Manoj K. Saraswat, MHS, Jonathan T. Magruder, MD, Todd C

Slides:

Advertisements

Similar presentations

Elevated Hemoglobin A1c Is Associated With Lower Socioeconomic Position and Increased Postoperative Infections and Longer Hospital Stay After Cardiac.

Advertisements

Bilateral Internal Mammary Artery Use for Coronary Artery Bypass Grafting Remains Underutilized: A Propensity-Matched Multi-Institution Analysis Damien.

Todd C. Crawford, MD, J. Trent Magruder, MD, Joshua C

Coronary Artery Bypass for Heart Failure in Ischemic Cardiomyopathy: 17-Year Follow- Up Marco Pocar, MD, PhD, Andrea Moneta, MD, Adalberto Grossi, MD,

Manuel Caceres, MD, Darryl S. Weiman, MD, JD

Benny Weksler, MD, Jennifer L. Sullivan, MD

Long-Term Outcome of Coronary Artery Bypass Grafting in Patients With Left Ventricular Dysfunction Paolo Nardi, MD, PhD, Antonio Pellegrino, MD, Antonio.

Elevated Hemoglobin A1c Is Associated With Lower Socioeconomic Position and Increased Postoperative Infections and Longer Hospital Stay After Cardiac.

Clinical Outcomes in Patients With Prolonged Intensive Care Unit Length of Stay After Cardiac Surgical Procedures Ansar Hassan, MD, PhD, Curtis Anderson,

Robert Brewer, MD, MHSA, Patricia F. Theurer, BSN, Chad M

Jeevan Nagendran, MD, Colleen M. Norris, PhD, Michelle M

Fibrinogen Levels After Cardiac Surgical Procedures: Association With Postoperative Bleeding, Trigger Values, and Target Values Marco Ranucci, MD, Valeria.

Surgical Ablation of Atrial Fibrillation in the United States: Trends and Propensity Matched Outcomes Vinay Badhwar, MD, J. Scott Rankin, MD, Niv Ad,

Antidepressant Therapy in Patients Undergoing Coronary Artery Bypass Grafting: The MOTIV-CABG Trial Sidney Chocron, MD, PhD, Pierre Vandel, MD, PhD,

Long-Term Consequences of Postoperative Heart Failure After Surgery for Aortic Stenosis Compared With Coronary Surgery Farkas B. Vánky, MD, PhD, Erik.

Impact of Medicaid Expansion on Cardiac Surgery Volume and Outcomes

Hyde M. Russell, MD, Soraya L. Johnson, BS, Katherine C

Does Diabetes Affect the Postoperative Outcomes After Total Arterial Off-Pump Coronary Bypass Surgery in Multivessel Disease? Jae-Sung Choi, MD, PhD,

Rika E. Ohkuma, MD, Todd C. Crawford, MD, Patricia M

The Society of Thoracic Surgeons Thoracic Surgery Practice and Access Task Force: 2014 Workforce Report John S. Ikonomidis, MD, PhD The Annals of Thoracic.

Atrial Fibrillation After Coronary Artery Bypass Grafting Surgery: Development of a Predictive Risk Algorithm Mitchell J. Magee, MD, Morley A. Herbert,

Less Is More: Results of a Statewide Analysis of the Impact of Blood Transfusion on Coronary Artery Bypass Grafting Outcomes Todd C. Crawford, MD, J.

Complications After Cardiac Operations: All Are Not Created Equal

Healthcare-Associated Infections in Cardiac Surgery Patients With Prolonged Intensive Care Unit Stay Michael Mazzeffi, MD, MPH, James Gammie, MD, Bradley.

Long-Term Survival of Patients With Ischemic Cardiomyopathy Treated by Coronary Artery Bypass Grafting Versus Medical Therapy Eric J. Velazquez, MD,

Impact of Preoperative Angiotensin-Converting Enzyme Inhibitor Use on Clinical Outcomes After Cardiac Surgery Maral Ouzounian, MD, Karen J. Buth, MS,

Adding Radiotherapy to Adjuvant Chemotherapy Does Not Improve Survival of Patients With N2 Lung Cancer Justin A. Drake, MD, David C. Portnoy, MD, Kurt.

