Journal and News Scan

This study encompasses 2,363 pediatric patients who underwent cardiac surgery before and after the implementation of an acuity adaptable care model. Under the conventional model, patients moved among units and care teams based on age, operative status, and acuity. Under the acuity adaptable care model, patients remained in the Cardiac Care Unit and received care from one clinical team throughout their hospitalization. The acuity adaptable care model was associated with a lower failure-to-rescue rate and favorable trends for operative mortality and length of stay.

Bhagat and colleagues analyzed the rate of unplanned hospital readmission from 2012 to 2015 using the American College of Surgeons National Surgical Quality Improvement Program Participant Use File. Thoracoscopic surgery was associated with a higher rate of postdischarge complications, a finding related to the shorter length of stay for these patients. Open surgery was associated with a higher rate of related unplanned readmissions, but after risk adjustment, open and thoracoscopic surgery readmissions were not different.

Patient Care

December 3^rd is the 50^th anniversary of the first human heart transplantation, and the occasion is being commemorated with an event in Cape Town and writing about the historic event.

The president of Brazil had stents placed for coronary artery obstructions over the weekend.

The first transcatheter implantation of a retrievable aortic valve in China occurred at the Second Affiliated Hospital of Zhejiang University.

Drugs and Devices

A UK-based company is developing a more mobile, more affordable surgical robot.

Boston Scientific announced that it will indefinitely delay seeking US Food and Drug Administration approval for its Lotus Edge transcatheter valve.

Puerto Rico’s ongoing recovery from Hurricane Maria could affect surgical device supplies.

The European Medicines Agency will move from London to Amsterdam.

Research, Trials, and Funding

Researchers from the University of California, San Diego, in the US, find that lobectomy for early stage lung cancer provides better survival than stereotactic body radiation therapy.

A review of randomized controlled trials in pediatric heart surgery suggests that many studies do not provide sufficiently robust evidence.

A new imaging technology could provide higher resolution views of important tissues in minimally invasive surgery.

Biomedical engineers from Duke University in North Carolina, US, have implanted patches of induced cardiomyocytes onto rodent hearts; the implants showed near mature electrical and mechanical function.

An interesting dilemma posed by a tattoo providing advanced care directives.