The Journal of thoracic and cardiovascular surgery
-
J. Thorac. Cardiovasc. Surg. · Sep 2022
ReviewCorrelating oxygen delivery on cardiopulmonary bypass with Society of Thoracic Surgeons outcomes following cardiac surgery.
The relationship between low oxygen delivery (DO2) on cardiopulmonary bypass and morbidity and mortality following cardiac surgery remains unexamined. ⋯ Low DO2 on bypass may be associated with morbidity/mortality following cardiac surgery, particularly in patients undergoing nonisolated CABG. These results underscore the importance of goal-directed perfusion strategies.
-
J. Thorac. Cardiovasc. Surg. · Sep 2022
Preoperative N-terminal pro-brain natriuretic peptide is associated with Fontan outcomes.
The role of preoperative N-terminal pro-brain natriuretic peptide level in patient outcomes after the Fontan operation remains unclear. ⋯ High preoperative N-terminal pro-brain natriuretic peptide was associated with poor outcomes after the Fontan operation.
-
J. Thorac. Cardiovasc. Surg. · Sep 2022
Effect of previous coronary stenting on subsequent coronary artery bypass grafting outcomes.
The effect of previous coronary stenting on subsequent coronary artery bypass graft is inconclusive. ⋯ Previous coronary stenting before coronary artery bypass graft for multivessel coronary artery disease significantly increased 30-day mortality but did not affect late survival. However, patients who had coronary stenting before coronary artery bypass graft experienced more revascularization events during late follow-up.
-
J. Thorac. Cardiovasc. Surg. · Sep 2022
Unraveling the impact of time-dependent perioperative variables on 30-day readmission after coronary artery bypass surgery.
Readmission within 30 days of discharge after coronary artery bypass grafting is a measure of quality and a driver of cost in health care. Traditional predictive models use time-independent variables. We developed a new model to predict time to readmission after coronary artery bypass grafting using both time-independent and time-dependent preoperative and perioperative data. ⋯ Time-dependent perioperative variables in an isolated coronary artery bypass grafting cohort provided better predictive ability to a readmission model. This study was unique in the inclusion of time-dependent covariates in the predictive model for readmission after discharge after coronary artery bypass grafting.
-
J. Thorac. Cardiovasc. Surg. · Sep 2022
Long-term patient-reported outcomes after non-small cell lung cancer resection.
Patient-reported outcomes (PROs) are critical tools for evaluating patients before and after lung cancer resection. In this study, we assessed patient-reported pain, dyspnea, and functional status up to 1 year postoperatively. ⋯ PROs are important metrics for assessing patients before and after lung cancer resection. Patients may report persistent dyspnea up to 1 year after resection. Additionally, patients undergoing thoracotomy initially report worse pain and physical function but these impairments improve by 6 months after surgery.