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(HealthDay) – In the context of cardiac surgery, there is no indication of a "July effect" describing worse outcomes during the first month of training, according to a study published online on July 25 in the Annals of Thoracic Surgery.
Rohan M. Shah, MD, MPH, of Harvard Medical School in Boston, and his colleagues isolated all coronary artery bypbad grafting (CABG), surgical aortic valve replacement (AVR, 111 260 procedures), repair or replacement of the mitral valve (MV; procedures for replacement of isolated thoracic aortic aneurysm (TAA, 2655 procedures) between 2012 and 2014 using the national inpatient sample. Overall hospital mortality and hospital complications were compared by quartile of academic year and month of intervention for each intervention.
The researchers found that even after adjusting the risk, there was no change in hospital mortality by month or quartile of academic year for each procedure. For the replacement of isolated PACs and TAAs, teacher status has no influence on risk-adjusted mortality. For AVR and MV surgery, however, a significantly lower adjusted mortality was observed in teaching hospitals compared to non-university hospitals.
"Patients who have undergone cardiac surgery are managed in a multidisciplinary manner.Therefore, the well-being of patients does not depend only on one individual, but on the entire health care team and could so be more resistant to changes in hospital staff, "said Shah in a statement.
An author has revealed financial links with the pharmaceutical and medical device industries.
Study shows low risk of death and stroke for minimally invasive aortic valve replacements
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No indication of "July effect" in the context of cardiac surgery (July 25, 2019)
recovered on July 25, 2019
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