Evidence map›Paper›PMID 32035918›Full record

ArticleThe Annals of thoracic surgery2020

Evaluating the Impact of Pneumonia Prevention Recommendations After Cardiac Surgery.

Raymond J Strobel, Steven D Harrington, Chris Hill, Michael P Thompson, Lourdes Cabrera, Patricia Theurer, Penny Wilton, Divyakant B Gandhi, Alphonse DeLucia, Gaetano Paone and 6 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Annals of thoracic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Interhospital variability in 180-day infections following cardiac surgery.The Journal of thoracic and cardiovascular surgery · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 7 institutions in 1 country.

Raymond J StrobelUniversity of Michigan Medical School, Ann Arbor, Michigan.
Steven D HarringtonDepartment of Cardiac Surgery, Henry Ford Macomb Hospital, Clinton Township, Michigan.
Chris HillUniversity of Michigan, Ann Arbor, Michigan.
Michael P ThompsonDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan.
Lourdes CabreraDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan.
Patricia TheurerMichigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative.
Penny WiltonFred Meijer Heart & Vascular Institute, Spectrum Health, Grand Rapids, Michigan.
Divyakant B GandhiMcLaren Greater Lansing Cardiothoracic and Vascular Surgeons, Lansing, Michigan.
Alphonse DeLuciaDepartment of Cardiac Surgery, Bronson Methodist Hospital, Kalamazoo, Michigan.
Gaetano PaoneDivision of Cardiac Surgery, Henry Ford Hospital, Detroit, Michigan.
Xiaoting WuDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan.
Min ZhangDepartment of Biostatistics, University of Michigan, Ann Arbor, Michigan.
Sarah L KreinVeterans Affairs Ann Arbor Healthcare System and Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
Richard L PragerDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan.
Donald S LikoskyDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan. Electronic address: likosky@umich.edu.
Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative
University of Michigan–Ann Arbor · USBronson Methodist Hospital · USHenry Ford Hospital · USHenry Ford Macomb Hospital · USMcLaren Greater Lansing · USSociety of Thoracic Surgeons · USSpectrum Health · US

Funding

NRSA Training CoreTL1TR002242 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HOLINSTAT, MICHAEL ALLAN · 2017 to 2021
$2.8M
Understanding and Addressing Variation in Healthcare-Associated Infections After Durable Ventricular Assist Device TherapyR01HS026003 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LIKOSKY, DONALD S · 2018 to 2022
$2.3M
Optimizing Prevention of Healthcare-Acquired Infections After Cardiac SurgeryR01HS022535 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LIKOSKY, DONALD S · 2013 to 2016
$1.5M
Determinants of Blood Transfusions after Cardiac SurgeryR03HS022909 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LIKOSKY, DONALD S · 2014 to 2015
$100k
AHRQ HHS R01 HS022535NCATS NIH HHS TL1 TR002242
6 · The paper itself

Abstract

backgroundPneumonia is the most prevalent healthcare-associated infection after coronary artery bypass grafting (CABG), but the relative effectiveness of strategies to reduce its incidence remains unclear. We evaluated the relationship between healthcare-associated infection recommendations and risk of pneumonia after CABG.

methodsPneumonia prevention practice recommendations were developed based on literature review and analysis of semistructured interviews with key health care personnel across centers with low (<5.9%), medium (5.9%-6.1%), and high (>6.1%) rates of pneumonia. These practices were implemented among 2482 patients undergoing CABG from 2016 to 2017 across 18 centers. The independent effect of each practice in reducing pneumonia was assessed using multivariable logistic regression, adjusting for baseline risk and center. A composite (bundle) score was calculated as the number of practices (0 to 4) each patient received.

resultsRecommended pneumonia prevention practices included lung protective ventilation management, early extubation, progressive ambulation, and avoidance of postoperative bronchodilator therapy. Pneumonia occurred in 2.4% of patients. Lung protective ventilation (adjusted odds ratio [OR

conclusionsThese pneumonia prevention recommendations may serve as effective targets for avoiding postoperative healthcare-associated infections.

Indexed as

Postoperative ComplicationsPractice Guidelines as TopicAgedCardiac Surgical ProceduresCross InfectionFemaleHumansIncidenceMalePneumoniaRisk FactorsUnited States

Identifiers

PMID32035918
PMCPMC7646315
OpenAlexW3004495518

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.