Defining operative mortality: Impact on outcome reporting

Slides:

Advertisements

Similar presentations

The “occasional open heart surgeon” revisited

Advertisements

Total arterial revascularization of triple vessel coronary disease based on combined internal thoracic and radial artery grafts Robert H. Habib, PhD,

Manuel J. Antunes, MD, PhD, DSc

Technological innovation in cardiothoracic surgery: A pragmatist's approach Pedro J. del Nido, MD The Journal of Thoracic and Cardiovascular Surgery

Cyrus J. Parsa, MD, Linda K. Shaw, MS, J. Scott Rankin, MD, Mani A

The impact of placing multiple grafts to each myocardial territory on long-term survival after coronary artery bypass grafting Danny Chu, MD, Faisal.

Trends in isolated coronary artery bypass grafting: An analysis of the Society of Thoracic Surgeons adult cardiac surgery database Andrew W. ElBardissi,

The present day potential role of fractional flow reserve–guided coronary artery bypass graft surgery Filip Casselman, MD, PhD, FETCS, Johan Van der.

Stenting versus coronary artery bypass grafting for unprotected left main coronary artery disease: A meta-analysis of comparative studies Hisato Takagi,

CD133+ cells: How could they have an IMPACT?

Right internal thoracic artery or saphenous vein grafting

Does preoperative carotid stenosis screening reduce perioperative stroke in patients undergoing coronary artery bypass grafting? Khalil Masabni, MD,

Juan A. Crestanello, MD, Richard C. Daly, MD

Coronary artery bypass grafting is superior to first-generation drug-eluting stents for unprotected left main coronary artery disease: An updated meta-analysis.

Lower graft patency after off-pump than on-pump coronary artery bypass grafting: An updated meta-analysis of randomized trials Hisato Takagi, MD, PhD,

Three-Year Outcomes of Multivessel Revascularization in Very Elderly Acute Coronary Syndrome Patients Brett C. Sheridan, MD, Sally C. Stearns, PhD, Joseph.

Why surgery won the SYNTAX trial and why it matters

Zhe Zheng, MD, PhD, Heng Zhang, MD, PhD, Bo Xu, MBBS

Uric acid levels and outcome from coronary artery bypass grafting

Michael E. Halkos, MD, MSc, Henry A

Multilevel data analysis: What? Why? How?

How should we treat air leaks?

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

Early and long-term outcomes of coronary artery bypass grafting in patients with acute coronary syndrome versus stable angina pectoris Toshihiro Fukui,

The lord of the rings Antonio Miceli, MD, PhD

Igor E. Konstantinov, MD, PhD, FRACS

Surgical economics: MACRA, MIPS, and bundles—Lessons learned in the first 3 years of a coronary artery bypass grafting alternative payment model Daniel.

Hisato Takagi, MD, PhD, Hideaki Manabe, MD, Takuya Umemoto, MD, PhD

Performance of the European System for Cardiac Operative Risk Evaluation II: A meta- analysis of 22 studies involving 145,592 cardiac surgery procedures

Open aortic arch reconstruction after previous cardiac surgery: Outcomes of 168 consecutive operations Eduard Quintana, MD, FETCS, Pietro Bajona, MD,

A protocol-driven approach to early extubation after heart surgery

It's not “just a shunt” but sometimes it should be…

For everything there is a season

A first start for lung transplantation?

To bypass or stent? The changing rules of an advancing game

Joseph A. Dearani, MD, Michael J. Ackerman, MD, PhD

Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass Benjamin Medalion, MD, Michael G. Katz, MD,

Jeevanantham Rajeswaran, PhD, Eugene H. Blackstone, MD

Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

Frank C. Spencer, MD, FACS, pioneering cardiothoracic surgeon

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Attachment disorder in thoracoabdominal surgery

Shengshou Hu, MD, Xin Yuan, MD, PhD

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Richard J. Shemin, MD, Friedhelm Beyersdorf, MD, PhD, Harold L

The thoracoabdominal saga and heroes

Ralph S. Mosca, MD The Journal of Thoracic and Cardiovascular Surgery

The origins of open heart surgery at the University of Minnesota 1951 to 1956 Richard A. DeWall, MD The Journal of Thoracic and Cardiovascular Surgery

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Comparison of 30-day outcomes of coronary artery bypass grafting surgery verus hybrid coronary revascularization stratified by SYNTAX and euroSCORE Marzia.

The future of cardiac surgery training: A survival guide

Improved quality and cost-effectiveness of coronary artery bypass grafting in the United States from 1988 to 2005 Howard K. Song, MD, PhD, Brian S. Diggs,

Vinay Badhwar, MD, John S. Ikonomidis, MD, PhD, Jeffrey P. Jacobs, MD

“The more things change…”: The challenges ahead

Appropriate Use Criteria for coronary revascularization in patients with stable ischemic heart disease: What the surgeon needs to know Harold L. Lazar,

Managing conflicts of interest

More than vital: Who bears the burden?

Apples remain apples NO matter what

A large international single-center case-series of coronary artery fistulas in children: When high clinical research standards adopted globally create.

American College of Cardiology/American Heart Association 2016 dual antiplatelet therapy (DAPT) focused update: Implications for surgeons Richard J.

Preoperative PFTs: The answer is blowing in the wind

National trends in utilization and in-hospital outcomes of mechanical versus bioprosthetic aortic valve replacements Abby J. Isaacs, MS, Jeffrey Shuhaiber,

The relationship between perioperative temperature and adverse outcomes after off- pump coronary artery bypass graft surgery Edward L. Hannan, PhD, Zaza.

How do we follow up our patients

Journal changes and initiatives

Descending thoracic and thoracoabdominal aortic aneurysms: “Busted”

IS local wound infection rate more important than long-term graft patency in coronary artery bypass grafting? Tomislav Kopjar, MD, PhD, Michael R. Dashwood,

Zone zero thoracic endovascular aortic repair is all about “location, location, location” Kevin L. Greason, MD The Journal of Thoracic and Cardiovascular.

Presentation transcript:

Defining operative mortality: Impact on outcome reporting Steven Maximus, MD, Jeffrey C. Milliken, MD, Beate Danielsen, PhD, Junaid Khan, MD, Richard Shemin, MD, Joseph S. Carey, MD The Journal of Thoracic and Cardiovascular Surgery Volume 151, Issue 4, Pages 1101-1110 (April 2016) DOI: 10.1016/j.jtcvs.2015.10.062 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Method of calculating mortality. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1101-1110DOI: (10.1016/j.jtcvs.2015.10.062) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 No patients excluded (values based on Table 1). CABG, Coronary artery bypass grafting; PCI, percutaneous coronary intervention; ACS, acute coronary syndrome. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1101-1110DOI: (10.1016/j.jtcvs.2015.10.062) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Untrackable patients excluded (values based on Table 2). CABG, Coronary artery bypass grafting; PCI, percutaneous coronary intervention; ACS, acute coronary syndrome. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1101-1110DOI: (10.1016/j.jtcvs.2015.10.062) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Operative mortality using 5 methods. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1101-1110DOI: (10.1016/j.jtcvs.2015.10.062) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions