Cardiothoracic surgeon management of postoperative cardiac critical care

Glenn Whitman, Michel Haddad, Hitoshi Hirose, Jeremiah G. Allen, Margaret Lusardi, Maura A. Murphy

Research output: Contribution to journalArticle

Abstract

Objective: To determine whether postoperative cardiac care by cardiothoracic surgeons in a semiclosed intensive care unit model could be distinguished from that given by intensivists who are not board certified in cardiothoracic surgery. Design: From January 2007 to February 2009, we retrospectively examined data on patients after cardiac operations from 2 consecutive periods during which fulltime management of intensive care was changed from noncardiothoracic intensivists (period 1, 168 patients) to cardiothoracic surgeons (period 2, 272 patients). Main Outcome Measures: Variables measured included Society of Thoracic Surgeons observed and expected mortality, central venous line infections, ventilator-acquired pneumonia, red blood cell exposure, adherence to blood glucose level target at 6 AM on the first and second postoperative days, length of stay, and intensive care unit pharmacy costs. Results were compared using a 2-sample t test or 2-tailed Fisher exact test. Results: In similar populations, as witnessed by equivalent Society of Thoracic Surgeons operative risk, cardiothoracic surgeons providing postoperative critical care led to amean (SD) decrease in hospital length of stay from 13.4(0.9) to 11.2 (0.4) days (P=.01) and decreased drug costs from $4300(1000) to $1800 (200) (P

Original languageEnglish (US)
Pages (from-to)1253-1260
Number of pages8
JournalArchives of Surgery
Volume146
Issue number11
DOIs
StatePublished - Nov 2011

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Critical Care
Length of Stay
Postoperative Care
Intensive Care Units
Drug Costs
Mechanical Ventilators
Blood Glucose
Pneumonia
Erythrocytes
Outcome Assessment (Health Care)
Costs and Cost Analysis
Mortality
Infection
Population
Surgeons

ASJC Scopus subject areas

  • Surgery

Cite this

Whitman, G., Haddad, M., Hirose, H., Allen, J. G., Lusardi, M., & Murphy, M. A. (2011). Cardiothoracic surgeon management of postoperative cardiac critical care. Archives of Surgery, 146(11), 1253-1260. https://doi.org/10.1001/archsurg.2011.298

Cardiothoracic surgeon management of postoperative cardiac critical care. / Whitman, Glenn; Haddad, Michel; Hirose, Hitoshi; Allen, Jeremiah G.; Lusardi, Margaret; Murphy, Maura A.

In: Archives of Surgery, Vol. 146, No. 11, 11.2011, p. 1253-1260.

Research output: Contribution to journalArticle

Whitman, G, Haddad, M, Hirose, H, Allen, JG, Lusardi, M & Murphy, MA 2011, 'Cardiothoracic surgeon management of postoperative cardiac critical care', Archives of Surgery, vol. 146, no. 11, pp. 1253-1260. https://doi.org/10.1001/archsurg.2011.298
Whitman, Glenn ; Haddad, Michel ; Hirose, Hitoshi ; Allen, Jeremiah G. ; Lusardi, Margaret ; Murphy, Maura A. / Cardiothoracic surgeon management of postoperative cardiac critical care. In: Archives of Surgery. 2011 ; Vol. 146, No. 11. pp. 1253-1260.
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