Trends in Robotic-Assisted Coronary Artery Bypass Grafts: A Study of The Society of Thoracic Surgeons Adult Cardiac Surgery Database, 2006 to 2012 David.

The Survival Benefit of Simultaneous Heart-Kidney Transplantation Extends Beyond Dialysis-Dependent Patients Arman Kilic, MD, Joshua C. Grimm, MD, Glenn.

Risk Factors for Sternal Wound Infection After Open Heart Operations Vary According to Type of Operation Katharina Meszaros, MD, Urs Fuehrer, MD, Sina.

Simple Index to Predict Likelihood of Skilled Nursing Facility Admission After Coronary Artery Bypass Grafting Among Older Patients David C. Chang, PhD,

Surgical Resection of a Giant Coronary Aneurysm

Potassium and Magnesium Supplementation Do Not Protect Against Atrial Fibrillation After Cardiac Operation: A Time-Matched Analysis Timothy S. Lancaster,

Ola A. Selnes, PhD, Maura A. Grega, MSN, Maryanne M

Laila Hellgren, MD, Elisabeth Ståhle, MD, PhD

Mariano E. Brizzio, MD, Alex Zapolanski, MD, Richard E

Predictors of Low Cardiac Output Syndrome After Isolated Coronary Artery Bypass Surgery: Trends Over 20 Years Khaled D. Algarni, MD, MHS, Manjula Maganti,

Percutaneous Intervention Before Coronary Artery Bypass Surgery Does Not Unfavorably Impact Survival: A Single-Center Propensity-Matched Analysis Suvitesh.

Damien J. LaPar, MD, MS, James M. Isbell, MD, MSCI, Daniel P

Use of Amiodarone After Major Lung Resection

Effects of Blood Transfusion on Cause-Specific Late Mortality After Coronary Artery Bypass Grafting—Less Is More Thomas A. Schwann, MD, Joseph R. Habib,

Graduate Subspecialty and Perceptions of Cardiothoracic Surgery Training: A 60-Year Retrospective Study Mara B. Antonoff, MD, Jessica G.Y. Luc, MD, G.

Development and Validation of a Score to Predict the Risk of Readmission After Adult Cardiac Operations Arman Kilic, MD, Jonathan T. Magruder, MD, Joshua.

Do the EXCEL and NOBLE Trial Results Change Meta-Analysis Findings?

Microplegia During Coronary Artery Bypass Grafting Was Associated With Less Low Cardiac Output Syndrome: A Propensity-Matched Comparison Khaled D. Algarni,

Role of Surgical Ventricular Restoration in the Treatment of Ischemic Cardiomyopathy Jun Liu, MD, Zixiong Liu, MD, Qiang Zhao, MD, Anqing Chen, MD, Zhe.

Terry Shih, MD, Justin B. Dimick, MD, MPH

Postoperative Outcome of Isolated Tricuspid Valve Operation Using Arrested-Heart or Beating-Heart Technique Bettina Pfannmüller, MD, Piroze Davierwala,

Current Clinical Outcomes of Percutaneous Coronary Intervention and Coronary Artery Bypass Grafting Michael J. Mack, MD, Syma L. Prince, RN, Morley Herbert,

Statin in Combination With β-Blocker Therapy Reduces Postoperative Stroke After Coronary Artery Bypass Graft Surgery Denis Bouchard, MD, Michel Carrier,

Limitations of Hospital Volume as a Measure of Quality of Care for Coronary Artery Bypass Graft Surgery Karl F. Welke, MD, Mitchell J. Barnett, PharmD,

Very Prolonged Stay in the Intensive Care Unit After Cardiac Operations: Early Results and Late Survival Shuli Silberman, MD, Daniel Bitran, MD, Daniel.

Preoperative Intraaortic Balloon Pump Enhances Cardiac Performance and Improves the Outcome of Redo CABG Jan T. Christenson, MD, PhD, Pierre Badel, MD,

Trends in Patient Characteristics and Outcomes of Coronary Artery Bypass Grafting in the 2000 to 2012 Medicare Population Christian McNeely, MD, Stephen.

