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Francis L. Shannon, MD, Frank L. Fazzalari, MD, MBA, Patricia F

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Presentation on theme: "Francis L. Shannon, MD, Frank L. Fazzalari, MD, MBA, Patricia F"— Presentation transcript:

1 A Method to Evaluate Cardiac Surgery Mortality: Phase of Care Mortality Analysis 
Francis L. Shannon, MD, Frank L. Fazzalari, MD, MBA, Patricia F. Theurer, BSN, Gail F. Bell, MSN, Kathleen M. Sutcliffe, PhD, Richard L. Prager, MD  The Annals of Thoracic Surgery  Volume 93, Issue 1, Pages (January 2012) DOI: /j.athoracsur Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Phase of care mortality analysis form. (CHF = congestive heart failure; COPD = chronic obstructive pulmonary disease; DVT = deep vein thrombosis; ECF = extended care facility; ET = endotracheal; HCT = hematocrit; HOB = head of bed; ICU = intensive care unit; MAP = mean arterial pressure; mVO2 = myocardial oxygen consumption; PUD = peptic ulcer disease; TEE = transesophageal echocardiography.) The Annals of Thoracic Surgery  , 36-43DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Phase of care mortality analysis January 2006 to June (ICU = intensive care unit; Intra-op = intraoperative; Pre-op = preoperative.) The Annals of Thoracic Surgery  , 36-43DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Phase of care mortality analysis 2006 to June 2010 by year. (ICU = intensive care unit; Intra-op = intraoperative; Pre-op = preoperative.) The Annals of Thoracic Surgery  , 36-43DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Phase of care mortality analysis; all procedures excluding nonisolated CAB and isolated CAB. (CAB = coronary artery bypass; ICU = intensive care unit; Intra-op = intraoperative; Pre-op = preoperative.) The Annals of Thoracic Surgery  , 36-43DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Phase of care mortality analysis; isolated CAB. (CAB = coronary artery bypass; ICU = intensive care unit; Intra-op = intraoperative; Pre-op = preoperative.) The Annals of Thoracic Surgery  , 36-43DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Predicted risk of mortality (PROM): all cardiac surgery patients and mortality patients. The Annals of Thoracic Surgery  , 36-43DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

8 Fig 7 Isolated coronary artery bypass phase of care mortality analysis by predicted risk of mortality (n = 644). (ICU = intensive care unit; Intraop = intraoperative; Preop = preoperative; STS = Society of Thorac Surgeons.) The Annals of Thoracic Surgery  , 36-43DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

9 Fig 8 Potentially avoidable isolated CAB mortality by predicted risk of mortality (n = 268). (ICU = intensive care unit; Intraop = intraoperative; Preop = preoperative; STS = Society of Thorac Surgeons.) The Annals of Thoracic Surgery  , 36-43DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

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