当前位置： SCI文献检索 > JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA期刊下所有文献 > A Retrospective Analysis of the Variability in Case Duration for Aortic Valve Replacement and Association With Hospital Facility Types.

A Retrospective Analysis of the Variability in Case Duration for Aortic Valve Replacement and Association With Hospital Facility Types.

Abstract：

OBJECTIVE:Currently, there are no large-scale studies that compare differences in case duration of aortic valve replacements (AVRs). The primary objective of this study was to determine associations of hospital facility type, geographic location, case volume per year, and time of day with duration of valve replacement surgery. DESIGN:Retrospective. SETTING:Data from the National Anesthesia Clinical Outcomes Registry. PARTICIPANTS:National data from university and non-university hospitals. INTERVENTIONS:No interventions. MEASUREMENTS AND MAIN RESULTS:All AVRs from the National Anesthesia Clinical Outcomes Registry were identified from 2010 to 2014. Mean case duration for all AVRs was 360.8 ± 95.8 minutes and was presented based on facility type (university hospital, large community hospital, medium-sized community hospital, and other); US geographic region; time of day (cases performed after 5 pm and before 7 am v day shift); and case volume per year. A multivariable linear regression model was built to determine the association of various patient, procedural, and facility characteristics with case duration. University hospitals were associated with increased case duration for AVRs (p < 0.0001). CONCLUSIONS:With this large national database, the authors demonstrated that academic hospitals, time of day of the surgery, US region, and case volume per year for a facility are related to the case duration of AVRs.

journal_name

J Cardiothorac Vasc Anesth

journal_title

Journal of cardiothoracic and vascular anesthesia

authors

Gabriel RA,Fergerson BD,Brovman EY,Dutton RP,Urman RD

doi

10.1053/j.jvca.2017.06.039

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

675-681

issue

2

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(17)30581-5

journal_volume

32

pub_type

杂志文章

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