2023
Performance Comparison of Pulmonary Risk Scoring Systems in Lung Resection
Zorrilla-Vaca A, Grant M, Rehman M, Sarin P, Mendez-Pino L, Urman R, Varelmann D. Performance Comparison of Pulmonary Risk Scoring Systems in Lung Resection. Journal Of Cardiothoracic And Vascular Anesthesia 2023, 37: 1734-1743. PMID: 37330329, DOI: 10.1053/j.jvca.2023.05.035.Peer-Reviewed Original ResearchMeSH KeywordsAdultHumansLungLung DiseasesPostoperative ComplicationsRespiration DisordersRetrospective StudiesRisk FactorsConceptsPostoperative pulmonary complicationsLung resection surgeryRisk-scoring systemPulmonary complicationsResection surgeryScoring systemLung resectionRisk scoreRisk of PPCsRetrospective cohort study SETTINGLAS VEGASAlternative risk scoresSingle-center cohortCohort study SETTINGAdult patientsExpiratory volumeLung surgeryThoracic surgeryPulmonary riskConcordance indexSurgeryPatientsDiscriminatory powerStudy settingComplications
2020
Risk factors for acute kidney injury in an enhanced recovery pathway for colorectal surgery
Zorrilla-Vaca A, Mena G, Ripolles-Melchor J, Lorente J, Ramirez-Rodriguez J, Grant M. Risk factors for acute kidney injury in an enhanced recovery pathway for colorectal surgery. Surgery Today 2020, 51: 537-544. PMID: 32785846, DOI: 10.1007/s00595-020-02107-2.Peer-Reviewed Original ResearchMeSH KeywordsAcute Kidney InjuryAge FactorsAgedAged, 80 and overColonCreatinineDigestive System Surgical ProceduresEnhanced Recovery After SurgeryFemaleHumansMaleMalnutritionMiddle AgedMulticenter Studies as TopicNutritional StatusPostoperative ComplicationsProspective StudiesRectumRisk FactorsROC CurveSerum AlbuminConceptsPostoperative acute kidney injuryAcute kidney injuryColorectal surgeryRisk factorsKidney injuryLow preoperative albumin levelRecovery pathwaysPerioperative patient outcomesPreoperative albumin levelEnhanced recovery pathwayIndependent risk factorProspective cohort studyPoor clinical outcomeDirect healthcare costsOpen surgical approachMalnourished patientsCohort studyAlbumin levelsASA IIILarge multicenterPreoperative interventionClinical outcomesMultivariable analysisOverall incidenceModifiable factorsAdult cardiac surgery and the COVID-19 pandemic: Aggressive infection mitigation strategies are necessary in the operating room and surgical recovery
Engelman D, Lother S, George I, Funk D, Ailawadi G, Atluri P, Grant M, Haft J, Hassan A, Legare J, Whitman G, Arora R, Force T. Adult cardiac surgery and the COVID-19 pandemic: Aggressive infection mitigation strategies are necessary in the operating room and surgical recovery. Journal Of Thoracic And Cardiovascular Surgery 2020, 160: 447-451. PMID: 32689700, PMCID: PMC7185923, DOI: 10.1016/j.jtcvs.2020.04.059.Peer-Reviewed Original ResearchMeSH KeywordsBetacoronavirusCardiac Surgical ProceduresConsensusCoronavirus InfectionsCOVID-19Cross InfectionHeart DiseasesHumansInfection ControlInfectious Disease Transmission, Patient-to-ProfessionalInfectious Disease Transmission, Professional-to-PatientOccupational HealthOperating RoomsPandemicsPatient SafetyPneumonia, ViralRecovery RoomRisk AssessmentRisk FactorsSARS-CoV-2VirulenceAdult cardiac surgery during the COVID-19 pandemic: A tiered patient triage guidance statement
Haft J, Atluri P, Ailawadi G, Engelman D, Grant M, Hassan A, Legare J, Whitman G, Arora R, Surgery T. Adult cardiac surgery during the COVID-19 pandemic: A tiered patient triage guidance statement. Journal Of Thoracic And Cardiovascular Surgery 2020, 160: 452-455. PMID: 32689701, PMCID: PMC7161470, DOI: 10.1016/j.jtcvs.2020.04.011.Peer-Reviewed Original ResearchMeSH KeywordsBetacoronavirusCardiac Surgical ProceduresConsensusCoronavirus InfectionsCOVID-19Cross InfectionHeart DiseasesHumansInfection ControlInfectious Disease Transmission, Patient-to-ProfessionalInfectious Disease Transmission, Professional-to-PatientOccupational HealthPandemicsPatient SafetyPneumonia, ViralRisk AssessmentRisk FactorsSARS-CoV-2TriageVirulenceConceptsCardiac surgeonsAdult cardiac surgeryCardiac surgery teamAdult cardiac surgeonsCardiac surgeryPatient assessmentCurrent novel coronavirus pandemicSurgery teamGuidance statementsNovel coronavirus pandemicMedical communityCOVID-19 pandemicInterdisciplinary teamSurgeonsPandemicOutpatientsPatientsSurgeryPhysiciansNew Persistent Opioid Use After Aortic and Mitral Valve Surgery in Commercially Insured Patients
Clement K, Canner J, Whitman G, Lawton J, Grant M, Sussman M. New Persistent Opioid Use After Aortic and Mitral Valve Surgery in Commercially Insured Patients. The Annals Of Thoracic Surgery 2020, 110: 829-835. PMID: 32004502, DOI: 10.1016/j.athoracsur.2019.12.031.Peer-Reviewed Original ResearchConceptsNew persistent opioid usePersistent opioid useAortic valve replacementMitral valve replacementMitral valve repairOpioid-naive patientsMitral valve surgeryOpioid useValve replacementValve repairOpioid prescriptionsValve surgeryPerioperative periodRisk factorsMitral valve replacement/repairValve replacement/repairMultivariable logistic regressionHealthcare paymentsTotal healthcare paymentsReplacement/repairOpioid prescribingPrescription opioidsCostly complicationEmergency departmentPatients
2019
Predictors of new persistent opioid use after coronary artery bypass grafting
Clement K, Canner J, Lawton J, Whitman G, Grant M, Sussman M. Predictors of new persistent opioid use after coronary artery bypass grafting. Journal Of Thoracic And Cardiovascular Surgery 2019, 160: 954-963.e4. PMID: 32007246, DOI: 10.1016/j.jtcvs.2019.09.137.Peer-Reviewed Original ResearchMeSH KeywordsAdministrative Claims, HealthcareAgedAmbulatory CareAnalgesics, OpioidCoronary Artery BypassDatabases, FactualDrug Administration ScheduleDrug PrescriptionsFemaleHumansMaleMiddle AgedOpioid-Related DisordersPain, PostoperativePractice Patterns, Physicians'Retrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeConceptsNew persistent opioid usePersistent opioid useCoronary artery bypassArtery bypassOpioid useOpioid prescriptionsPerioperative periodNaïve patientsChronic obstructive pulmonary diseaseAmount of opioidsAppropriate opioid prescribingObstructive pulmonary diseaseMultivariable logistic regressionPrescription opioid overdosePrior substance abuseInsurance claims dataOpioid requirementsOutpatient opioidsOpioid prescribingCardiac surgeryPulmonary diseaseOpioid dependenceProspective studyRisk factorsFemale genderPerioperative Dextrose Infusion and Postoperative Nausea and Vomiting
Zorrilla-Vaca A, Marmolejo-Posso D, Stone A, Li J, Grant MC. Perioperative Dextrose Infusion and Postoperative Nausea and Vomiting. Anesthesia & Analgesia 2019, Publish Ahead of Print: &na;. PMID: 30649067, DOI: 10.1213/ane.0000000000004019.Peer-Reviewed Original ResearchConceptsPostoperative nauseaDextrose infusionAntiemetic administrationGlucose levelsPlasma glucose monitoringPostoperative antiemetic administrationRescue antiemetic requirementsFurther prospective trialsPostanesthesia care unitSerum glucose levelsPlasma glucose levelsSignificant reductionAntiemetic requirementsPostoperative hyperglycemiaProspective trialSecondary outcomesPostoperative infusionPrimary outcomeCare unitCochrane LibraryUse of dextroseNauseaVomitingInfusionSignificant associationAmerican Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy
Edwards D, Hedrick T, Jayaram J, Argoff C, Gulur P, Holubar S, Gan T, Mythen M, Miller T, Shaw A, Thacker J, McEvoy M, Geiger T, Gordon D, Grant M, Grocott M, Gupta R, Hah J, Hurley R, Kent M, King A, Oderda G, Sun E, Wu C. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy. Anesthesia & Analgesia 2019, Publish Ahead of Print: &na;. PMID: 30768461, DOI: 10.1213/ane.0000000000004018.Peer-Reviewed Original ResearchConceptsOpioid-related complicationsPerioperative managementConsensus recommendationsPerioperative Quality Initiative Joint Consensus StatementJoint consensus statementPerioperative treatment strategiesChronic opioid useHigh-risk groupPathways of careStandard of careHealth care providersHealth care teamOpioid therapyPreoperative opioidsMultimodal analgesiaPerioperative outcomesOpioid usePain specialistsRisk patientsCare management practicesElective surgeryFree anesthesiaOpioid dependenceRisk stratificationCare teamAmerican Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Opioid Minimization in Opioid-Naïve Patients.
