Publications by authors named "J R Marietta"
Although medical advancements have improved the mortality of CHD, morbidity still exists, impacting patient quality of life. Returning to baseline in the early surgical recovery phase is an area of potential improvement. This preliminary project aims to qualitatively understand CHD family perspectives concerning the immediate postoperative recovery phase.
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- The study investigates "Final Hospital Need," a measure indicating the primary reason for hospitalisation before discharge in children with heart disease, as it hasn't been thoroughly examined before.
- Over a single-center survey with a 99% response rate, the most common needs identified were cardiovascular (36%), feeding/fluid (24%), and systems issues (13%).
- The research found that the type of surgery and prior ICU needs significantly influence the Final Hospital Need, suggesting it could be useful for monitoring clinical care and guiding improvements over time.
Article Synopsis
- The project aimed to reduce surgical wound infection (SWI) rates to below 1.5% in pediatric cardiothoracic surgery patients by implementing a comprehensive prevention strategy.
- A prevention bundle was established, which included standardized surgical techniques and prolonged wound care, with data collected between January 2017 and November 2021, and a noticeable decrease in SWI rates was observed after the intervention began in December 2019.
- The study showed a significant reduction in overall and neonatal SWI rates, with the annual SWI rate dropping from 2.83% in 2019 to 1.15% in 2021, indicating that the prevention measures were effective, particularly in reducing both superficial and deep wounds.
Objectives: Nasotracheal intubation (NTI) is associated with fewer unplanned extubations and improved oral motor skills compared with orotracheal intubation (OTI). Our study aimed to implement a practice change from OTI to NTI for neonatal cardiac surgery and assess impact on postoperative outcomes.
Design: Single-center, prospective, quality improvement study.
Our aim was to reduce the frequency of unnecessary testing used by pediatric cardiologists in the evaluation of pediatric patients with syncope or pre-syncopal symptoms without negatively affecting patient outcomes. Guidelines for cardiac testing in pediatric patients with syncope were developed and disseminated to members of our pediatric cardiology division. Educational brochures and water bottles labeled with tips on preventing syncope were made available to families and providers in our clinics.
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