Abstract
Background
Readmission after percutaneous coronary intervention is common in the early postdischarge
period, often linked to limited opportunity for education and preparation for self-care.
Attending a nurse-led clinic within 30 d after discharge has the potential to enhance
health outcomes.
Objective
The aim of the study was to synthesise the available literature on the effectiveness
of nurse-led clinics, during early discharge (up to 30 d), for patients who have undergone
percutaneous coronary intervention.
Review method used
A systematic review of randomised and quasi-randomised controlled trials was undertaken.
Data sources
The databases included PubMed, OVID, CINAHL, EMBASE, the Cochrane Library, SCOPUS,
and ProQuest.
Review methods
Databases were searched up to November 2018. Two independent reviewers assessed studies
using the Cochrane risk-of-bias tool.
Results
Of 2970 articles screened, only four studies, representing 244 participants, met the
review inclusion criteria. Three of these studies had low to moderate risk of bias,
with the other study unclear. Interventions comprised physical assessments and individualised
education. Reported outcomes included quality of life, medication adherence, cardiac
rehabilitation attendance, and psychological symptoms. Statistical pooling was not
feasible owing to heterogeneity across interventions, outcome measures, and study
reporting. Small improvements in quality of life and some self-management behaviours
were reported, but these changes were not sustained over time.
Conclusions
This review has identified an important gap in the research examining the effectiveness
of early postdischarge nurse-led support after percutaneous coronary intervention
on outcomes for patients and health services. More robust research with sufficiently
powered sample sizes and clearly defined interventions, comparison groups, and outcomes
is recommended to determine effectiveness of nurse-led clinics in the early discharge
period.
Keywords
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Article info
Publication history
Published online: November 30, 2020
Accepted:
October 21,
2020
Received in revised form:
October 21,
2020
Received:
February 27,
2020
Identification
Copyright
© 2020 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.
