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Journal and News Scan
A medium-sized RCT from the Imperial College. The research question are of interest for all cardiovascular, thoracic, and general surgeons as well as all healthcare professionals.
Surgeon ergonomics is an underappreciated occupational hazard. This study uses inertial measurement units to monitor ergonomics of surgeons, including a small handful of cardiac surgeons. More research and discussion is needed in the this space.
Interesting hypothesis in a rodent model of myxomatous degeneration.
This original article compares the outcome of sleeve lobectomy compared to conventional lobectomy in the treatment of patients with lung cancer. Inci et al. investigated 187 patients who underwent sleeve lobectomy and compared it to 568 patients who underwent conventional lobectomy. They found no difference in safety end-points or mid-term follow-up regarding the two different groups.
Dong et al developed a score to predict renal failure after surgery for Stanford type A dissection. This score includes age, BMI, white blood count, perioperative hemoglobin levels, CPB duration, and renal malperfusion. The score derives from a retrospective analysis of 326 patients from the author’s institution and validated in a group of more than 100 patients from a separate institution. The receiver operating curve proves a good prediction of perioperative renal failure by the new score.
Access to pacemakers and defibrillators is problematic in places with limited resources. A multinational program was initiated in 1983 to provide tested and resterilized pacemakers and defibrillators to underserved nations; a prospective registry was established in 2003. The incidence of infection or device-related death at two years was 2.0%, an incidence that did not differ significantly from that seen among matched control patients with new devices in Canada.
This article describes recommendations from the North American leadership in regards to the safe reintroduction of cardiovascular services during the COVID-19 pandemic including, but not limited to, ethical considerations, the importance of collaboration amongst public health officials and cardiovascular specialties, and protection of healthcare workers. In addition, they include detailed recommendations stratified by the level of response customized for institutions and guidance on how to reserve capacity for potential re-surgence of COVID-19.
Use of anatomic abbreviations instead of numbers seems pro-intuitive ...
This is a research letter the looks at the investment that CMS has made in developing quality measures. It points out the limited value of many of them and discusses recommendations for implementation and evaluation of these measures.