Tags Archives: cardiac surgery

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Time of day of cardiac surgery and postoperative outcomes in the UK: a secondary analysis of linked national datasets

Abstract Introduction Uncertainty remains regarding whether the time of day that cardiac surgery is performed affects postoperative outcomes or if the observed variation can be explained by patient or surgical..

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Factors associated with device-associated health care-associated infections after cardiac surgery: a matched cohort study

Abstract Background The study aimed to identify the patient-related and procedure-related factors independently associated with the development of device-associated health care-associated infections (DA-HAIs) in cardiac intensive care unit (CICU), specifically..

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Long-term cardiac surgery outcomes in patients receiving dialysis and with previous kidney transplantation: A national registries analysis

Abstract Objectives Whether patients with kidney failure who undergo cardiac surgery have a survival advantage with previous kidney transplantation is unclear. This study evaluated long-term outcomes after cardiac surgery for..

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Cardiac surgery in Chile: preoperative risk characterization and analytical outcomes pre-operative risk characterization in cardiac surgeries

Abstract Background Cardiovascular diseases are the leading cause of mortality worldwide, including in Chile, accounting for about 23% of all deaths. Advanced cardiac surgical procedures like coronary artery bypass grafting..

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APECx—Anaesthesia, Perfusion and Surgical Practices in Cardiac Surgery: Main Study Protocol of a Modular Multiphase Prospective International Multicentre Observational Study

Abstract The perioperative management in adult cardiac surgery patients remains highly variable across centres and regions. The APECx study (Anaesthesia, Perfusion and surgical practicEs in Cardiac surgery) aims to describe..

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Impact of Resident-Led Operating on Outcomes in Adult Cardiac Surgery: A 10-Year Propensity-Matched Analysis

Abstract Objectives Cardiac surgical training in today's day and age faces significant challenges, including declining operative volumes, increasing case complexity, transcatheter interventions, and shorter training programmes, amongst others. Although it..

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Forged in conflict: how wars and crises shaped cardiovascular surgery

Abstract Wars and crises have historically acted as powerful catalysts for advances in cardiovascular surgery. Throughout the twentieth and twenty-first centuries, periods of armed conflict and global emergencies have driven..

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Cardiac Surgery During and After the Pandemic: A Retrospective Analysis of UK Trends and Outcomes

Abstract Objectives The full extent of the COVID-19 pandemic’s impact during different phases of the pandemic and the recovery of cardiac surgical services in the United Kingdom have not been..

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Interhospital variability in 180-day infections following cardiac surgery

Abstract Objective To evaluate hospital-level variation in infections following cardiac surgery and develop and evaluate a 180-day infection quality metric. Methods This study evaluated Medicare claims that were merged with..

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Women in cardiac surgery: a global workforce analysis

Abstract OBJECTIVES Cardiac surgery remains one of the most gender-imbalanced surgical specialties. Women constitute 6–11% of the North American workforce, while other regional data are scarce. Despite the acknowledged under-representation..

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Interventions to prevent surgical site infection in adults undergoing cardiac surgery

Abstract Background Surgical site infection (SSI) is a common type of hospital‐acquired infection and affects up to a third of patients following surgical procedures. It is associated with significant mortality..

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Crossing borders to meet cardiac surgical needs: A scoping review on patients seeking cardiac surgery abroad

Abstract Background Over 100 countries do not have a local cardiac surgeon, whereas capacity, coverage, or cultural constrains may limit access to cardiac surgical care in-country. This scoping review aims..

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Neurological Complications Following Cardiac Surgery: Management and Future Directions

Abstract Neurological complications related to cardiac surgery present physicians with challenges. These complications severely impact patients’ outcomes, the quality of their lives, and affect the resources available at healthcare centers...

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The effectiveness of music in improving the recovery of cardiothoracic surgery: a systematic review with meta-analysis and trial sequential analysis

Abstract Aim This study aimed to compile data on the effectiveness of music therapy for patients undergoing cardiothoracic surgery. Background After cardiac and thoracic surgery, patients often experience physiological and..

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Outcomes of ECMO as a Bridge to Cardiac Surgery

Abstract Introduction: Although outcomes of post-cardiotomy extracorporeal membrane oxygenation (ECMO) are well studied1, the outcomes of patients bridged to cardiac surgery with ECMO are less well understood. We undertook this study..

