A5003151332- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac and Coronary Surgery Techniques
- Mechanical Circulatory Support Devices
- Cardiac Arrest and Resuscitation
- Cardiac Valve Diseases and Treatments
- Blood transfusion and management
- Cardiac Structural Anomalies and Repair
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Cardiac Health and Mental Health
- Infective Endocarditis Diagnosis and Management
- Heart Failure Treatment and Management
- Aortic Disease and Treatment Approaches
- Acute Ischemic Stroke Management
- Cerebrovascular and Carotid Artery Diseases
- Healthcare Policy and Management
- Health Systems, Economic Evaluations, Quality of Life
- Aortic aneurysm repair treatments
- Congenital Heart Disease Studies
- Venous Thromboembolism Diagnosis and Management
- Acute Kidney Injury Research
- Healthcare cost, quality, practices
- Frailty in Older Adults
- Geriatric Care and Nursing Homes
- Surgical Simulation and Training
- Intracranial Aneurysms: Treatment and Complications
Society of Thoracic Surgeons
2016-2025
Michigan Medicine
2016-2025
University of Michigan
2016-2025
Michigan United
2022-2024
Agency for Healthcare Research and Quality
2013-2024
National Heart Lung and Blood Institute
2024
Hanoi Open University
2024
Medical University of South Carolina
2019-2023
Maine Medical Center
2003-2021
Henry Ford Hospital
2019-2021
Exposure to red blood cell (RBC) transfusions has been associated with increased mortality after cardiac surgery. We examined long-term survival for surgical patients who received one or two RBC units during index hospitalization.Nine thousand seventy-nine consecutive undergoing coronary artery bypass graft, valve, graft/valve surgery at eight centers in northern New England 2001-2004 were exclusions. A probabilistic match between the regional registry and Social Security Administration's...
Current research focused on stroke in the setting of coronary artery bypass graft (CABG) surgery has missed important opportunities for additional understanding by failing to consider range different mechanisms. We developed and implemented a classification system identify distribution timing subtypes.We conducted regional study 388 patients with diagnosis after isolated CABG northern New England from 1992 2000. Data were collected patient disease characteristics, intraoperative...
Hemodilutional anemia during cardiopulmonary bypass (CPB) is associated with increased mortality coronary artery graft (CABG) surgery. The impact of intraoperative red blood cell (RBC) transfusion to treat surgery less understood. We examined the relationship between CPB, RBC transfusion, and risk low-output heart failure (LOF).Data were collected on 8004 isolated CABG patients in northern New England 1996 2004. Patients excluded if they experienced postoperative bleeding or received > = 3...
Compared with historic ventilation strategies, modern lung-protective includes lower tidal volumes (VT), driving pressures, and application of positive end-expiratory pressure (PEEP). The contributions each component to an overall intraoperative protective strategy aimed at reducing postoperative pulmonary complications have neither been adequately resolved, nor comprehensively evaluated within adult cardiac surgical population. authors hypothesized that a bundled was independently...
Background— Increasing numbers of the very elderly are undergoing aortic valve procedures. We describe short- and long-term survivorship for this cohort. Methods Results— conducted a cohort study 7584 consecutive patients open surgery without (51.1%; AVR) or with (48.9%; AVR + CABG) concomitant coronary artery bypass graft between November 10, 1987 through June 30, 2006. Patient records were linked to Social Security Administration’s Death Master File. Survivorship was stratified by age CABG...
Background— Use of endoscopic saphenous vein harvesting has developed into a routine surgical approach at many cardiothoracic centers. The association between this technique and long-term morbidity mortality recently been called question. present report describes the use open versus risk repeat revascularization in northern New England during time period (2001 to 2004) which both techniques were being performed. Methods Results— From 2001 2004, 8542 patients underwent isolated coronary...
New cardiopulmonary bypass devices and new innovative methods are frequently reported in the literature; however, actual extent to which they adopted into clinical practice is not well known. We distributed an electronic survey 289 domestic international pediatric congenital surgery centers effort measure attributes of current practice. The consisted 107 questions relating program demographics, equipment, techniques. Responses were received from 146 (51%) queried stratified five distinct...