• Alfredo Manoel da Silva Fernandes, Alfredo José Mansur, Luis Fernando Canêo, Domingos Dias Lourenço, Marilde Albuquerque Piccioni, Sonia Mieken Franchi, Cristina Machado C Afiune, Jorge Wiliam Gadioli, Sérgio de Almeida Oliveira, and José Antonio Franchini Ramires.
• Instituto do Coração, Hospital das Clínicas, FMUSP, São Paulo, SP, Brazil. alfredo.fernandes@hcnet.usp.br
• Arq. Bras. Cardiol. 2004 Jul 1;83(1):27-34; 18-26.

ObjectiveTo assess the care provided to patients with congenital heart diseases and ischemic heart diseases undergoing cardiac surgery according to the fast-track recovery protocol compared with those undergoing the conventional procedure.MethodsThe transfer of patients from one hospital unit to another was assessed for 175 patients, 107 (61%) men and 68 (39%) women, with ages ranging from 0.3 to 81 years.ResultsThe discharge rate from the different hospital units per unit of time of the patients with congenital heart diseases treated according to the fast-track recovery protocol compared with that of patients conventionally treated was as follows: a) 11.3 times faster than the discharge rate of patients treated according to the conventional protocol, in regard to the time spent in the operating room; b) 6.3 times faster in regard to the duration of the surgical intervention; c) 6.8 times faster in regard to the duration of anesthesia; d) 1.5 times faster in regard to the duration of perfusion; e) 2.8 times faster in regard to the stay in the postoperative recovery I unit; f) 6.7 times faster in regard to hospital stay (time period between hospital admission and hospital discharge); g) 2.8 times faster in regard to the stay in the preoperative unit; h) 2.1 times faster in regard to the stay in the admission unit after discharge from postoperative recovery; i) associated with reduced costs. The difference was not significant for patients with ischemic heart disease.ConclusionA reduction in the length of hospital stay and costs for the care of patients undergoing cardiac surgery according to the fast-track protocol was observed.

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