Publications by authors named "A L DeLucia"
Objective: To compare sex and racial differences in 180-day infection rates after coronary artery bypass grafting (CABG) and aortic valve replacement (AVR).
Methods: A Statewide Society of Thoracic Surgeons Adult Cardiac Surgery Database was linked to Medicare claims data to identify 8,887 beneficiaries undergoing CABG and AVR (surgical or transcatheter) between 2017 and 2021. The primary outcome was the incidence of 180-day infection.
Interhospital Variability in 180-day Infections Following Cardiac Surgery.
J Thorac Cardiovasc Surg
January 2025
Objective: This study sought to: (1) evaluate hospital-level variation in infections following cardiac surgery and (2) develop and evaluate a 180-day infection quality metric.
Methods: This study evaluated Medicare claims that were merged with institutional Society of Thoracic Surgeons Adult Cardiac Surgery Database files among patients undergoing cardiac surgery across 33 Michigan centers. The primary outcome was an infection within 180 days of surgery.
Objective: Cardiac surgeons experience unpredictable overnight operative responsibilities, with variable rest before same-day, first-start scheduled cases. This study evaluated the frequency and associated impact of a surgeon's overnight operative workload on the outcomes of their same-day, first-start operations.
Methods: A statewide cardiac surgery quality database was queried for adult cardiac surgical operations between July 1, 2011, and March 1, 2021.
Background: Cardiac rehabilitation (CR) is strongly recommended for a spectrum of cardiovascular conditions and procedures including aortic valve replacement.
Objectives: The purpose of this study was to characterize patient and hospital factors associated with CR participation after transcatheter aortic valve replacement (TAVR) and determine which factors explain hospital-level variation in CR participation.
Methods: We linked clinical and administrative claims data from patients who underwent TAVR at 24 Michigan hospitals between January 1, 2016 and June 30, 2020 and obtained rates of CR enrollment within 90 days of discharge.
Article Synopsis
- The PERForm registry, created in 2010, aims to improve cardiopulmonary bypass (CPB) practices and outcomes, gathering data from 42 hospitals in the U.S. and serving as an official registry for the American Society of Extracorporeal Technology.
- The first annual report, covering data from adult patients (≥18 years) from 2019 to 2022, highlights patient demographics, CPB practices, and trends in areas such as myocardial protection, glucose management, and patient safety.
- Findings show that 54.9% of patients had CABG surgeries, most were male with a median age of 66, and while overall compliance with guidelines is high, there are still areas for