2021
Administrative Claims Measure for Profiling Hospital Performance Based on 90-Day All-Cause Mortality Following Coronary Artery Bypass Graft Surgery
Mori M, Nasir K, Bao H, Jimenez A, Legore SS, Wang Y, Grady J, Lama SD, Brandi N, Lin Z, Kurlansky P, Geirsson A, Bernheim SM, Krumholz HM, Suter LG. Administrative Claims Measure for Profiling Hospital Performance Based on 90-Day All-Cause Mortality Following Coronary Artery Bypass Graft Surgery. Circulation Cardiovascular Quality And Outcomes 2021, 14: e006644. PMID: 33535776, DOI: 10.1161/circoutcomes.120.006644.Peer-Reviewed Original ResearchConceptsRisk-standardized mortality ratesCoronary artery bypass graft surgeryArtery bypass graft surgeryBypass graft surgeryMortality rateGraft surgeryC-statisticMedicaid ServicesAdministrative Claims MeasureCause mortality ratesMortality measuresUnadjusted mortality ratesProfiling Hospital PerformanceHierarchical logistic regression modelsAlternate payment modelsHospital performanceLogistic regression modelsCABG recoveryPayment modelsCABG surgeryCause mortalityCABG proceduresDays postsurgeryHospital levelSurgery
2020
Associations Between the Severity of Influenza Seasons and Mortality and Readmission Risks After Elective Surgical Aortic Valve Replacement and Coronary Artery Bypass Graft Surgery in Older Adults
Mori M, Wang Y, Mahajan S, Geirsson A, Krumholz HM. Associations Between the Severity of Influenza Seasons and Mortality and Readmission Risks After Elective Surgical Aortic Valve Replacement and Coronary Artery Bypass Graft Surgery in Older Adults. JAMA Network Open 2020, 3: e2031078. PMID: 33355673, PMCID: PMC7758803, DOI: 10.1001/jamanetworkopen.2020.31078.Peer-Reviewed Original ResearchConceptsSurgical aortic valve replacementElective surgical aortic valve replacementAortic valve replacementValve replacementReadmission riskCoronary artery bypass graft surgeryArtery bypass graft surgeryOlder adultsBypass graft surgeryCoronary artery bypassCross-sectional studyArtery bypassGraft surgeryInfluenza seasonMedicaid ServicesMortalitySeverityAdultsRiskAssociationSurgeryBypassTrends in Reoperative Coronary Artery Bypass Graft Surgery for Older Adults in the United States, 1998 to 2017
Mori M, Wang Y, Murugiah K, Khera R, Gupta A, Vallabhajosyula P, Masoudi FA, Geirsson A, Krumholz HM. Trends in Reoperative Coronary Artery Bypass Graft Surgery for Older Adults in the United States, 1998 to 2017. Journal Of The American Heart Association 2020, 9: e016980. PMID: 33045889, PMCID: PMC7763387, DOI: 10.1161/jaha.120.016980.Peer-Reviewed Original ResearchConceptsCoronary artery bypass graft surgeryFirst-time coronary artery bypass graft surgeryArtery bypass graft surgeryBypass graft surgeryGraft surgeryMedicare feeOlder adultsPatient baseline characteristicsData of adultsYear of dischargeProportion of womenService inpatientsIndex surgeryBaseline characteristicsHospital dischargeOlder patientsMedian agePrimary outcomeCox regressionService patientsUnique patientsPatientsSurgeryAnnual declineDemographic subgroups
2019
Twenty-Year Trends in Outcomes for Older Adults With Acute Myocardial Infarction in the United States
Krumholz HM, Normand ST, Wang Y. Twenty-Year Trends in Outcomes for Older Adults With Acute Myocardial Infarction in the United States. JAMA Network Open 2019, 2: e191938. PMID: 30874787, PMCID: PMC6484647, DOI: 10.1001/jamanetworkopen.2019.1938.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionRecurrent acute myocardial infarctionPercutaneous coronary interventionAMI dischargeCause readmissionCoronary interventionMyocardial infarctionMedicare feeCoronary artery bypass graft surgery ratesCoronary artery bypass graft surgeryArtery bypass graft surgeryInpatient percutaneous coronary interventionRate of catheterizationBypass graft surgeryShort-term mortalityInpatient paymentsQuality of careTwenty-year trendsEvolution of outcomesHospital mortalityHospital stayInpatient outcomesCause mortalityGraft surgeryCohort study
