically recommended interventions. The trial monitors care from hospital admission through the postoperative period, including readmissions within 30 days after discharge. The primary goal is to compare hospital stay length from ICU admission until discharge. Participants will undergo assessments including morbidity and mortality within 30 days post-surgery, quality of life surveys before surgery and after discharge, anxiety and depression questionnaires, and patient experience evaluations. Costs will be analyzed using micro-costing methods. The healthcare teams learning progress and adherence to the protocol, as well as changes in patient safety culture, will be measured. The total hospital stay is expected to average 14 days, with follow-ups extending to 30 days after discharge.

Study to Evaluate the Impact of the Recovery Pathway on Postoperative Leght of Stay in Coronary Artery Bypass Surgery