A Method to Evaluate Cardiac Surgery Mortality: Phase of Care Mortality Analysis

Shannon, Francis; Fazzalari, Frank L.; Theurer, Patricia F.; Bell, Gail F.; Sutcliffe, Kathleen M.; Prager, Richard L.

doi:10.1016/j.athoracsur.2011.07.057

Cited by 53 publications

(36 citation statements)

References 7 publications

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“…Presentation of more serious events (e.g., death) should take precedence over less serious (e.g., vascular complications) events, and review should occur as soon as feasible after an adverse event has occurred, especially when a preventable cause is suspected. A formal phase of care (preprocedure, intraprocedure, postprocedure) analysis in which various aspects of care at each stage are critically analyzed and where consensus is reached over preventability of the complication is recommended [76].…”

Section: Cost Considerationsmentioning

confidence: 99%

SCAI expert consensus statement: 2016 best practices in the cardiac catheterization laboratory: (Endorsed by the cardiological society of india, and sociedad Latino Americana de Cardiologia intervencionista; Affirmation of value by the Canadian Association of interventional cardiology–Association canadienne de cardiologie d'intervention)*

Naidu

Aronow

Box

et al. 2016

Cathet Cardio Intervent

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Section: Cost Considerationsmentioning

confidence: 99%

SCAI expert consensus statement: 2016 best practices in the cardiac catheterization laboratory: (Endorsed by the cardiological society of india, and sociedad Latino Americana de Cardiologia intervencionista; Affirmation of value by the Canadian Association of interventional cardiology–Association canadienne de cardiologie d'intervention)*

Naidu

Aronow

Box

et al. 2016

Cathet Cardio Intervent

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“…These five phases are pre-operative, the operation itself, while the patient is in intensive care, in the ward, and during the discharge phase. Such a seminal event leading to death was found in 35% during the pre-operative phase by Shannon et al30…”

Section: Discussionmentioning

confidence: 95%

“…That being said, a routine post mortem is not always clarifying 29. The phase-of-care mortality analysis (POCMA) identifies an identifiable trigger for a fatal course 30. These five phases are pre-operative, the operation itself, while the patient is in intensive care, in the ward, and during the discharge phase.…”

Section: Discussionmentioning

confidence: 99%

Tabula viva chirurgi: a living surgical document

Swart

Joubert

Berg

et al. 2016

CVJA

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SummaryAim:The purpose of this article is to present the results of a private cardiac surgical practice. This information could also serve as a hermeneutical text for new wisdom.Methods:A personal database of 1 750 consecutive patients who had had coronary artery bypass graft (CABG) surgery was statistically analysed. Mortality and major morbidity figures were compared with large registries. Risk factors for postoperative death were determined.Results:Over a period of 12 years, 1 344 (76.8%) males and 406 (23.2%) females were operated on. The observed mortality rate was 3.03% and the expected mortality rate (EuroSCORE) was 3.87%. After stepwise logistic regression, independent risk factors for death were urgency (intra-aortic balloon pump), renal impairment (chronic kidney disease, stage III), re-operation and an additional procedure. Apart from the 53 deaths, another 91 patients had major complications.Conclusion:Mortality and morbidity rates compared favourably with other international registries. Mortality was related to co-morbidities. This outcome contributes to a hermeneutical understanding focusing on new spiritual wisdom and meaning for the surgeon.

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“…Interestingly, a phase of care approach has also been used by Shannon and colleagues in a review of cardiac surgical care,18 albeit in a rather more structured system with distinct changes in physical settings. In the context of assessing whether death was a preventable outcome, Hogan et al 8 used a four-phase model to identify adverse incidents: initial assessment, treatment plan, ongoing monitoring and preparation for discharge.…”

Section: Discussionmentioning

confidence: 99%

A structured judgement method to enhance mortality case note review: development and evaluation

et al. 2013

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A Method to Evaluate Cardiac Surgery Mortality: Phase of Care Mortality Analysis

Cited by 53 publications

References 7 publications

Tabula viva chirurgi: a living surgical document

A structured judgement method to enhance mortality case note review: development and evaluation

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