2014
Transfer Rates From Nonprocedure Hospitals After Initial Admission and Outcomes Among Elderly Patients With Acute Myocardial Infarction
Barreto-Filho JA, Wang Y, Rathore SS, Spatz ES, Ross JS, Curtis JP, Nallamothu BK, Normand SL, Krumholz HM. Transfer Rates From Nonprocedure Hospitals After Initial Admission and Outcomes Among Elderly Patients With Acute Myocardial Infarction. JAMA Internal Medicine 2014, 174: 213-222. PMID: 24296747, DOI: 10.1001/jamainternmed.2013.11944.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionCoronary artery bypass graft surgeryArtery bypass graft surgeryRisk-standardized mortality ratesBypass graft surgeryPercutaneous coronary interventionLength of stayMyocardial infarctionElderly patientsGraft surgeryRevascularization ratesCoronary interventionMortality rateLower risk-standardized mortality ratesRate of catheterizationHospital transfer ratesInvasive cardiac proceduresTransfer of patientsRisk-standardized mortalityHospital outcomesInitial admissionMedian lengthService patientsCardiac proceduresHospital differences
2013
Trends in Aortic Valve Replacement for Elderly Patients in the United States, 1999-2011
Barreto-Filho JA, Wang Y, Dodson JA, Desai MM, Sugeng L, Geirsson A, Krumholz HM. Trends in Aortic Valve Replacement for Elderly Patients in the United States, 1999-2011. JAMA 2013, 310: 2078-2084. PMID: 24240935, PMCID: PMC4089974, DOI: 10.1001/jama.2013.282437.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAortic ValveBicuspid Aortic Valve DiseaseBlack PeopleCohort StudiesCoronary Artery BypassCross-Sectional StudiesFee-for-Service PlansFemaleHeart Defects, CongenitalHeart Valve DiseasesHeart Valve ProsthesisHeart Valve Prosthesis ImplantationHumansLength of StayMaleMedicarePatient ReadmissionTreatment OutcomeUnited StatesConceptsSurgical aortic valve replacementAortic valve replacementValve replacementProcedure ratesElderly patientsCoronary artery bypass graft surgeryArtery bypass graft surgeryCross-sectional cohort studyPatients 85 yearsBypass graft surgeryHigh mortality rateCause readmissionCABG surgeryGraft surgeryOlder patientsCohort studyReadmission ratesTranscatheter optionsBlack patientsTranscatheter treatmentMechanical prosthesesThirty-dayContemporary outcomesMAIN OUTCOMEMedicare feeHospital-Based, Acute Care Use Among Patients Within 30 Days of Discharge After Coronary Artery Bypass Surgery
Fox JP, Suter LG, Wang K, Wang Y, Krumholz HM, Ross JS. Hospital-Based, Acute Care Use Among Patients Within 30 Days of Discharge After Coronary Artery Bypass Surgery. The Annals Of Thoracic Surgery 2013, 96: 96-104. PMID: 23702228, PMCID: PMC3758868, DOI: 10.1016/j.athoracsur.2013.03.091.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overCaliforniaCoronary Artery BypassCoronary Artery DiseaseEmergency Service, HospitalFemaleFollow-Up StudiesHumansIntensive Care UnitsLength of StayLinear ModelsMaleMiddle AgedMorbidityPatient DischargePatient ReadmissionPostoperative ComplicationsPostoperative PeriodPrognosisRecurrenceRetrospective StudiesRisk FactorsSurvival RateTime FactorsYoung AdultConceptsDays of dischargeAcute care needsCABG surgeryED visit ratesED visitsHospital readmissionReadmission ratesCare needsCoronary artery bypass graft surgeryVisit ratesArtery bypass graft surgeryCoronary artery bypass surgeryRisk-standardized readmission ratesAcute care ratesHospital 30 daysBypass graft surgeryAcute care useArtery bypass surgeryCongestive heart failureEmergency department visitsEmergency Department DatabasesChest discomfortGraft surgeryBypass surgeryHospital volume
2008
Angina at 1 Year After Myocardial Infarction: Prevalence and Associated Findings
