Marta Kelava, MD, Michael Robich, MD, MSPH, Penny L

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Presentation transcript:

Hospitalization before surgery increases risk for postoperative infections Marta Kelava, MD, Michael Robich, MD, MSPH, Penny L. Houghtaling, MS, Joseph F. Sabik, MD, Steven Gordon, MD, Tomislav Mihaljevic, MD, Eugene H. Blackstone, MD, Colleen G. Koch, MD, MS, MBA The Journal of Thoracic and Cardiovascular Surgery Volume 148, Issue 4, Pages 1615-1621.e3 (October 2014) DOI: 10.1016/j.jtcvs.2014.06.067 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Mirrored histogram of propensity scores for patients who were hospitalized before surgery and those who were same-day admissions. Shaded areas represent propensity-matched groups. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1615-1621.e3DOI: (10.1016/j.jtcvs.2014.06.067) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Covariance balance plot before and after propensity matching for patients in the same-day admission and prior hospitalization groups, standardized for comparability.24 LVEF, Left ventricular ejection fraction; Clr, clearance; AFib, atrial fibrillation; COPD, chronic obstructive pulmonary disease; ITA, internal thoracic artery; CABG, coronary artery bypass grafting; NYHA, New York Heart Association. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1615-1621.e3DOI: (10.1016/j.jtcvs.2014.06.067) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Percentage of patients hospitalized before cardiac surgery (blue). Approximately 20% of these were transfers from other health care facilities (black). The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1615-1621.e3DOI: (10.1016/j.jtcvs.2014.06.067) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Percentage of patients developing a composite postoperative infectious complication in-hospital over time. Postop, Postoperative. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1615-1621.e3DOI: (10.1016/j.jtcvs.2014.06.067) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Percentage of patients developing specific postoperative infections over time. UTI, Urinary tract infection; Pneum, pneumonia. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1615-1621.e3DOI: (10.1016/j.jtcvs.2014.06.067) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions