دورية أكاديمية
Quantifying the learning curve for pulmonary thromboendarterectomy
| العنوان: | Quantifying the learning curve for pulmonary thromboendarterectomy |
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| المؤلفون: | Smita Sihag, Bao Le, Alison S. Witkin, Josanna M. Rodriguez-Lopez, Mauricio A. Villavicencio, Gus J. Vlahakes, Richard N. Channick, Cameron D. Wright |
| المصدر: | Journal of Cardiothoracic Surgery, Vol 12, Iss 1, Pp 1-6 (2017) |
| بيانات النشر: | BMC, 2017. |
| سنة النشر: | 2017 |
| المجموعة: | LCC:Surgery LCC:Anesthesiology |
| مصطلحات موضوعية: | Pulmonary thromboendarterectomy, Outcomes, Learning curve, Surgery, RD1-811, Anesthesiology, RD78.3-87.3 |
| الوصف: | Abstract Background Pulmonary thromboendarterectomy (PTE) is an effective treatment for chronic thromboembolic pulmonary hypertension (CTEPH), but is a technically challenging operation for cardiothoracic surgeons. Starting a new program allows an opportunity to define a learning curve for PTE. Methods A retrospective case review was performed of 134 consecutive PTEs performed from 1998 to 2016 at a single institution. Outcomes were compared using either a two-tailed t-test for continuous variables or a chi-squared test for categorical variables according to experience of the program by terciles (T). Results The 30-day mortality was 3.7%. The mean length of hospital stay, length of ICU stay, and duration on a ventilator were 12.6 days, 4.6 days, and 2.0 days, respectively. The mean decrease in systolic pulmonary artery pressure (sPAP) was 41.3 mmHg. Patients with Jamieson type 2 disease had a greater change in mean sPAP than those with type 3 disease (p = 0.039). The mean cardiopulmonary bypass time was 180 min (T1–198 min, T3–159 min, p = |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1749-8090 |
| العلاقة: | http://link.springer.com/article/10.1186/s13019-017-0686-1Test; https://doaj.org/toc/1749-8090Test |
| DOI: | 10.1186/s13019-017-0686-1 |
| الوصول الحر: | https://doaj.org/article/81dbb5cc662d46b48b850d98d03675d6Test |
| رقم الانضمام: | edsdoj.81dbb5cc662d46b48b850d98d03675d6 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 17498090 |
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| DOI: | 10.1186/s13019-017-0686-1 |