Maddox TM, Reid KJ, Spertus JA, Mittleman M, Krumholz HM, Parashar S, Ho PM, Rumsfeld JS. Angina at 1 Year After Myocardial Infarction: Prevalence and Associated Findings. JAMA Internal Medicine 2008, 168: 1310-1316. PMID: 18574088, DOI: 10.1001/archinte.168.12.1310.Peer-Reviewed Original ResearchConceptsAngina 1 yearMyocardial infarctionDepressive symptomsPrior coronary artery bypass graft surgeryCoronary artery bypass graft surgeryArtery bypass graft surgeryRecurrent rest anginaBypass graft surgeryPatients 1 yearQuestionnaire 1 yearAcute myocardial infarctionMultivariate regression modelingGraft surgeryIndex hospitalizationRest anginaMulticenter cohortPersistent smokingAssociated findingMI presentationModifiable factorsClinical historyOutpatient treatmentAnginaInpatient treatmentPatients
2007
Cardiac Certificate of Need regulations and the availability and use of revascularization services
Ho V, Ross JS, Nallamothu BK, Krumholz HM. Cardiac Certificate of Need regulations and the availability and use of revascularization services. American Heart Journal 2007, 154: 767-775. PMID: 17893007, PMCID: PMC2084214, DOI: 10.1016/j.ahj.2007.06.031.Peer-Reviewed Original ResearchCertificate of Need Regulation and Cardiac Catheterization Appropriateness After Acute Myocardial Infarction
Ross JS, Ho V, Wang Y, Cha SS, Epstein AJ, Masoudi FA, Nallamothu BK, Krumholz HM. Certificate of Need Regulation and Cardiac Catheterization Appropriateness After Acute Myocardial Infarction. Circulation 2007, 115: 1012-1019. PMID: 17283258, DOI: 10.1161/circulationaha.106.658377.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionMyocardial infarctionCardiac catheterizationHospital coronary artery bypass graft surgeryCoronary artery bypass graft surgeryArtery bypass graft surgeryLower ratesUS acute care hospitalsCardiac catheterization capabilitiesChart-abstracted dataBypass graft surgeryDay of admissionAcute care hospitalsComplex medical careQuality of careGraft surgeryCatheterization ratesClinical characteristicsCON regulationsHospital characteristicsMedicare patientsRetrospective analysisCatheterizationHealthcare costsFull cohort
2006
Health related quality of life after mitral valve repairs and replacements
Sedrakyan A, Vaccarino V, Elefteriades JA, Mattera JA, Lin Z, Roumanis SA, Krumholz HM. Health related quality of life after mitral valve repairs and replacements. Quality Of Life Research 2006, 15: 1153-1160. PMID: 17004004, DOI: 10.1007/s11136-006-0055-3.Peer-Reviewed Original ResearchConceptsValve repair groupQuality of lifeValve repairRepair groupValve replacementReplacement groupMitral valveSimultaneous coronary artery bypass graft surgeryMedical Outcomes Trust Short FormCoronary artery bypass graft surgeryArtery bypass graft surgeryBypass graft surgeryMitral valve replacementMitral valve surgeryValve replacement groupMean HRQoL scoresHealth survey questionnaireMitral valve repairHealth status perspectiveGraft surgeryValve surgeryHRQoL scoresMultivariable analysisHigher social functioningPhysical functioningGender Differences in Treatment of Heart Failure and Acute Myocardial Infarction
Gold LD, Krumholz HM. Gender Differences in Treatment of Heart Failure and Acute Myocardial Infarction. Cardiology In Review 2006, 14: 180-186. PMID: 16788330, DOI: 10.1097/01.crd.0000194093.53005.f0.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionHeart failureMyocardial infarctionCoronary artery bypass graft surgeryNational Heart Failure ProjectArtery bypass graft surgeryLeft ventricular ejection fractionShort-term mortality rateEnzyme inhibitor prescriptionHeart Failure ProjectBypass graft surgeryPercutaneous coronary interventionVentricular ejection fractionCooperative Cardiovascular ProjectRisk of mortalityQuality of carePoor quality careGraft surgeryInhibitor prescriptionCoronary interventionFibrinolytic therapyReadmission ratesCardiac catheterizationEjection fractionACE inhibitorsRecursive partitioning–based preoperative risk stratification for atrial fibrillation after coronary artery bypass surgery
