Patient Experience After Cardiac Surgery: Association with Fast- Track Recovery Indicators

Yerbol Ustemirov, Gulnur Tanbaeva, Robertas Stasys Samalavicius, Seitkhan Djoshibaev, Baglan Turtabayev, Almas Begdildayev, Vadim Seisembekov, Gali Iskakbayev, Turysbekuly Almat

Bangladesh Journal of Medical Science, 2026

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DOI 10.3329/bjms.v25i4.93785
Data confidence 70 medium
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Abstract

Background Contemporary approaches to healthcare quality assessment emphasize not only traditional clinical outcomes but also patient experience, which reflects patients’ perceptions of the treatment process and their interactions with healthcare professionals. Despite growing interest in the use of Patient-Reported Experience Measures (PREMs) in cardiac surgery, evidence regarding the relationship between patient experience and accelerated postoperative recovery indicators remains limited. Objective To assess patient experience following cardiac surgery using a study-specific Patient-Reported Experience Measure (PREM) questionnaire and to determine its association with Fast-Track Recovery Indicators. Materials and Methods A single-center prospective observational study was conducted and included 93 patients who underwent elective cardiac surgery. Patient experience was assessed using a study-specific Patient- Reported Experience Measure (PREM) questionnaire comprising 21 items grouped into eight thematic domains. Results Patients generally reported positive experiences across various aspects of care following cardiac surgery. The highest proportions of positive responses were observed in the domains of discharge preparation (48.7%), early mobilization and recovery (48.7%), and overall evaluation of care (47.6%). Higher total PREM scores were associated with shorter extubation time (r = −0.261; p = 0.012) and a greater likelihood of achieving successful Fast- Track Recovery (r = 0.324; p = 0.002). Conclusion The findings of this study support the potential value of PREM instruments as an additional component of comprehensive healthcare quality assessment and highlight the need for further multicenter studies using validated patient experience measurement tools in cardiac surgery. Bangladesh Journal of Medical Science Vol. 25 No. 04 October’26 Page: 1324-1331