Challenges of balancing reduced costs and improved quality were explored for congenital heart surgery linking clinical data from STS Congenital Heart Surgery Database patients to administrative data from the Pediatric Health Information Systems Database. Excess costs associated with any complication were over $56,000, and this increased to more than
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Congenital
November 5, 2014
October 16, 2014
In a retrospective cohort study of patients less than 18 years old who underwent cardiopulmonary bypass, intraoperative hemodynamics and vasopressor use were compared between patients who received preoperative ACE inhibitor/ARB therapy and those who did not.
July 4, 2014
Neuroprotection strategies during deep hypothermic circulatory arrest (DHCA) in infants undergoing cardiac surgery are varied.
May 29, 2014
The authors studied outcomes after congenital operations in 12 programs in New York state (4,776 operations) to assess whether prolonged length of stay (PLOS) can be used as a quality measure. PLOS incidence ranged from 7.5% to 36.5.5. PLOS was strongly correlated with mortality rates. The authors conclude that PLOS is a reasonable quality metric,
May 7, 2014
Results of a 50 year experience with surgery for cortriatriatum sinister were summarized. A mix of infants and adults underwent treatment, consisting of membrane excision on CPB. 10 year survival was 83%, and all patients were in NYHA class I or II at follow-up.
February 6, 2014
The accuracy of the diagnosis in patients undergoing congenital heart surgery in a large administrative database was examined in over 14,000 patients aged 0 to 5. Patients admitted on day 1 of life and those undergoing ECMO had a much higher chance of being assigned non-cardiac diagnoses.
April 10, 2011
In hybrid ORs angiographic 3D imaging capabilities are required. Due to the technical complexity and the multitude of users and procedures, careful planning is key for every hybrid room project.