Nursing open · 2026
Effectiveness of an Information Platform-Based Multidisciplinary Enhanced Recovery After Surgery Program on Recovery After Transcatheter Aortic Valve Implantation: A Non-Concurrent Controlled Study.
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Lin Shaoping, Feng Cuicui, Lin Lian, Liu Jiezhen, Guan Meizhen, Li Jiaxin, Lin Fangfang
Аннотация
AIM: To evaluate the implementation effectiveness of a multicomponent multidisciplinary Enhanced Recovery After Surgery pathway integrated with an information platform for patients undergoing transcatheter aortic valve implantation.
DESIGN: A single-center quasi-experimental study with a non-concurrent historical control group.
METHODS: A single-center quasi-experimental study with a non-concurrent historical control group included 154 patients. Outcomes were assessed using a study-specific transcatheter aortic valve implantation knowledge questionnaire, the Fried frailty phenotype, Barthel Index, 12-Item Short Form Health Survey, 6-min walk test, left ventricular ejection fraction and hospital length of stay. Between-group comparisons used independent-samples t-tests, Mann-Whitney U tests and χ2 tests, as appropriate. Post hoc gamma regression and generalized estimating equations were used in sensitivity analyses addressing measurable temporal differences between treatment periods.
RESULTS: Patients treated after pathway implementation showed greater procedural knowledge, less postoperative frailty, greater functional independence, shorter hospitalization and more favourable functional and health-status outcomes. The association with shorter hospitalization persisted after adjustment for measured patient and procedural characteristics, whereas the longitudinal difference in left ventricular systolic function was attenuated after adjustment.
CONCLUSION: Implementation of the multicomponent pathway was associated with better functional recovery and shorter hospitalization after transcatheter aortic valve implantation. Component-specific effects and residual temporal confounding cannot be excluded.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Extending structured education and rehabilitation support from hospital to home may help nurses coordinate recovery and continuity of care after transcatheter aortic valve implantation.
IMPACT: This study provides implementation evidence for a digitally supported multidisciplinary recovery pathway after transcatheter aortic valve implantation.
REPORTING METHOD: The study was reported in accordance with the Transparent Reporting of Evaluations with Nonrandomized Designs statement.
PATIENT OR PUBLIC CONTRIBUTION: There was no patient or public contribution to the design, analysis, interpretation, or preparation of this study.
DESIGN: A single-center quasi-experimental study with a non-concurrent historical control group.
METHODS: A single-center quasi-experimental study with a non-concurrent historical control group included 154 patients. Outcomes were assessed using a study-specific transcatheter aortic valve implantation knowledge questionnaire, the Fried frailty phenotype, Barthel Index, 12-Item Short Form Health Survey, 6-min walk test, left ventricular ejection fraction and hospital length of stay. Between-group comparisons used independent-samples t-tests, Mann-Whitney U tests and χ2 tests, as appropriate. Post hoc gamma regression and generalized estimating equations were used in sensitivity analyses addressing measurable temporal differences between treatment periods.
RESULTS: Patients treated after pathway implementation showed greater procedural knowledge, less postoperative frailty, greater functional independence, shorter hospitalization and more favourable functional and health-status outcomes. The association with shorter hospitalization persisted after adjustment for measured patient and procedural characteristics, whereas the longitudinal difference in left ventricular systolic function was attenuated after adjustment.
CONCLUSION: Implementation of the multicomponent pathway was associated with better functional recovery and shorter hospitalization after transcatheter aortic valve implantation. Component-specific effects and residual temporal confounding cannot be excluded.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Extending structured education and rehabilitation support from hospital to home may help nurses coordinate recovery and continuity of care after transcatheter aortic valve implantation.
IMPACT: This study provides implementation evidence for a digitally supported multidisciplinary recovery pathway after transcatheter aortic valve implantation.
REPORTING METHOD: The study was reported in accordance with the Transparent Reporting of Evaluations with Nonrandomized Designs statement.
PATIENT OR PUBLIC CONTRIBUTION: There was no patient or public contribution to the design, analysis, interpretation, or preparation of this study.