The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Sep 2022
Preoperative N-terminal pro-brain natriuretic peptide is associated with Fontan outcomes.
The role of preoperative N-terminal pro-brain natriuretic peptide level in patient outcomes after the Fontan operation remains unclear. ⋯ High preoperative N-terminal pro-brain natriuretic peptide was associated with poor outcomes after the Fontan operation.
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J. Thorac. Cardiovasc. Surg. · Sep 2022
A multiparameter algorithm to guide repair of degenerative mitral regurgitation.
Degenerative mitral regurgitation repair using a measured algorithm could increase the precision and reproducibility of repair outcomes. ⋯ A simple, reproducible, measured algorithm for degenerative mitral valve repair provides excellent early and late results and is a useful adjunct to established surgical techniques.
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J. Thorac. Cardiovasc. Surg. · Sep 2022
Long-term patient-reported outcomes after non-small cell lung cancer resection.
Patient-reported outcomes (PROs) are critical tools for evaluating patients before and after lung cancer resection. In this study, we assessed patient-reported pain, dyspnea, and functional status up to 1 year postoperatively. ⋯ PROs are important metrics for assessing patients before and after lung cancer resection. Patients may report persistent dyspnea up to 1 year after resection. Additionally, patients undergoing thoracotomy initially report worse pain and physical function but these impairments improve by 6 months after surgery.
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J. Thorac. Cardiovasc. Surg. · Sep 2022
Unraveling the impact of time-dependent perioperative variables on 30-day readmission after coronary artery bypass surgery.
Readmission within 30 days of discharge after coronary artery bypass grafting is a measure of quality and a driver of cost in health care. Traditional predictive models use time-independent variables. We developed a new model to predict time to readmission after coronary artery bypass grafting using both time-independent and time-dependent preoperative and perioperative data. ⋯ Time-dependent perioperative variables in an isolated coronary artery bypass grafting cohort provided better predictive ability to a readmission model. This study was unique in the inclusion of time-dependent covariates in the predictive model for readmission after discharge after coronary artery bypass grafting.