Vinod H. Thourani, MD, Vinay Badhwar, MD, David M. Shahian, MD, Fred H

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Presentation transcript:

The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2017 Update on Research Vinod H. Thourani, MD, Vinay Badhwar, MD, David M. Shahian, MD, Fred H. Edwards, MD, Sean O’Brien, PhD, Robert H. Habib, PhD, John J. Kelly, BA, J. Scott Rankin, MD, Richard Prager, MD, Jeffrey P. Jacobs, MD The Annals of Thoracic Surgery Volume 104, Issue 1, Pages 22-28 (July 2017) DOI: 10.1016/j.athoracsur.2017.05.013 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Robot-assisted coronary artery bypass graft surgery (RA-CABG) volume by site from 2006 to 2012. (Red bars = 1 to 5 cases; green bars = 6 to 10 cases; dark blue bars = 11 to 20 cases; turquoise bars = 21 to 40 cases; orange bars = 41 to 80 cases; light blue bars = more than 80 cases.) The Annals of Thoracic Surgery 2017 104, 22-28DOI: (10.1016/j.athoracsur.2017.05.013) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Distribution of discharge warfarin use across hospitals: (A) all hospitals (n = 886); (B) hospitals with more than 10 bioprosthetic mitral valve replacement cases annually (n = 245). (No. = number.) The Annals of Thoracic Surgery 2017 104, 22-28DOI: (10.1016/j.athoracsur.2017.05.013) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Distribution of discharge warfarin rates across surgeons: (A) all surgeons (n = 1,774); (B) surgeons with more than 10 bioprosthetic mitral valve replacement cases annually (n = 172). (No. = number.) The Annals of Thoracic Surgery 2017 104, 22-28DOI: (10.1016/j.athoracsur.2017.05.013) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Temporal trends in operative mortality for isolated coronary artery bypass graft surgery, with or without ventricular assist device. The Annals of Thoracic Surgery 2017 104, 22-28DOI: (10.1016/j.athoracsur.2017.05.013) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Unadjusted association between gait speed and operative mortality. Decreasing gait speed was associated with increasing odds of operative mortality. Blue shaded area indicates 95% confidence interval; dashed line indicates reference odds ratio of 1.0. (m/s = meters per second.) The Annals of Thoracic Surgery 2017 104, 22-28DOI: (10.1016/j.athoracsur.2017.05.013) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Proportion of black patients undergoing coronary artery bypass graft surgery at institutions ranked top to bottom based on increasing risk-adjusted mortality. Centers in quartile 1 (0% to 25%) had the lowest risk-adjusted operative mortality, whereas centers in quartile 4 (75% to 100%) had the highest risk-adjusted operative mortality. (vs = versus.) The Annals of Thoracic Surgery 2017 104, 22-28DOI: (10.1016/j.athoracsur.2017.05.013) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 7 Distributions of risk-adjusted (A) mortality rate and (B) morbidity rate (n = 703 participants). (IQR = interquartile range.) The Annals of Thoracic Surgery 2017 104, 22-28DOI: (10.1016/j.athoracsur.2017.05.013) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 8 Influence of number of complications on failure to rescue (mortality [blue bars]) and patient sample size (n [orange line]). The Annals of Thoracic Surgery 2017 104, 22-28DOI: (10.1016/j.athoracsur.2017.05.013) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions