2017
Financial Impact of Acute Kidney Injury After Cardiac Operations in the United States
Alshaikh H, Katz N, Gani F, Nagarajan N, Canner J, Kacker S, Najjar P, Higgins R, Schneider E. Financial Impact of Acute Kidney Injury After Cardiac Operations in the United States. The Annals Of Thoracic Surgery 2017, 105: 469-475. PMID: 29275828, DOI: 10.1016/j.athoracsur.2017.10.053.Peer-Reviewed Original ResearchConceptsAcute kidney injuryIndex hospitalization costsTotal index hospitalization costsIndex hospital costsCardiac operationsHospitalization costsKidney injuryDevelopment of AKISubstantial health care cost savingsClinical Modification diagnosis codesHealth care cost savingsMajor cardiac operationsCoronary artery bypassChronic renal failureNationwide Inpatient SampleMajor cardiac proceduresLong-term treatmentArtery bypassRenal failureValve replacementReplacement patientsAvoidable complicationsCardiac proceduresPatient morbidityDiagnosis codesA Novel Risk Score to Predict the Need for Nutrition Support After Cardiac Surgery
Ohkuma R, Crawford T, Brown P, Grimm J, Magruder J, Kilic A, Suarez-Pierre A, Snyder S, Wood J, Schneider E, Sussman M, Whitman G. A Novel Risk Score to Predict the Need for Nutrition Support After Cardiac Surgery. The Annals Of Thoracic Surgery 2017, 104: 1306-1312. PMID: 28625392, DOI: 10.1016/j.athoracsur.2017.03.013.Peer-Reviewed Original ResearchMeSH KeywordsAgedCardiac Surgical ProceduresFemaleHumansLogistic ModelsMaleMiddle AgedNutrition AssessmentNutritional SupportPostoperative CareRisk AssessmentConceptsPostoperative nutrition supportNutrition supportCardiac surgeryNS scoresAdult cardiac surgery patientsMultivariable logistic regression modelingEarly postoperative nutritionMalnutrition-related morbidityCardiac surgery patientsNovel risk scoreRelative odds ratioLogistic regression modelingTiming of initiationPostoperative nutritionSurgery patientsDerivation cohortIndependent predictorsPredictive screening toolMultivariable analysisValidation cohortC-statisticOdds ratioHigh riskRisk scorePatients
2016
A novel score to estimate the risk of pneumonia after cardiac surgery
Kilic A, Ohkuma R, Grimm J, Magruder J, Sussman M, Schneider E, Whitman G. A novel score to estimate the risk of pneumonia after cardiac surgery. Journal Of Thoracic And Cardiovascular Surgery 2016, 151: 1415-1421. PMID: 27085620, DOI: 10.1016/j.jtcvs.2015.12.049.Peer-Reviewed Original ResearchMeSH KeywordsAge DistributionAgedCardiac Surgical ProceduresCardiopulmonary BypassCohort StudiesFemaleHumansIncidenceMaleMiddle AgedMultivariate AnalysisPneumoniaPostoperative ComplicationsRegression AnalysisRetrospective StudiesRisk FactorsSeverity of Illness IndexSex DistributionSurvival RateUnited StatesConceptsCardiac surgeryPostoperative pneumoniaRisk scoreValidation cohortRisk factorsMultivariable modelRate of pneumoniaRisk of pneumoniaSingle-institution databaseSignificant risk factorsComposite scoreIntraoperative predictorsPerioperative managementPrimary outcomeTraining cohortPneumoniaSurgeryNovel scorePreventative interventionsCohortOverall rateScoresPatientsSignificant correlationRegression analysis
2014
Hospital Bed Type, the Electronic Medical Record, and Safe Bed Elevation in the Intensive Care Setting
Fitch Z, Duquaine D, Ohkuma R, Schneider E, Whitman G. Hospital Bed Type, the Electronic Medical Record, and Safe Bed Elevation in the Intensive Care Setting. American Journal Of Medical Quality 2014, 31: 69-72. PMID: 25366326, DOI: 10.1177/1062860614556743.Peer-Reviewed Original ResearchMeSH KeywordsBedsCardiac Surgical ProceduresElectronic Health RecordsGuideline AdherenceHumansIntensive Care UnitsNursing Staff, HospitalPneumonia, Ventilator-AssociatedConceptsElectronic medical recordsHOB angleMedical recordsCardiac surgical intensive care unitSurgical intensive care unitVentilator-associated pneumoniaIntensive care settingIntensive care unitPercent of nursesCare unitHOB elevationBedside indicatorsCare settingsNursesElevationCompliancePneumoniaPatientsImplicating Transfusions in Infections After Cardiac Operations
Ohkuma R, Schneider E, Whitman G. Implicating Transfusions in Infections After Cardiac Operations. The Annals Of Thoracic Surgery 2014, 97: 1852. PMID: 24792289, DOI: 10.1016/j.athoracsur.2013.10.105.Peer-Reviewed Original ResearchBacterial InfectionsCardiac Surgical ProceduresFemaleHospital MortalityHumansMalePostoperative ComplicationsTransfusion Reaction
2013
A protocol-driven approach to early extubation after heart surgery
Fitch Z, Debesa O, Ohkuma R, Duquaine D, Steppan J, Schneider E, Whitman G. A protocol-driven approach to early extubation after heart surgery. Journal Of Thoracic And Cardiovascular Surgery 2013, 147: 1344-1350. PMID: 24269120, DOI: 10.1016/j.jtcvs.2013.10.032.Peer-Reviewed Original ResearchMeSH KeywordsAirway ExtubationCardiac Surgical ProceduresClinical ProtocolsFemaleHumansMaleMiddle AgedPostoperative CareProspective StudiesRisk FactorsTime FactorsConceptsPatient shiveringRisk factorsVentilation timePostoperative mechanical ventilation timeLow body temperatureStandardized protocolMechanical ventilation timeRate of reintubationIndependent risk factorPercent of patientsPeriod 1 patientProtocol-driven approachBody temperatureReintubation rateEarly extubationProlonged ventilationCoronary bypassHeart surgeryReminder sheetsMultidisciplinary committeePatientsLogistic regressionPatient safetyExtubationBaseline practice