A Protocol-Driven Approach to Cardiac Reoperation Reduces Mortality and Cardiac Injury at the Time of Resternotomy

A Protocol-Driven Approach to Cardiac Reoperation Reduces Mortality and Cardiac Injury at the Time of Resternotomy

Background The purpose of this study was to determine whether an established protocol-driven approach to cardiac reoperations would improve patient outcomes and reduce resternotomy injuries. Methods From 1995 to 2010, 946 patients undergoing cardiac reoperations were stratified into reoperative prot...

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Veröffentlicht in:The Annals of thoracic surgery 2013-09, Vol.96 (3), p.865-870
Hauptverfasser: LaPar, Damien J., MD, MSc, Ailawadi, Gorav, MD, Harris, David A., BA, Hajzus, Vanessa A., BA, Lau, Christine L., MD, Kern, John A., MD, Kron, Irving L., MD
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Aged
Cardiac Surgical Procedures - adverse effects
Cardiac Surgical Procedures - methods
Cardiopulmonary Bypass - adverse effects
Cardiopulmonary Bypass - methods
Cardiothoracic Surgery
Case-Control Studies
Cause of Death
Coronary Artery Bypass - adverse effects
Coronary Artery Bypass - methods
Female
Heart Injuries - mortality
Heart Injuries - prevention & control
Heart Valve Prosthesis Implantation - adverse effects
Heart Valve Prosthesis Implantation - methods
Hospital Mortality - trends
Humans
Male
Middle Aged
Postoperative Complications - mortality
Postoperative Complications - physiopathology
Postoperative Complications - surgery
Practice Guidelines as Topic
Preoperative Care - methods
Reoperation - mortality
Reoperation - standards
Retrospective Studies
Risk Assessment
Sternotomy - adverse effects
Sternotomy - methods
Surgery
Survival Analysis
Treatment Outcome
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Zusammenfassung:Background The purpose of this study was to determine whether an established protocol-driven approach to cardiac reoperations would improve patient outcomes and reduce resternotomy injuries. Methods From 1995 to 2010, 946 patients undergoing cardiac reoperations were stratified into reoperative protocol (n = 344, age = 61 ± 17 years) vs no-protocol (n = 602, age = 64 ± 14 years) comparison groups. Results Protocol patients underwent more complex reoperations (procedure type “other”: 24% vs 15%, p  
ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2013.03.061