Wu C, King A, Geiger T, Grant M, Grocott M, Gupta R, Hah J, Miller T, Shaw A, Gan T, Thacker J, Mythen M, McEvoy M. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Opioid Minimization in Opioid-Naïve Patients. Anesthesia & Analgesia 2019, 129: 567-577. PMID: 31082966, PMCID: PMC7261519, DOI: 10.1213/ane.0000000000004194.Peer-Reviewed Original ResearchConceptsPersistent postoperative opioid useOpioid-naïve patientsPostoperative opioid useOpioid-free anesthesiaOpioid useOpioid minimizationPerioperative Quality Initiative Joint Consensus StatementNew persistent postoperative opioid useJoint consensus statementOpioid-based medicationsPerioperative opioid useEnhanced recovery pathwayQuality InitiativePerioperative periodPain interventionsConsensus statementConsensus recommendationsSurgical careConsensus documentEnhanced recoverySuperior outcomesRecovery pathwaysDelphi processAmerican SocietyAnesthesiaEvidence Review Conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery
Grant M, Gibbons M, Ko C, Wick E, Cannesson M, Scott M, McEvoy M, King A, Wu C. Evidence Review Conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery. Anesthesia & Analgesia 2019, Publish Ahead of Print: &na;. PMID: 30113392, DOI: 10.1213/ane.0000000000003696.Peer-Reviewed Original ResearchMeSH KeywordsAnesthesiaBariatric SurgeryEvidence-Based MedicineHealth Services ResearchHumansOutcome and Process Assessment, Health CarePatient SafetyPostoperative ComplicationsPractice Guidelines as TopicQuality ImprovementQuality Indicators, Health CareRecovery of FunctionRisk AssessmentRisk FactorsTreatment OutcomeConceptsBariatric surgeryQuality Safety ProgramSurgical careHealthcare ResearchJohns Hopkins Medicine Armstrong InstituteEvidence reviewAvailable evidenceSafety programHospital staySurgery protocolPostoperative phaseSociety guidelinesAnesthetic interventionsAnesthetic componentsArmstrong InstituteAmerican CollegeSurgeryEnhanced recoverySuperior outcomesLiterature searchPatient safetyFacilitate recoveryCareInterventionOutcomesDischarge Hemoglobin Level and 30-Day Readmission Rates After Coronary Artery Bypass Surgery
Cho B, DeMario V, Grant M, Hensley N, Brown C, Hebbar S, Mandal K, Whitman G, Frank S. Discharge Hemoglobin Level and 30-Day Readmission Rates After Coronary Artery Bypass Surgery. Anesthesia & Analgesia 2019, 128: 342-348. PMID: 30059402, PMCID: PMC6533067, DOI: 10.1213/ane.0000000000003671.Peer-Reviewed Original ResearchConceptsDischarge Hb levelsDischarge hemoglobin levelsReadmission ratesHb levelsPatient characteristicsHemoglobin levelsMultivariable analysisBlood utilizationCoronary artery bypass surgeryCertain patient comorbiditiesRestrictive transfusion strategyCharlson Comorbidity IndexCoronary artery bypassArtery bypass surgeryLarge randomized trialsRisk-adjusted oddsSimilar patient characteristicsLow Hb levelsCABG patientsDischarge HbPreoperative comorbiditiesArtery bypassComorbidity indexBypass surgeryPatient comorbidities
2018
The effect of community socioeconomic status on sepsis-attributable mortality
Galiatsatos P, Brigham E, Pietri J, Littleton K, Hwang S, Grant M, Hansel N, Chen E. The effect of community socioeconomic status on sepsis-attributable mortality. Journal Of Critical Care 2018, 46: 129-133. PMID: 29370964, PMCID: PMC6014883, DOI: 10.1016/j.jcrc.2018.01.008.Peer-Reviewed Original ResearchShould Hospitals Market Opioid-Sparing Analgesia to Patients?
Stone A, Wu C, Grant M. Should Hospitals Market Opioid-Sparing Analgesia to Patients? Regional Anesthesia & Pain Medicine 2018, 43: 2-4. PMID: 29140958, DOI: 10.1097/aap.0000000000000691.Peer-Reviewed Original ResearchAnalgesics, Non-NarcoticAnalgesics, OpioidCombined Modality TherapyDirect-to-Consumer AdvertisingHealth Knowledge, Attitudes, PracticeHospitalsHumansMarketing of Health ServicesOpioid-Related DisordersPain ManagementPatient Acceptance of Health CarePatient Education as TopicPatient SafetyRisk FactorsUnited States
2017
Thoracic Epidural Anesthesia and Prophylactic Three Times Daily Unfractionated Heparin Within an Enhanced Recovery After Surgery Pathway for Colorectal Surgery
Stone A, Grant M, Lau B, Hobson D, Streiff M, Haut E, Wu C, Wick E. Thoracic Epidural Anesthesia and Prophylactic Three Times Daily Unfractionated Heparin Within an Enhanced Recovery After Surgery Pathway for Colorectal Surgery. Regional Anesthesia & Pain Medicine 2017, 42: 197-203. PMID: 28079734, DOI: 10.1097/aap.0000000000000542.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAnalgesia, EpiduralAnesthesia, EpiduralAnticoagulantsBaltimoreCatheters, IndwellingColonDatabases, FactualDevice RemovalDigestive System Surgical ProceduresDrug Administration ScheduleEarly AmbulationHeparinHumansProgram EvaluationRectumRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeVenous ThromboembolismConceptsThoracic epidural analgesiaVTE prophylaxisEpidural removalERAS programVenous thromboembolismTEA patientsHeparin dosesEpidural analgesiaSurgery pathwayPerioperative thoracic epidural analgesiaColorectal surgery patientsDose of UFHOptimal VTE prophylaxisPercent of patientsThoracic epidural anesthesiaEpidural catheter placementSingle academic centerPreoperative dosesThrombohemorrhagic complicationsColorectal surgeryEpidural hematomaNeuraxial analgesiaSurgery patientsSurgical indicationsUnfractionated heparin
2016
The Impact of Neuraxial Versus General Anesthesia on the Incidence of Postoperative Surgical Site Infections Following Knee or Hip Arthroplasty
Zorrilla-Vaca A, Grant MC, Mathur V, Li J, Wu CL. The Impact of Neuraxial Versus General Anesthesia on the Incidence of Postoperative Surgical Site Infections Following Knee or Hip Arthroplasty. Regional Anesthesia & Pain Medicine 2016, 41: 555-563. PMID: 27380106, DOI: 10.1097/aap.0000000000000437.Peer-Reviewed Original ResearchConceptsPostoperative surgical site infectionSurgical site infectionKnee arthroplastyHip arthroplastySite infectionNeuraxial anesthesiaGeneral anesthesiaSubgroup analysisOdds ratioDevelopment of SSIPooled unadjusted odds ratioUnadjusted odds ratioLarge observational trialsRandom-effects modelOverall beneficial effectObservational trialAnesthetic techniqueAnesthesia techniquesJoint arthroplastyInclusion criteriaTrial designArthroplastyMeta-AnalysisAnesthesiaPotential association