Sedrakyan A, Zhang H, Treasure T, Krumholz HM. Recursive partitioning–based preoperative risk stratification for atrial fibrillation after coronary artery bypass surgery. American Heart Journal 2006, 151: 720-724. PMID: 16504639, DOI: 10.1016/j.ahj.2005.05.010.Peer-Reviewed Original ResearchConceptsCoronary artery bypass graft surgeryAtrial fibrillationLow-risk groupAggressive prophylaxisRelative riskPredictors of AFArtery bypass graft surgeryCoronary artery bypass surgeryRisk of AFYale-New Haven HospitalOnly ejection fractionPreoperative atrial fibrillationBypass graft surgeryArtery bypass surgeryCoronary artery diseasePreoperative risk stratificationHigh-risk groupHeart disease severityPossible adverse eventsOlder age subgroupsArrhythmia prophylaxisGraft surgeryProphylactic therapyAdverse eventsBypass surgery
2005
Volume-based referral for cardiovascular procedures in the United States: a cross-sectional regression analysis
Epstein AJ, Rathore SS, Krumholz HM, Volpp K. Volume-based referral for cardiovascular procedures in the United States: a cross-sectional regression analysis. BMC Health Services Research 2005, 5: 42. PMID: 15935099, PMCID: PMC1175086, DOI: 10.1186/1472-6963-5-42.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionHigh-volume hospitalsVolume hospitalsLow-volume hospitalsNumber of patientsHospital mortalityCoronary artery bypass graft surgeryLeapfrog GroupArtery bypass graft surgeryNational hospital discharge databaseProcedure-associated mortalityVolume-based referralBypass graft surgeryHospital discharge databaseNumber of deathsCABG patientsHospital CABGGraft surgeryPCI patientsCoronary interventionDischarge databaseRetrospective analysisCABGCardiovascular proceduresPatients
2004
846-1 Volume-based referral for coronary artery bypass graft surgery and percutaneous coronary intervention: Is the volume juice worth the squeeze?
Epstein A, Rathore S, Krumholz H, Volpp K. 846-1 Volume-based referral for coronary artery bypass graft surgery and percutaneous coronary intervention: Is the volume juice worth the squeeze? Journal Of The American College Of Cardiology 2004, 43: a418. DOI: 10.1016/s0735-1097(04)91766-4.Peer-Reviewed Original ResearchSocial Support as a Predictor of Participation in Cardiac Rehabilitation After Coronary Artery Bypass Graft Surgery
Husak L, Krumholz HM, Lin ZQ, Kasl SV, Mattera JA, Roumanis SA, Vaccarino V. Social Support as a Predictor of Participation in Cardiac Rehabilitation After Coronary Artery Bypass Graft Surgery. Journal Of Cardiopulmonary Rehabilitation And Prevention 2004, 24: 19-26. PMID: 14758099, DOI: 10.1097/00008483-200401000-00005.Peer-Reviewed Original ResearchMeSH KeywordsAgedConnecticutCoronary Artery BypassCoronary DiseaseFemaleFollow-Up StudiesHumansMaleMarital StatusMiddle AgedMultivariate AnalysisPredictive Value of TestsPrevalenceQuality of LifeReferral and ConsultationRisk FactorsSickness Impact ProfileSocial SupportStroke VolumeSurvival AnalysisTreatment OutcomeConceptsCoronary artery bypass graftCardiovascular disease risk factorsDisease risk factorsCardiac rehabilitationRisk factorsCoronary artery bypass graft surgeryArtery bypass graft surgerySocial supportBypass graft surgeryArtery bypass graftBetter physical functionCardiac rehabilitation participationQuality of lifeLow social supportMain predictive variableComorbidity burdenHospital complicationsGraft surgerySocial Support InventoryIndependent predictorsBypass graftPhysical functionPredictors of participationUnadjusted analysesMedical history
2003
