Key result
Variable life-adjusted display (VLAD) monitoring of 249 cardiac surgery cases successfully detected worse-than-expected performance in deep sternal wound infections and favorable results elsewhere.
Why the study?
The study aimed to implement routine in-house monitoring of risk-adjusted 30-day mortality and morbidity following cardiac surgery using the variable life-adjusted display method.
Does the variable life-adjusted display (VLAD) method allow for effective continuous monitoring of risk-adjusted outcomes in a cardiac surgical program?
Population
249 isolated and combined coronary and aortic or mitral valve cases
Comparison
Routine in-house VLAD monitoring vs predicted risk of failure
Design
Observational cohort study
Follow-up
30 days
Authors
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Supports VLAD for continuous monitoring in cardiac surgery; leaves open effects on outcomes.
Observational (n=249)
Does the variable life-adjusted display (VLAD) method allow for effective continuous monitoring of risk-adjusted outcomes in a cardiac surgical program?
Implementing VLAD charts for continuous monitoring of risk-adjusted outcomes in cardiac surgery is feasible and helps identify areas of underperformance.
Ανανιάδου et al. (2019) conducted an observational in cardiac surgery (n=249). Variable life-adjusted display (VLAD) method vs. predicted outcomes (STS risk score) was evaluated on risk-adjusted 30-day mortality and morbidity. Variable life-adjusted display (VLAD) monitoring of 249 cardiac surgery cases successfully detected worse-than-expected performance in deep sternal wound infections and favorable results elsewhere.
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