Does Preoperative Hemoglobin Independently Predict Short-Term Outcomes After Coronary Artery Bypass Graft Surgery? Melanie L. Bell, PhD, Gary K. Grunwald,

The Impact of Volume Reduction on Early and Long-Term Outcomes in Surgical Ventricular Restoration for Severe Heart Failure Nathan Wm. Skelley, BS, Jeremiah.

On-Pump Versus Off-Pump Surgical Revascularization for Left Main Stem Stenosis: Risk Adjusted Outcomes John C.Y. Lu, Antony D. Grayson, BS, D. Mark Pullan

Improved Long-Term Survival for Diabetic Patients With Surgical Versus Interventional Revascularization Paul Kurlansky, MD, Morley Herbert, PhD, Syma.

Potassium and Magnesium Supplementation Do Not Protect Against Atrial Fibrillation After Cardiac Operation: A Time-Matched Analysis Timothy S. Lancaster,

Impact of Cardiothoracic Resident Turnover on Mortality After Cardiac Surgery: A Dynamic Human Factor Jeffrey H. Shuhaiber, MD, Kimberley Goldsmith,

Increased Rehospitalization Rate After Coronary Bypass Operation for Acute Coronary Syndrome: A Prospective Study in 200 Patients Staffan Bjessmo, MD,

William T. Brinkman, MD, Morley A. Herbert, PhD, Syma L

Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS

Hisato Takagi, MD, PhD, Masafumi Matsui, MD, Takuya Umemoto, MD, PhD

Utilization and Outcomes of Unprotected Left Main Coronary Artery Stenting and Coronary Artery Bypass Graft Surgery Chuntao Wu, MD, PhD, Edward L. Hannan,

The Impact of New Technology on Cardiothoracic Surgical Practice

Location of the Second Internal Mammary Artery Graft Does Not Influence Outcome of Coronary Artery Bypass Grafting Paul A. Kurlansky, MD, Ernest A. Traad,

Lokeswara Rao Sajja, MD, Gopichand Mannam, FRCS (CT), Rajasekara M

Mary E. Plomondon, PhD, Adrianne W. Casebeer, PhD, Lynn M

Kim I. de la Cruz, MD, Faisal G

Presentation transcript:

Preoperative Staphylococcus Aureus Screening and Targeted Decolonization in Cardiac Surgery Manoj K. Saraswat, MHS, Jonathan T. Magruder, MD, Todd C. Crawford, MD, Julia M. Gardner, BSN, Damon Duquaine, MPH, Marc S. Sussman, MD, Lisa L. Maragakis, MD, MPH, Glenn J. Whitman, MD The Annals of Thoracic Surgery Volume 104, Issue 4, Pages 1349-1356 (October 2017) DOI: 10.1016/j.athoracsur.2017.03.018 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Outcomes of preoperative methicillin-sensitive Staphylococcus aureus/methicillin-resistant Staphylococcus aureus (MRSA) screening with targeted decolonization in preintervention phase (n = 2,826;1,357 coronary artery bypass graft surgery [CABG]) and intervention phase (n = 4,038;1,990 CABG). (A) MRSA colonized admissions rate per 100 admissions; (B) MRSA transmission rate per 1,000 patient-days; and (C) CABG surgical site infection rate per 100 procedures. (IRR = incidence rate ratio; SSI = surgical site infection.) The Annals of Thoracic Surgery 2017 104, 1349-1356DOI: (10.1016/j.athoracsur.2017.03.018) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Effect of therapy duration on methicillin-resistant Staphylococcus aureus (MRSA) colonization status on postoperative intensive care unit (ICU) admission of patients who had positive screening results (orange) for MRSA preoperatively (n = 120). (Blue indicates negative screening results.) The Annals of Thoracic Surgery 2017 104, 1349-1356DOI: (10.1016/j.athoracsur.2017.03.018) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Supplemental Fig 1 Comparison of covariate imbalance among unmatched cohort (circles) and matched cohort (crosses) of preintervention and missed intervention patients who were included in propensity score generation and matching. Notably, absolute standardized difference of means are all less than 10% in the matched groups of patients. (GFR = glomerular filtration rate; LV = left ventricular.) The Annals of Thoracic Surgery 2017 104, 1349-1356DOI: (10.1016/j.athoracsur.2017.03.018) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions