ArticleThe Annals of thoracic surgery2018
Determinants of Variation in Pneumonia Rates After Coronary Artery Bypass Grafting.
Article in The Annals of thoracic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02068716 (Optimizing Prevention of Healthcare-Acquired Infections After Cardiac Surgery), which is not on this map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Optimizing Prevention of Healthcare-Acquired Infections After Cardiac Surgery
Who cites it
18 citing papers in PubMed, 26 citations in OpenAlex.
- Disparities in 180-day infection rates following coronary artery bypass grafting and aortic valve replacement.The Journal of thoracic and cardiovascular surgery · 2025Article
- Prevalence of Healthcare-Associated Infections in Patients with Cardiovascular Diseases: A Literature Review.Journal of clinical medicine · 2025Review
- Observational
- Frequency and Predictors of Pneumonia After Isolated Coronary Artery Bypass Grafting (CABG): A Single-Center Study.Diagnostics (Basel, Switzerland) · 2025Article
- Multicenter Analysis of the Relationship Between Operative Team Familiarity and Safety and Efficiency Outcomes in Cardiac Surgery.Circulation. Cardiovascular quality and outcomes · 2024Article
- Outcomes of nonemergency cardiac surgery after overnight operative workload: A statewide experience.JTCVS open · 2024Article
- Linking preoperative and early intensive care unit data for prolonged intubation prediction.Frontiers in cardiovascular medicine · 2024Article
- Monocyte to high-density lipoprotein ratio is associated with mortality in patients with coronary artery diseases.BMC cardiovascular disorders · 2023Article
- Impact of Post-Operative Infection after CABG on Long-Term Survival.Journal of clinical medicine · 2023Article
- Interhospital variability in health care-associated infections and payments after durable ventricular assist device implant among Medicare beneficiaries.The Journal of thoracic and cardiovascular surgery · 2022Article
- Center Variability in Medicare Claims-Based Publicly Reported Transcatheter Aortic Valve Replacement Outcome Measures.Journal of the American Heart Association · 2021Article
- Observational
- Surgical Sabermetrics: Applying Athletics Data Science to Enhance Operative Performance.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021Article
- Novel Assessments of Technical and Nontechnical Cardiac Surgery Quality: Protocol for a Mixed Methods Study.JMIR research protocols · 2021Article
- Determinants of Value in Coronary Artery Bypass Grafting.Circulation. Cardiovascular quality and outcomes · 2020Article
- Evaluating the Impact of Pneumonia Prevention Recommendations After Cardiac Surgery.The Annals of thoracic surgery · 2020Article
- Intraoperative Mechanical Ventilation and Postoperative Pulmonary Complications after Cardiac Surgery.Anesthesiology · 2019Observational
- Collaborative Quality Improvement Reduces Postoperative Pneumonia After Isolated Coronary Artery Bypass Grafting Surgery.Circulation. Cardiovascular quality and outcomes · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors at 7 institutions in 1 country.
Funding
Abstract
backgroundAlthough conventional wisdom suggests that differences in patient risk profiles drive variability in postoperative pneumonia rates after coronary artery bypass grafting (CABG), this teaching has yet to be empirically tested. We determined to what extent patient risk factors account for hospital variation in pneumonia rates.
methodsWe studied 324,085 patients undergoing CABG between July 1, 2011, and December 31, 2013, across 998 hospitals using The Society of Thoracic Surgeons Adult Cardiac Database. We developed 5 models to estimate our incremental ability to explain hospital variation in pneumonia rates. Model 1 contained patient demographic characteristics and admission status, while Model 2 added patient risk factors. Model 3 added measures of pulmonary function, Model 4 added measures of cardiac anatomy and function and medications, and Model 5 further added measures of intraoperative and postoperative care.
resultsAlthough 9,175 patients (2.83%) experienced pneumonia, the median estimated distribution of pneumonia rates across hospitals was 2.5% (25th to 75th percentile: 1.5% to 4.0%). Wide variability in pneumonia rates was evident, with some hospitals having rates more than 6 times higher than others (10th to 90th percentile: 1.0% to 6.1%). Among all five models, Model 2 accounted for the most variability at 4.24%. In total, 2.05% of hospital variation in pneumonia rates was explained collectively by traditional patient factors, leaving 97.95% of variation unexplained.
conclusionsOur findings suggest that patient risk profiles only account for a fraction of hospital variation in pneumonia rates; enhanced understanding of other contributory factors (eg, processes of care) is required to lessen the likelihood of such nosocomial infections.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.