In Treviso the new model of cardio-surgical rehabilitation: the testimonial is Red Canzian

The rehabilitation process, after a personalized evaluation, begins a few weeks before the intervention with an informative and educational part and a part of respiratory and / or motor rehabilitation. All these activities are carried out both in the clinic and remotely (telerehabilitation)

TREVISO. Even in the rehabilitation sector, Venetian healthcare is taking new paths of modernity.

It happens at the Ca ‘Foncello Hospital in Treviso where a new protocol is applied to cardiac surgery patients starting from the days preceding the surgery, and not after leaving the operating room.

The new model will involve over 800 patients a year undergoing heart surgery, and was presented today, in the presence of the President of the Region Luca Zaia, of Red Canzian as a patient and testimonial of the goodness of the path and the quality of assistance. received, from the General Manager of Ulss 2 Marca Trevigiana, Francesco Benazzi and the health workers who make up the multidisciplinary team.

“It is a milestone in cardiac surgery rehabilitation – said Zaia thanking Red Canzian for having wanted to be testimonial – thanks to the attention with which doctors and nurses approach the patient’s problems, and thanks to the choice of working as a team by including the patient, in which, from the scalpel to the nurse, a virtuous chain of community of intentions and attention to each individual case is created.

Also this time – the Governor underlined – we make the choice of hyperspecialization, as it was with the creation of the breast unit to assist women with cancer with multidisciplinary teams from diagnosis to recovery, which today exceeds 90% at 5 years ”.

Compared to the existing path, the new model presents important innovations: the rehabilitation process begins earlier and is carried out immediately after the intervention and is tailor-made for the patient; it is made up of a real team made up of the patient + multidisciplinary team (doctors, nurses, physiotherapists, speech therapists and oss).

With the new path, the patient occupies the pre-intervention waiting time as a cure time and not as a suspended time. He is involved together with any caregivers.

The rehabilitation process, after a personalized evaluation, begins a few weeks before the intervention with an informative and educational part and a part of respiratory and / or motor rehabilitation. All these activities are carried out both in the clinic and remotely (telerehabilitation).

The patient is monitored and followed by the team: he arrives at the intervention in the best possible conditions and any sudden changes are monitored and managed. The pre-intervention rehabilitation treatment also concerns all patients who are hospitalized and are operated on urgently, with a few days before the operation.

The post-operative phase begins as early as a few hours after surgery, in intensive cardiac surgery, and has the aim of minimizing post-surgery complications and reducing the length of stay in an intensive setting. It includes: respiratory rehabilitation: effective cough, re-expansion and unblocking techniques, motor rehabilitation: sitting position with the bed, sitting at the edge of the bed, simple exercises for the arms and legs. If the patient has been trained before the surgery, many things he already knows how to do and therefore he will do them both with the help and / or supervision of the physiotherapist, but also with the supervision of the nurse and, if able, also in autonomy.

The advantages that the new rehabilitation path allows are: improvement of the patient’s quality of life both in the pre-intervention and in the post; the patient is monitored, followed by a team and every sudden change is highlighted and evaluated immediately both pre-intervention and when the patient returns home; reduction of hospitalization in intensive care; reduction of hospitalization in the heart surgery and rehabilitation ward.

SOME DATA

In the Ca ‘Foncello cardiac surgery, over 800 patients are operated on a year. The average length of hospitalization in intensive care is around 3 days, while the overall stay in the cardiac surgery department is around 7 days. The duration of hospitalization in a rehabilitation ward is around 2-3 weeks.

The 2021 data place the Treviso heart surgery:

• in first place among all cardiac surgery centers in Veneto for mortality at 30 days both from coronary bypass surgery and for valvuloplasty or single valve replacement

• in fourth place among all Italian cardiac surgery centers for mortality at 30 days due to coronary bypass surgery

• in sixth place among all the major Italian cardiac surgery centers for mortality at 30 days from valvuloplasty or single valve replacement.