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Q: need stats on effects CAM on length of hospital stay post surgery ( Answered 5 out of 5 stars,   0 Comments )
Question  
Subject: need stats on effects CAM on length of hospital stay post surgery
Category: Health
Asked by: myrna70-ga
List Price: $25.00
Posted: 18 Nov 2006 11:53 PST
Expires: 18 Dec 2006 11:53 PST
Question ID: 783824
I need statistics on the effect of complimentary/alternative
modalities on length of hospital stay. Studies I've found say they
shorten hospital stays, but not by how much on average.
Answer  
Subject: Re: need stats on effects CAM on length of hospital stay post surgery
Answered By: umiat-ga on 18 Nov 2006 14:47 PST
Rated:5 out of 5 stars
 
Hello, myrna70-ga!

 There are very few actual statistics relating to CAM modalities in
relation to length of hospital stay after surgery. There were a number
of articles highlighting the benefits of CAM in reducing hospital
stays, but only a handful had actual numbers.

 If you would like me to broaden my search, please let me know and I
will see what else I can find for you.


====


"Cardiac surgery patients who listened to a preop guided imagery
surgical tape had significantly less pain, anxiety and two days
shorter hospital stay."


From "Effect of guided imagery on length of stay, pain and anxiety in
cardiac surgery patients." Tusek, D. L., Cwynar, R., and Cosgrove, D.
M.  J Cardiovasc Manag 10;2:22-8 1999
http://womensmindbodyhealth.info/major517.htm


Also cited here:
http://www.guidedimageryinc.com/g_research.html

 Tusek, Cwynar, Cosgrove: The Journal of Cardiovascular Management.
March/April 1999.

 "Reported the results of a recent study at The Cleveland Clinic
Foundation with patients undergoing cardiac surgery. Patients that
listened to the guided imagery tape had a significant decrease in
pain, stress and anxiety. Patients even left the hospital two days
sooner than the patients that did not listen."


 (Unfortunatley, the PubMEd abstract or article is not available)
 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search&DB=pubmed




====



"Hysterectomy patients who were trained in relaxation and biofeedback
left the hospital a day earlier than a control group."


From "A behavioral technique for recovery from the psychological
trauma of hysterectomy." Lobb, M. L., Shannon, M. C., Recer, S. L.,
and Allen, J. B. Percept Mot Skills 59;2:677-8 1984
http://womensmindbodyhealth.info/major517.htm


 (Note that the PubMed Abstract for this paper does not mention number
of days, so you will need to find the full transcript.)
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search&DB=pubmed



====



"Spinal surgery patients who underwent a relaxation training session
in progressive muscle relaxation the night before surgery had
significantly less complaints to the nursing staff, used 1/3 the pain
medication, and left the hospital 2 days earlier."


From "Reduction of postoperative pain parameters by presurgical
relaxation instructions for spinal pain patients." Lawlis, G. F.,
Selby, D., Hinnant, D., and McCoy, C. E. Spine 10;7:649-51 1985
http://womensmindbodyhealth.info/major517.htm

 (PubMed Abstract does not mention number of days so you will have to
obtain complete transcript)
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search&DB=pubmed


====


The following was found in "Appendix. Descriptions of included studies
ordered by complementary and alternative medicine (CAM) modality, form
of economic evaluation, and publication date."


Defechereux 

"The guided imagery group experienced a significantly smaller increase
in pain and anxiety day 1 post-operation compared to baseline than the
control group, and their hospital stay was significantly (2 days)
shorter for a 19% savings in direct costs."
http://72.14.253.104/search?q=cache:mhvVJgIWs4UJ:www.biomedcentral.com/content/supplementary/1472-6882-5-11-S1.doc+The+guided+imagery+group+experienced+a+significantly+smaller+increase+in+pain+and+anxiety+day+1+post-operation+compared+to+baseline+than+the+control+group,+and+their+hospital+stay+was+significantly+(2+days)+shorter+for+a+19%25+savings+in+direct+costs.&hl=en&gl=us&ct=clnk&cd=1&client=f
irefox-a


From "Hypnosis with conscious sedation instead of general anaesthesia 
Applications in cervical endocrine surgery."  Acta Chir Belg. 1999
Aug;99(4):151-8.

 (PubMed abstract does not mention number of days)
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=10499384&query_hl=10&itool=pubmed_docsum


===


"Evidence suggests that low-cost behavioral efforts can cut away
post-surgery dollars that are now spent on hospitalization. The
research, although scant, is compelling. For example, in a 1989 study
at the University of Southern Mississippi, 40 children about to
undergo surgery watched one of two videos - one narrated by a child
and the other by an adult - depicting what happens before, during, and
after surgery. Total cost was $30.83 per child.
Compared to 20 children who did not see the videos, those who did
reported less pain, got up and moved about sooner, and were discharged
sooner, resulting in an average net saving of $214 per child-
equivalent to a half-day or more in the hospital." (16)

From " Facts of Life: Issue Briefings for Health Reporters." Vol. 4,
No. 1 January - February 1999 
http://www.cfah.org/factsoflife/vol4no1.cfm

 Reference cited:

 "Using videotape modeling to prepare children psychologically for
surgery: influence of parents and costs versus benefits of providing
preparation services." Pinto RP, Hollandsworth JG Jr. Health Psychol.
1989;8(1):79-95.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2495936&dopt=Abstract


====


This is not a scientific study, but it does highlight one individual's experience!

Read "A help for the healing before the surgery starts." By Amy Sessler
http://www.healfaster.com/artbg.html

"Lynn - Patricia Fannon's hip replacement surgery was supposed to
require a 2 1/2-week stay in a rehabilitation hospital, but Fannon
went home Wednesday -- a week early. The reason for her short stay?
Fannon, 68, of Lynn says it's all in the preparation. Before surgery,
she attended a workshop at AtlantiCare Medical Center by Peggy
Huddleston, based on her new book, "Prepare for Surgery, Heal Faster:
A Guide of Mind-Body Techniques."


====



The  Women?s Center for Mind-Body Health - Hospital Research site has
a lot of articles on the effect of CAM modalities on medical
procedures, though only a few references have statistics related to
CAM in relation to the length of hospital stay after surgery.

See the website 
http://womensmindbodyhealth.info/major517.htm


==


PubMed also has a special website devoted to CAM, but I was unable to
turn up any results.
http://nccam.nih.gov/camonpubmed/ 


====


 Again, please let me know if a broader search would help!


Sincerely

umiat


CAM and surgery outcome
CAM and decreased hospital stay
CAM and shorter stay in hospital
Alternative therapy can decrease hospital stay
relaxation and surgery and hospital stay
guided imagery and decreased hospital stay
relaxation can shorten hospital stay after surgery
myrna70-ga rated this answer:5 out of 5 stars
Great job! Thank you.

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