Multidisciplinary Approaches to Optimize Recovery After Coronary Artery Bypass Surgery
Keywords:
Coronary artery bypass grafting (CABS), Early rehabilitation, Multidisciplinary care, Cardiac recovery, Functional capacity, Cardiac rehabilitation programs, Postoperative outcomes, Integrated care pathwaysAbstract
Coronary artery bypass grafting (CABS) remains one of the most commonly performed cardiac surgeries worldwide, and yet, what happens after the operation—particularly in the early days of recovery—is just as critical as the surgery itself. This literature review explores the conceptual foundations, multidisciplinary structure, models of care, clinical outcomes, and real-world barriers surrounding early rehabilitation post-CABS. Drawing on the biopsychosocial model and the WHO ICF framework, it emphasizes that early recovery is not merely about healing a sternotomy or restoring cardiac output—it’s about helping the patient regain full functional and psychosocial health. Evidence consistently supports the integration of cardiologists, physiotherapists, nurses, psychologists, dietitians, and pharmacists in improving outcomes such as exercise capacity, psychological well-being, and even readmission rates. Models ranging from inpatient protocols to tele-rehabilitation are evaluated, with discussion on continuity of care and patient-centered customization. The review also addresses common barriers—including limited resources, fragmented communication, and patient-level challenges—and suggests practical facilitators like care coordinators, digital platforms, and risk-stratified approaches. While the science is promising, it’s clear that successful rehabilitation depends not only on protocols, but on real teamwork, institutional commitment, and the ability to adapt care to the needs of each patient. In truth, what matters most may not be when we start rehabilitation, but how thoughtfully we deliver it.
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