Real-time monitoring of a video-assisted thoracoscopic surgery lobectomy programme using a specific cardiopulmonary complications risk-adjusted control chart†

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Miriam PatellaAlessandro Brunelli

Abstract

To implement internal monitoring using a risk-adjusted model specific for video-assisted thoracoscopic surgery (VATS) lobectomy. Retrospective analysis on prospectively collected data of 348 patients submitted to VATS lobectomy (August 2012-August 2014). Baseline and surgical variables were tested for a possible association with postoperative cardiopulmonary complications. Logistic regression and bootstrap resampling analyses were used to develop the risk-adjusted model to obtain the predicted morbidity of 50 consecutive patients (September 2014-November 2014). A risk-adjusted control chart was constructed to track down practice variation during this period. Patients were ordered by date of operation and assigned a score represented by the individual predicted morbidity: the plotted line goes up in case of absence of complications and goes down by the predicted morbidity minus 1 in case of complications. Over time, if outcomes are as expected based on the risk-adjusted model, the plotted line will tend to be close to zero. Cardiopulmonary complications and in-hospital/30-day mortality rates were 14% (47 cases) and 1.8% (6 cases), respectively. Age (P = 0.006, coefficient 0.55, bootstrap frequency 76%) and predicted postoperativ...Continue Reading

References

Sep 8, 2001·The Journal of Thoracic and Cardiovascular Surgery·E H Blackstone
Mar 17, 2004·Annals of Surgery·Charles VincentAra W Darzi
Apr 6, 2004·The Annals of Thoracic Surgery·Gary L Grunkemeier, YingXing Wu
Sep 7, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Richard BerrisfordUNKNOWN European Association of Cardiothoracic Surgeons
May 31, 2006·The Journal of Thoracic and Cardiovascular Surgery·Alessandro Brunelli, Gaetano Rocco
Mar 11, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alessandro BrunelliUNKNOWN European Society of Thoracic Surgeons Database Committee
Apr 1, 2010·Interactive Cardiovascular and Thoracic Surgery·Anthony ChambersMarco Scarci
Jul 3, 2010·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A BrunelliM Dahan
Jul 2, 2011·The Annals of Thoracic Surgery·Alessandro BrunelliArmando Sabbatini
Jan 31, 2012·BMC Health Services Research·Danilo FuscoCarlo A Perucci
Mar 8, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Nicholas StephensStephen Swisher
May 14, 2014·The Annals of Thoracic Surgery·Mark F BerryChris R Kelsey

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Citations

May 14, 2016·The European Respiratory Journal·Masataka IrieMasahiro Hyodo

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