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

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Presentation on theme: "Marta Kelava, MD, Michael Robich, MD, MSPH, Penny L"— Presentation transcript:

1 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 e3 (October 2014) DOI: /j.jtcvs Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

2 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  , e3DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

3 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  , e3DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

4 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  , e3DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

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

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

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