Publications by authors named "Donald Nieter"
Perfusion Measures and Outcomes (PERForm) registry: First annual report.
J Extra Corpor Technol
June 2024
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
Objective: Professional standards recommend stopping cardiotomy suction at the termination of cardiopulmonary bypass before protamine administration based on perceived safety concerns. This study evaluated a multidisciplinary collaborative quality-improvement intervention promoting this agreed-upon cardiotomy suction practice during coronary artery bypass grafting (CABG).
Methods: A statewide intervention (eg, unblinded surgeon and perfusionist feedback, evidence-based lectures, evaluating barriers to change) involved 32 centers participating in the PERForm (ie, Perfusion Measures and Outcomes) Registry to standardize cardiotomy suction practices at cardiopulmonary bypass termination during CABG.
Objectives: The use of del Nido cardioplegia in adult cardiac surgery is rising in popularity. The objective of this large multicenter study was to evaluate the use and associated outcomes of del Nido versus blood cardioplegia in adult cardiac surgery.
Methods: Patients undergoing coronary artery bypass grafting (CABG) and/or valve (mitral, aortic), and/or nondescending thoracic aortic surgery (July 2014 to March 2022) across 39 centers were extracted from the Perfusion Measures and Outcomes registry.
Background: Acute kidney injury (AKI) frequently complicates cardiac surgery and is more common among Black patients. We evaluated determinants of race-based differences in AKI rates.
Methods: Serum creatinine-based criteria were used to identify adult cardiac surgical patients having postoperative AKI in the Perfusion Measures and Outcomes (PERForm) Registry (July 1, 2014, to June 30, 2019).
Evaluating Changes in del Nido Cardioplegia Practices in Adult Cardiac Surgery.
J Extra Corpor Technol
September 2020
There has been a rapid adoption of the use of del Nido cardioplegia (DC) among adults undergoing cardiac surgery. We leveraged a multicenter database to evaluate differences over time in the choice and impact of cardioplegia type (DC vs. blood) among patients undergoing cardiac surgery.
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