Patient risk profile, rather than individual surgeon or anaesthetist performance, is the primary driver of hospital length of stay after cardiac surgery.
Challenges initiatives targeting consultant performance to reduce LOS; single case report leaves the question open for rigorous study.
Patient risk profile is the primary determinant of variation in LOS, and as a result, current initiatives to reduce hospital stay by modifying consultant performance are unlikely to have a substantial impact. Therefore, substantially reducing hospital stay requires shifting away from a one-size-fits-all approach to cardiac surgery, and seeking alternative treatment options personalised to high-risk patients.
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Papachristofi et al. (2017) studied this question.
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