2022
Contemporary socioeconomic-based disparities in cardiac surgery: Are we closing the disparities gap?
Newell P, Asokan S, Zogg C, Prasanna A, Hirji S, Harloff M, Kerolos M, Kaneko T. Contemporary socioeconomic-based disparities in cardiac surgery: Are we closing the disparities gap? Journal Of Thoracic And Cardiovascular Surgery 2022, 167: 967-978.e21. PMID: 35570024, DOI: 10.1016/j.jtcvs.2022.02.061.Peer-Reviewed Original ResearchSurgical aortic valve replacementAorta surgeryCardiac surgeryMV repairValve replacementFemale sexMortality rateCoronary artery bypassAortic valve replacementHospital-level factorsMitral valve replacementNationwide Readmissions DatabaseHousehold income quartileHealth care outcomesLow socioeconomic statusArtery bypassSurgery groupAdult patientsMV replacementPatient characteristicsPrimary outcomeAdjusted analysisHighest quartileMultivariable analysisWorse outcomes
2020
Comparison of in-hospital outcomes and readmissions for valve-in-valve transcatheter aortic valve replacement vs. reoperative surgical aortic valve replacement: a contemporary assessment of real-world outcomes
Hirji SA, Percy ED, Zogg CK, Malarczyk A, Harloff MT, Yazdchi F, Kaneko T. Comparison of in-hospital outcomes and readmissions for valve-in-valve transcatheter aortic valve replacement vs. reoperative surgical aortic valve replacement: a contemporary assessment of real-world outcomes. European Heart Journal 2020, 41: 2747-2755. PMID: 32445575, PMCID: PMC7395321, DOI: 10.1093/eurheartj/ehaa252.Peer-Reviewed Original ResearchConceptsAortic valve replacement patientsDegenerated bioprosthetic aortic valvesValve replacement patientsBioprosthetic aortic valveVIV-TAVRMajor bleedingReplacement patientsAortic valveSurgical aortic valve replacement patientsTranscatheter aortic valve replacement patientsValve transcatheter aortic valve replacementTranscatheter aortic valve replacementIntermediate-risk patientsNational Readmission DatabaseRoutine home dischargeVIV-TAVR patientsAortic valve replacementHigh-risk patientsThirty-day outcomesSignificant risk factorsUS adult patientsLong-term efficacyReal-world outcomesValve TAVRHospital outcomesThirty-Day Nonindex Readmissions and Clinical Outcomes After Cardiac Surgery
Hirji SA, Percy ED, Zogg CK, Vaduganathan M, Kiehm S, Pelletier M, Kaneko T. Thirty-Day Nonindex Readmissions and Clinical Outcomes After Cardiac Surgery. The Annals Of Thoracic Surgery 2020, 110: 484-491. PMID: 31972128, PMCID: PMC7382395, DOI: 10.1016/j.athoracsur.2019.11.042.Peer-Reviewed Original ResearchConceptsSurgical aortic valve replacementNonindex readmissionsCardiac surgeryNonindex hospitalNonindex hospital readmissionsCoronary artery bypassNational Readmission DatabaseAortic valve replacementCardiac surgery patientsMajor cardiac surgeryPatient risk profileHigh-volume centersUS adult patientsRegionalization of careFragmentation of careComorbidity burdenHospital mortalityIndex readmissionArtery bypassInitial hospitalizationAdult patientsSurgery patientsValve replacementHospital readmissionIndependent predictors
2019
Debunking the July Effect in Cardiac Surgery: A National Analysis of More Than 470,000 Procedures
Shah RM, Hirji SA, Kiehm S, Goel S, Yazdchi F, Bellavia A, Zogg CK, Pelletier MP, Shekar P, Kaneko T. Debunking the July Effect in Cardiac Surgery: A National Analysis of More Than 470,000 Procedures. The Annals Of Thoracic Surgery 2019, 108: 929-934. PMID: 31353035, DOI: 10.1016/j.athoracsur.2019.06.015.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAdultAgedCardiac Surgical ProceduresClinical CompetenceCohort StudiesDatabases, FactualEducation, Medical, GraduateFemaleHospital MortalityHospitals, TeachingHumansInpatientsInternship and ResidencyMaleMedical Staff, HospitalMiddle AgedPostoperative ComplicationsQuality of Health CareRisk AdjustmentSeasonsUnited StatesConceptsAortic valve replacementCardiac surgeryJuly effectHospital mortalityPatient outcomesTeaching hospitalMajor cardiac surgery proceduresSurgical aortic valve replacementCoronary artery bypassCardiac surgery proceduresNational Inpatient SampleRisk-adjusted mortalityMitral valve repairCardiac surgery outcomesHospital complicationsArtery bypassMV surgeryNoncardiac surgeryValve replacementAdjusted mortalityValve repairSurgery outcomesInpatient SampleWorse outcomesHospital support systems