Sex Differences in Use of Coronary Revascularization in Elderly Patients After Acute Myocardial Infarction A Tale of Two Therapies
Rathore SS, Foody JM, Radford MJ, Krumholz HM. Sex Differences in Use of Coronary Revascularization in Elderly Patients After Acute Myocardial Infarction A Tale of Two Therapies. CHEST Journal 2003, 124: 2079-2086. PMID: 14665483, DOI: 10.1378/chest.124.6.2079.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionRisk-standardized ratesPercutaneous coronary interventionCoronary revascularizationElderly patientsCardiac catheterizationRevascularization therapyMedicare patientsCoronary artery bypass graft surgeryArtery bypass graft surgerySex differencesMultivariable logistic regression modelCrude overall ratesBypass graft surgeryCoronary revascularization ratesType of therapyMedical record dataLogistic regression modelsRevascularization useCABG surgeryGraft surgeryMultivariable adjustmentRevascularization ratesCoronary interventionHospital admissionSex Differences in Health Status After Coronary Artery Bypass Surgery
Vaccarino V, Lin ZQ, Kasl SV, Mattera JA, Roumanis SA, Abramson JL, Krumholz HM. Sex Differences in Health Status After Coronary Artery Bypass Surgery. Circulation 2003, 108: 2642-2647. PMID: 14597590, DOI: 10.1161/01.cir.0000097117.28614.d8.Peer-Reviewed Original ResearchConceptsPhysical functionMental healthReadmission ratesFunctional gainsCoronary artery bypass graft surgeryArtery bypass graft surgeryCoronary artery bypass surgeryLower functional gainsBypass graft surgeryArtery bypass surgeryHigher readmission ratesMan 6 monthsMean score improvementFirst CABGCABG surgeryGraft surgeryBaseline characteristicsBypass surgeryHospital readmissionMultivariable analysisAdverse outcomesFunctional statusFunctional improvementHealth SurveyHealth statusGender differences in recovery after coronary artery bypass surgery
Vaccarino V, Lin ZQ, Kasl SV, Mattera JA, Roumanis SA, Abramson JL, Krumholz HM. Gender differences in recovery after coronary artery bypass surgery. Journal Of The American College Of Cardiology 2003, 41: 307-314. PMID: 12535827, DOI: 10.1016/s0735-1097(02)02698-0.Peer-Reviewed Original ResearchConceptsPhysical functionCABG surgeryDepressive symptomsHospital readmissionCoronary artery bypass graft surgeryArtery bypass graft surgeryCoronary artery bypass surgeryBypass graft surgeryArtery bypass surgeryCongestive heart failureLow physical functionMore depressive symptomsFirst CABGGraft surgeryBaseline characteristicsBypass surgeryPatient characteristicsHeart failureIllness severityMedical recordsWorse outcomesClinical dataFemale genderHigh riskSide effects
2000
Mental Disorders and Use of Cardiovascular Procedures After Myocardial Infarction
Druss BG, Bradford DW, Rosenheck RA, Radford MJ, Krumholz HM. Mental Disorders and Use of Cardiovascular Procedures After Myocardial Infarction. JAMA 2000, 283: 506-511. PMID: 10659877, DOI: 10.1001/jama.283.4.506.Peer-Reviewed Original ResearchMeSH KeywordsAgedAngioplasty, Balloon, CoronaryCardiac CatheterizationCohort StudiesComorbidityCoronary Artery BypassFemaleHumansLogistic ModelsMaleMental DisordersMultivariate AnalysisMyocardial InfarctionOutcome Assessment, Health CareRetrospective StudiesSocioeconomic FactorsSurvival AnalysisUnited StatesConceptsPercutaneous transluminal coronary angioplastyComorbid mental disordersAcute myocardial infarctionCardiac catheterizationMyocardial infarctionMental disordersProvider factorsCardiovascular proceduresRates of PTCACoronary artery bypass graft surgeryArtery bypass graft surgeryBypass graft surgeryPatients 65 yearsRetrospective cohort studyTransluminal coronary angioplastyLong-term outcomesCooperative Cardiovascular ProjectCoronary revascularization proceduresSex-based differencesGraft surgeryIndex hospitalizationCohort studyCoronary angioplastyMedical chartsRevascularization procedures