AI Article Synopsis
- A study was conducted to investigate the impact of a family involvement program on unplanned readmissions within 30 days after gastrointestinal surgery, comparing it to usual care.
- The study included 301 patients, with those in the family involvement group showing a higher rate of readmissions (16.4%) compared to usual care (10.1%), but there was a notable reduction in the need for professional home care in the family group (16.2%).
- Although no significant differences in readmissions or most complications were found, the reduction in home care suggests potential cost savings, highlighting the program's value for future clinical implementation.
Article Abstract
Background: There is a lack of evidence regarding the relationship between family involvement and outcomes in gastrointestinal oncology patients after surgery. To evaluate the effect of a family involvement program for patients undergoing oncologic gastrointestinal surgery on unplanned readmissions within 30 days after surgery.
Methods: A multicenter patient-preference cohort study compared 2 groups: patients who participated in the family involvement program versus usual care. The program comprised involvement of family caregivers in care and training of health care professionals in family-centered care. Multivariable regression analyses were used to evaluate the effect of the FIP on the number of unplanned readmissions up to 30 days after surgery. Secondary outcomes included complications sensitive to fundamental care activities, emergency department visits, intensive care unit admissions, hospital length of stay, and the need for professional home care after discharge.
Results: Of the 301 patients included, 152 chose the family involvement program, and 149 chose usual care. Postoperative readmissions occurred in 25 (16.4%) patients in the family involvement program group, and 15 (10.1%) in the usual care group (P = .11). A significant reduction of 16.2% was observed in the need for professional home care after discharge in the family involvement program group (P < .01). No significant differences were found between the 2 groups in the other secondary outcomes.
Conclusion: The family involvement program did not reduce the number of unplanned readmissions, but it led to a substantial reduction in-home care, which suggests an economic benefit from a societal perspective. Implementation of the family involvement program should, therefore, be considered in clinical practice.
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| http://dx.doi.org/10.1016/j.surg.2024.05.004 | DOI Listing |
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