Incidence and treatment of chylothorax after cardiac surgery in children: Analysis of a large multi-institution database Carlos M. Mery, MD, MPH, Brady.

Slides:

Advertisements

Similar presentations

Society of Thoracic Surgeons 2008 cardiac risk models predict in-hospital mortality of heart valve surgery in a Chinese population: A multicenter study

Advertisements

Max B. Mitchell, MD The Journal of Thoracic and Cardiovascular Surgery

Lost in translation The Journal of Thoracic and Cardiovascular Surgery

Manuel J. Antunes, MD, PhD, DSc

Stephen R. Broderick, MD, MPHS

A wolf in sheep's clothing

The hybrid procedure for hypoplastic left heart syndrome: A procedure still looking for its place Carlos M. Mery, MD, MPH The Journal of Thoracic and.

Chetan Pasrija, MD, Michael A. Mazzeffi, MD, MPH, Zachary N. Kon, MD

Surgery for congenital diseases of the aorta

Expanding options to manage traumatic thoracic vascular injuries

Management of pleural space infections: A population-based analysis

Intrinsic cardiac stem cells are essential for regeneration

Cardiac tumors: To treat or not to treat (or both)?

Centers for Disease Control “increased-risk” organ donor: Not so risky? Francis D. Pagani, MD, PhD The Journal of Thoracic and Cardiovascular Surgery

Assessing surgical risk for adults with congenital heart disease: Are pediatric scoring systems appropriate? Brian Kogon, MD, Matthew Oster, MD, MPH

Form ever follows function

William M. DeCampli, MD, PhD

Silvana Molossi, MD, PhD, Carlos M. Mery, MD, MPH

Application of a neuroscience research model to study neuroprotection in children with congenital heart disease Nobuyuki Ishibashi, MD, Richard A. Jonas,

Philippe Menasché, MD, PhD

Perioperative atrial tachycardia is associated with increased mortality in infants undergoing cardiac surgery Pirouz Shamszad, MD, Antonio G. Cabrera,

Bigger The Journal of Thoracic and Cardiovascular Surgery

The lord of the rings Antonio Miceli, MD, PhD

Impact of prior hospital mortality versus surgical volume on mortality following surgery for congenital heart disease Matthew E. Oster, MD, Matthew J.

Alexandra Lamari-Fisher, PhD, Carlos M. Mery, MD, MPH

Yang Zhang, MD, Haiquan Chen, MD, PhD

Aditya K. Kaza, MD The Journal of Thoracic and Cardiovascular Surgery

Juan N. Pulido, MD The Journal of Thoracic and Cardiovascular Surgery

Support Your Specialty

Institutional volume and the effect of recipient risk on short-term mortality after orthotopic heart transplant George J. Arnaoutakis, MD, Timothy J.

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

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

Military surgeons just want to have fun

Do we need a bibliometrician to know which way the wind is blowing?

A first start for lung transplantation?

Stephen R. Broderick, MD, MPHS

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

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

Niv Ad, MD, Lawrence M. Wei, MD

Replicating the success of mitral valve repair in the aortic valve

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

The Ross procedure: Time to reevaluate the guidelines

Lung volume reduction surgery since the National Emphysema Treatment Trial: Study of Society of Thoracic Surgeons Database Marquita R. Decker, MD, MPH,

Increased extracorporeal membrane oxygenation center case volume is associated with improved extracorporeal membrane oxygenation survival among pediatric.

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Sutureless valve implantation: Every detail counts

If airlines can do it, we can too…

Syphilitic aortitis: The bigger picture

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

Jeffrey H. Shuhaiber, MD, Jeff Moore, MS, David B. Dyke, MD

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Tissue valve, nitinol stent, or storage solution

The future of cardiac surgery training: A survival guide

Commentary: “Isn't cardiac surgery a team sport?”

Apparently, size matters…in congenital heart disease and brain injury

Ventricular assistant in restrictive cardiomyopathy: Making the right connection Robert D.B. Jaquiss, MD The Journal of Thoracic and Cardiovascular Surgery

The continuing challenge of congenital heart disease in China

Bicuspid aortopathy: Seeing the forest for the trees

The Robin Hood principle in the treatment of congenital heart disease: Taking technologic developments intended for adults and using it in kids Paul.

“The more things change…”: The challenges ahead

Ryan R. Davies, MD The Journal of Thoracic and Cardiovascular Surgery

Apples remain apples NO matter what

Did you like Terminator 3 better than Terminator 2

Samuel Kim, MD The Journal of Thoracic and Cardiovascular Surgery

How do we follow up our patients

Journal changes and initiatives

Lessons learned from Melody valve retrieved at transplantation

Calpain inhibitors: The aspirin of the 21st century?

Deciding how much to pay for effective care

Presentation transcript:

Incidence and treatment of chylothorax after cardiac surgery in children: Analysis of a large multi-institution database Carlos M. Mery, MD, MPH, Brady S. Moffett, PharmD, MPH, Muhammad S. Khan, MD, Wei Zhang, PhD, Francisco A. Guzmán-Pruneda, MD, Charles D. Fraser, MD, Antonio G. Cabrera, MD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 2, Pages 678-686.e1 (February 2014) DOI: 10.1016/j.jtcvs.2013.09.068 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Plots depicting the incidence of chylothorax and total volume for each hospital, stratified by type of procedure. Each individual bar represents a different center, with different colors indicating different quartiles according to median hospital annual volume. The line represents the total cumulative volume (VOL) for each hospital for that particular type of procedure. RACHS, Risk Adjustment for Congenital Heart Surgery-1. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 678-686.e1DOI: (10.1016/j.jtcvs.2013.09.068) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Use of treatment strategies for chylothorax across time. TPN, Total parenteral nutrition; MCT, medium-chain triglycerides. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 678-686.e1DOI: (10.1016/j.jtcvs.2013.09.068) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions