Evaluation of the impact of a quality improvement program and intensivist-directed icu team on mortality after cardiac surgery

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 27, Issue 6, 2013, Pages 1194-1200

  Kogan, Alexander ^a   Preisman, Sergey ^a   Berkenstadt, Haim ^a   Segal, Eran ^b   Kassif, Yigal ^a   Sternik, Leonid ^a   Orlov, Boris ^a   Shalom, Edna ^a   Levin, Shany ^a   Malachy, Ateret ^a   Lavee, Jacob ^a   Raanani, Ehud ^a  

^a SHEBA MEDICAL CENTER   (Israel)

^b TEL AVIV UNIVERSITY   (Israel)

Author keywords

cardiac surgery; postoperative care; quality improvement

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; CARDIOVASCULAR MORTALITY; CHRONIC OBSTRUCTIVE LUNG DISEASE; COHORT ANALYSIS; DECISION SUPPORT SYSTEM; ECHOCARDIOGRAPHY; ELECTRONIC MEDICAL RECORD; FEMALE; HEALTH CARE QUALITY; HEART LEFT VENTRICLE EJECTION FRACTION; HEART SURGERY; HUMAN; HYPERTENSION; INSTITUTIONAL REVIEW; INTENSIVE CARE; INTENSIVE CARE UNIT; INTENSIVIST; KIDNEY FAILURE; MAJOR CLINICAL STUDY; MALE; MEDICAL INFORMATION SYSTEM; PERIPHERAL VASCULAR DISEASE; POSTOPERATIVE CARE; PRIORITY JOURNAL; SURVIVAL RATE; TOTAL QUALITY MANAGEMENT;

CARDIAC SURGERY; POSTOPERATIVE CARE; QUALITY IMPROVEMENT;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CARDIAC SURGICAL PROCEDURES; CHILD; COHORT STUDIES; FEMALE; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE; LEADERSHIP; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; PATIENT CARE TEAM; PHYSICIANS; QUALITY IMPROVEMENT; RISK ASSESSMENT; ROC CURVE; STROKE VOLUME; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84888292126     PISSN: 10530770     EISSN: 15328422     Source Type: Journal    
DOI: 10.1053/j.jvca.2013.02.028     Document Type: Article

References (37)

1. N.M. Katz The emerging specialty of cardiothoracic surgical critical care: The leadership role of cardiothoracic surgeons on the multidisciplinary team J Thorac Cardiovasc Surg 134 2007 1109 1111
2. S.C. Stamou, S.L. Camp, and R.M. Stiegel Quality improvement program decreases mortality after cardiac surgery J Thorac Cardiovasc Surg 136 2008 494 499
3. P.N. Varelas, M.M. Conti, and M.V. Spanaki The impact of a neurointensivist-led team on a semiclosed neurosciences intensive care unit Crit Care Med 32 2004 2191 2198
4. P.J. Pronovost, D.C. Angus, and T. Dorman Physician staffing patterns and clinical outcomes in critically ill patients: A systematic review JAMA 288 2002 2151 2162
5. R.J. Novick, S.A. Fox, and L.W. Stitt Impact of the opening of a specialized cardiac surgery recovery unit on postoperative outcomes in an academic health sciences centre Can J Anaesth 54 2007 737 743
6. J.D. Birkmeyer, J.B. Dimick, and N.J. Birkmeyer Measuring the quality of surgical care: Structure, process, or outcomes? J Am Coll Surg 198 2004 626 632
7. A.P. Furnary, K.J. Zerr, and G.L. Grunkemeier Continuous intravenous insulin infusion reduces the incidence of deep sternal wound infection in diabetic patients after cardiac surgical procedures Ann Thorac Surg 67 1999 352 360
8. R.P. Dellinger, J.M. Carlet, and H. Masur Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock Intensive Care Med 30 2004 536 555
9. J. Blamoun, M. Alfakir, and M.E. Rella Efficacy of an expanded ventilator bundle for the reduction of ventilator-associated pneumonia in the medical intensive care unit Am J Infect Control 37 2009 172 175
10. N.P. O'Grady, M. Alexander, and E.P. Dellinger Guidelines for prevention of intravascular catheter-related infection Am J Infect Control 30 2002 476 489
11. S.A. Nashef, F. Roques, and P. Michel European system for cardiac operative risk evaluation (EuroSCORE) Eur J Cardiothorac Surg 16 1999 9 13
12. P. Michel, F. Roques, and S.A. Nashef Logistic or additive EuroSCORE for high-risk patients? Eur J Cardiothorac Surg 23 2003 684 687
13. D.A. Schoenfeld, and G.R. Bernard ARDS Network: Statistical evaluation of ventilator-free days as an efficacy measure in clinical trials of treatments for acute respiratory distress syndrome Crit Care Med 30 2002 1772 1777
14. B.H. Nathanson, and T.L. Higgins An introduction to statistical methods used in binary outcome modeling Semin Cardiothorac Vasc Anesth 12 2008 153 166
15. S.L. Camp, S.C. Stamou, and R.M. Stiegel Quality improvement program increases early tracheal extubation rate and decreases pulmonary complications and resource utilization after cardiac surgery J Card Surg 24 2009 414 423
16. J.L. Vincent Need for intensivists in intensive care units Lancet 356 2000 695 696
17. J.T. Gutsche, and B.A. Kohl Who should care for intensive care unit patients? Crit Care Med 35 suppl 2007 S18 S23
18. C.J. Lettieri, A.A. Shah, and D.L. Greenburg An intensivist-directed intensive care unit improves clinical outcomes in a combat zone Crit Care Med 37 2009 1256 1260
19. E. Tamayo, F.J. Álvarez, and B. Martínez-Rafael Ventilator-associated pneumonia is an important risk factor for mortality after major cardiac surgery J Crit Care 27 2012 18 25
20. M.P. Young, and J.D. Birkmeyer Potential reduction in mortality rates using an intensivist model to manage intensive care units Effective Clinical Practice 3 2000 284 289
21. J.I. Suarez, O.O. Zaidat, and M.F. Suri Length of stay and mortality in neurocritically ill patients: impact of a specialized neurocritical care team Crit Care Med 32 2004 2311 2317
22. A.B. Nathens, F.P. Rivara, and E.J. MacKenzie The impact of an intensivist-model ICU on trauma-related mortality Ann Surg 244 2006 545 554
23. M.M. Treggiari, D.P. Martin, and N.D. Yanez Effect of intensive care unit organizational model and structure on outcomes in patients with acute lung injury Am J Respir Crit Care Med 176 2007 685 690
24. J.B. Dimick, P.J. Pronovost, and R.F. Heitmiller Intensive care unit physician staffing is associated with decreased length of stay, hospital cost, and complications after esophageal resection Crit Care Med 29 2001 753 758
25. E.A. Leitch, J.L. Moran, and B. Grealy Weaning and extubation in the intensive care unit. Clinical or index-driven approach? Intensive Care Med 22 1996 752 759
26. A.S. Multz, D.B. Chalfin, and I.M. Samson A "closed" medical intensive care unit (MICU) improves resource utilization when compared with an "open" MICU Am J Respir Crit Care Med 157 1998 1468 1473
27. C.W. Hanson 3rd, C.S. Deutschman, and H.L. Anderson III Effects of an organized critical care service on outcomes and resource utilization: A cohort study Crit Care Med 27 1999 270 274
28. G. Netzer, X. Liu, and C. Shanholtz Decreased mortality resulting from a multicomponent intervention in a tertiary care medical intensive care unit Critical Care Medicine 39 2011 284 293
29. J.C. Marshall, J.L. Vincent, and G. Guyatt Outcome measures for clinical research in sepsis: a report of the 2nd Cambridge Colloquium of the International Sepsis Forum Critical Care Medicine 33 2005 1708 1716
30. D. Fergusson, P. Hebert, and S. Shapiro The before/after study design in transfusion medicine: methodologic considerations Transfusion Medicine Reviews 16 2002 296 303
31. A. Gogbashian, A. Sedrakyan, and T. Treasure EuroSCORE: a systematic review of international performance European Journal of Cardio-Thoracic Surgery 25 2004 695 700
32. P. Michel, F. Roques, and S.A. Nashef Logistic or additive EuroSCORE for high-risk patients? European Journal of Cardio-Thoracic Surgery 23 2003 684 687
33. F. Doerr, A.M. Badreldin, and M.B. Heldwein A comparative study of four intensive care outcome prediction models in cardiac surgery patients Journal of Cardiothoracic Surgery 6 2011 21
34. K. Kumar, R. Zarychanski, and D.D. Bell Impact of 24-hour in-house intensivists on a dedicated cardiac surgery intensive care unit The Annals of Thoracic Surgery 88 2009 1153 1161
35. M.M. Levy, J. Rapoport, and S. Lemeshow Association between critical care physician management and patient mortality in the intensive care unit Annals of Internal Medicine 148 2008 801 809
36. J.J. Arends, and J.P. Vandenbroucke What conclusions should be drawn between critical care physician management and patient mortality in the intensive care unit? Ann Intern Med 149 2008 768 769 uthor reply 772
37. R.L. Mador, and N.T. Shaw The impact of a Critical Care Information System (CCIS) on time spent charting and in direct patient care by staff in the ICU: a review of the literature International Journal of Medical Informatics 78 2009 435 445