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Early Reexploration for Bleeding Is Associated with Improved Outcome in Cardiac Surgery

Friday, February 3, 2023

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Source Name: The Annals of Thoracic Surgery


Benjamin L. Shou, BS, Pathik Aravind, MBBS, Chin Siang Ong, MBBS, PhD, Diane Alejo, BA, Joseph K. Canner, MHS, Eric W. Etchill, MD, MPH, Joseph DiNatale, MS, Rochelle Prokupets, BS, Tina Esfandiary, BS, Jennifer S. Lawton, MD, Stefano Schena, MD, PhD

Since reexploration after cardiac surgery, most often for bleeding, is used as a metric to assess surgical performance, surgeons may delay returning to the operating room in favor of attempting nonoperative management. This single-institution retrospective review aimed to investigate the impact of the timing of reexploration on morbidity and mortality. The study concluded that implications from using reexploration as a performance metric may lead to unnecessary delay and patient harm.

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