The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Nov 2024
Textbook Outcome after Robotic and Laparoscopic Ivor Lewis Esophagectomy is Associated with Improved Survival - A Propensity Score Matched Analysis.
Esophagectomy is central to curative therapy for esophageal cancer (EC). Perioperative outcomes affect both disease-free and overall survival in oncological esophageal surgery. The adoption of robotic techniques may improve surgical outcome. However, the complex nature of perioperative outcomes is not adequately captured by individual quality measures. ⋯ RAMIE is associated with an increased TO achievement. Achieving TO is associated with enhanced long-term survival in esophageal cancer patients and warrants continued emphasis on surgical quality improvement.
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J. Thorac. Cardiovasc. Surg. · Nov 2024
Multi-Institutional Model to Predict Intensive Care Unit Length of Stay after Cardiac Surgery.
Intensive care unit length of stay (ICU LOS) accounts for a large percentage of inpatient cost after cardiac surgery. The Society of Thoracic Surgeons risk calculator predicts total LOS but does not discriminate between ICU and non-ICU time. We sought to develop a predictive model of prolonged ICU LOS. ⋯ Prolonged ICU stay after cardiac surgery can be predicted with good predictive accuracy using preoperative data and may aid in patient counseling and resource allocation. Through use of a state-wide database, the application of this model may extend to other practices.