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The Risk Of Waiting Up To One Year For Cardiac Surgery

Abstract Introduction: Cardiac disease is associated with a risk of death, both by the cardiac condition and by comorbidities. The waiting time for surgery begins with the onset of symptoms..

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A systematic review of cardiac surgery clinical prediction models that include intra-operative variables

Abstract Background Most cardiac surgery clinical prediction models (CPMs) are developed using pre-operative variables to predict post-operative outcomes. Some CPMs are developed with intra-operative variables, but none are widely used...

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Crisis Scenarios for Simulation-Based Nontechnical Skills Training for Cardiac Surgery Teams

Abstract Background  Nontechnical skills in cardiac surgery are vital in ensuring patient safety in the operating room (OR). To train these skills in a simulation-based scenario, a collection of commonly..

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Preoperative anemia and anemia treatment in cardiac surgery: a systematic review and meta-analysis

Abstract Purpose: We aimed to conduct a systematic review and meta-analysis to assess the effects of anemia and anemia severity on patient outcomes in cardiac surgery and determine whether preoperative treatments..

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Prevention of cardiac surgery-associated acute kidney injury: a systematic review and meta-analysis of non-pharmacological interventions

Abstract Background Cardiac surgery-associated acute kidney injury (CSA-AKI) is frequent. While two network meta-analyses assessed the impact of pharmacological interventions to prevent CSA-AKI, none focused on non-pharmacological interventions. We aim..

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Major Adverse Cardiac and Cerebrovascular Events in Patients Undergoing Simultaneous Heart Surgery and Carotid Endarterectomy

Abstract Background Patients with simultaneous relevant internal carotid artery stenosis and coronary artery heart or valve disease represent a high-risk collective with respect to cerebral or cardiovascular severe events when..

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Five years since defining global cardiac surgery: from afterthought to tipping point

Abstract BACKGROUND Six billion people lack access to safe, timely and affordable cardiac surgical care [1, 2]. In low- and middle-income countries (LMICs), access to cardiac surgery has been poor due..

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Outcomes of Prolonged ICU Stay for Patients Undergoing Cardiac Surgery in Australia and New Zealand

Abstract Objective To determine the effect of intensive care unit (ICU) length of stay (LOS) on hospital mortality and non-home discharge for patients undergoing cardiac surgery over a 16-year period..

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A formula for survival in surgery

Abstract Surgeons continuously work to ensure that their patients receive safe, timely and high-quality care, often in challenging circumstances. The strive for excellence may often manifest itself in the surgeons’..

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Implementation of the Kidney Disease Improving Global Outcomes guidelines for the prevention of acute kidney injury after cardiac surgery

Abstract BACKGROUND  Increasing evidence from randomised controlled trials supports the implementation of a six-measure care bundle proposed by the Kidney Disease Improving Global Outcomes (KDIGO) guidelines in patients at high..

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Albumin Use After Cardiac Surgery

Abstract Objectives: To investigate the effect of albumin exposure in ICU after cardiac surgery on hospital mortality, complications, and costs. Design: A retrospective, single-center cohort study with economic evaluation. Setting:..

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Diagnosis, pathophysiology and preventive strategies for cardiac surgery-associated acute kidney injury: a narrative review

Abstract Acute kidney injury (AKI) is a common and serious complication of cardiac surgery and is associated with increased mortality and morbidity, accompanied by a substantial economic burden. The pathogenesis..

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Regional analgesia for cardiac surgery

Abstract Purpose of review  Regional anesthesia is gaining attention as a valuable component of multimodal, opioid-sparing analgesia in cardiac surgery, where improving the patient's quality of recovery while minimizing the harms..

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Testing for coronarvirus disease 2019 before cardiac surgery—safe outcome of infected patients

Abstract Background The aim was to analyze routine preoperative testing for coronavirus disease 2019 (COVID-19) performed to avoid infected cardiac surgical patients transmitting virus during the pandemic. Methods Every patient..

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Neuromonitoring and Neurocognitive Outcomes in Cardiac Surgery: A Narrative Review

Abstract Neurocognitive dysfunction after cardiac surgery can present with diverse clinical phenotypes, which include , postoperative , and stroke, and it presents a significant healthcare burden for both patients and providers. Neurologic..

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