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Cardiothoracic Surgery - Europe PMC

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Last Updated: 10 January 2023

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Risk stratification for post-operative pulmonary complications following major cardiothoracic or abdominal surgery: Validation of the PPC Risk Prediction Score for physiotherapist's clinical decision-making.

Introduction Patients undergoing major cardiothoracic or abdominal surgery are at a higher risk of experiencing post-operative pulmonary problems, but respiratory physiotherapy can prevent PPC. We've also used the PPC Risk Prediction Score to assign physiotherapists' time and classify patients into three risk groups. PPC Risk Prediction Score was retrieved via temporal external validation in this report. The PPC Risk Prediction Score's clinical and economic value were estimated based on discrimination, calibration, and clinical use, and the score was updated, and it was updated. In the validation study, two predictors included in the development sample score, thoraco-abdominal incision odds ratio 2. 74 and sternotomy OR 2. 09, were statistically significant in the PPC. Conclusions The score was not able to differentiate between patients with and without PPC; neither was the updated score nor the latest one; rather, the report found scientifically valid risk factors for producing PPC.

Source link: https://europepmc.org/article/MED/36596755


The impact of a postoperative multimodal analgesia pathway on opioid use and outcomes after cardiothoracic surgery.

The Enhanced Recovery After Surgery Cardiac Society encourages using multimodal analgesia for postoperative pain, but evidence-based guidelines have yet to be developed. Methods Antenned A multicenter healthcare network, a postoperative MMA pathway was developed and implemented in two CTS intensive care units, according to two CTS intensive care units, while the other CTS ICU decided to maintain the current opioid-based route. Patients admitted to a CTS ICU in this healthcare system following common coronary artery bypass graft and/or valve surgery from September 1, 2018 to June 30, 2019. A retrospective chart review was done on patients admitted to a CTS ICU within the CTS ICU. The MMA group was more likely to have mobility within one day of post-surgery, have a longer reaction to first BM, and a longer wait for first zero RASS. Patients in the MMA group were also more likely to have a long wait for first BM and first zero RASS.

Source link: https://europepmc.org/article/MED/36581941


Predicting Adverse Events in the Cardiothoracic Surgery Intensive Care Unit Using Machine Learning: Results and Challenges

It's extremely important to detect impending problems in patients in the cardiothoracic intensive care unit and be proactive in terms of event detection, enabling intervention to prevent them from occurring. A database of 9,237 patients was assembled by the Society of Thoracic Surgeons internal database in order to develop models that anticipate adverse events after cardiac surgery. We randomly selected 1,383 patients from the university who did not experience any adverse event from the control group. We plan to run a similar assessment process on a multicenter dataset and then use this static prediction framework to create algorithms for real-time feedback to care teams. The ability to anticipate potentially lethal complications in acute care settings, such as the operating room and intensive care unit, will be enhanced by using supervised machine learning algorithms.

Source link: https://europepmc.org/article/PPR/PPR586727


Racial Health Disparities Research in Cardiothoracic Surgery Under-represented in Major Meetings.

Introduction Black/African Americans and Latinos inequities and political injustices remain persistent in health inequities. The Southern Thoracic Surgery Association, the Society of Thoracic Surgeons, American Association for Thoracic Surgery, Western Thoracic Surgical Association, and the Southern Thoracic Surgical Association were among the organizations included in this publication. "racial inequalities," "race," "racial mistrust," "institutional mistook," "racial profiling," and "health inequalities" were found for the following keywords and phrases: "racial justice disparities,""racial inequalities," "racial bias," "racial mismatch," "racial bias, racial miso" If an abstract contained a keyword or phrase, it was counted as a racial health inequalities abstract. We estimated the percentage of racial health inequalities reported as manuscripts in the meeting-associated journals. Conclusions Abstracts of a meeting peer-reviewed report A small fraction of total meeting peer-reviewed material contains abstracts on racial inequalities in cardiothoracic surgery. There is a substantial lack of evidence to help identify and develop best practice tactics to combat these inequalities and minimize systemic racism in the care of underserved patients with cardiothoracic diseases.

Source link: https://europepmc.org/article/MED/36535117


Evaluation of extracurricular medical education in cardiothoracic surgery and cardiology; students’ opinion on current medical training

Introduction: Medical students in the Netherlands have a limited knowledge of cardiothoracic surgery and cardiology. This research intends to investigate potential causes involved in career decision making and determine the effects and benefits of an extracurricular education program on students' understanding of cardiothoracic surgery and cardiology. 66 participants were enrolled in the extracurricular education program VECTOR and were included in a cross-sectional cohort study. All participants had rated their familiarity with various aspects of cardiothoracic surgery and cardiology prior to and after the course. Following the course of an increase in academic interest in cardiovascular and cardiothoracic surgery, significant improvements in knowledge scores for all specified subdomains were reported for all relevant subdomains. Conclusion: This report reveals the value of an extracurricular education program in cardiovascular surgery and cardiology for undergraduates, which may help students prepare for clinical practice.

Source link: https://europepmc.org/article/PPR/PPR584607

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* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions