Evidence map›Paper›PMID 36845794›Full record

ArticleAnnals of medicine and surgery (2012)2023

Ninety-day all-cause emergency room use among coronary artery bypass grafting patients associated with near-infrared fluorescence imaging: a retrospective cohort study.

Michelle P Sosa, Deirdre G McNicholas, Arbelina B Bebla, Seth Emont, Zhun Cao, Craig Lipkin, Vivek Ajmani, Derek D Muehrcke

Abstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Michelle P SosaStryker Corporation, San Jose, California.ORCID 0000-0002-1382-5381
Deirdre G McNicholasStryker Corporation, San Jose, California.ORCID 0000-0002-1779-2337
Arbelina B BeblaStryker Corporation, San Jose, California.ORCID 0000-0002-4773-6029
Seth EmontPremier Applied Sciences, Premier Inc., Charlotte, North Carolina.
Zhun CaoPremier Applied Sciences, Premier Inc., Charlotte, North Carolina.ORCID 0000-0002-7904-2523
Craig LipkinPremier Applied Sciences, Premier Inc., Charlotte, North Carolina.ORCID 0000-0001-8829-6747
Vivek AjmaniPremier Applied Sciences, Premier Inc., Charlotte, North Carolina.
Derek D MuehrckeCardiothoracic & Vascular Surgical Associates, St. Augustine, Florida, USA.ORCID 0000-0001-9677-2571

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reducing emergency room (ER) use may indicate the improved quality of patient care at index hospitalization. The aim of this study is to determine whether the use of near-infrared fluorescence (NIRF) imaging with indocyanine green (ICG) during coronary artery bypass grafting (CABG) surgery is associated with a lowered 90-day all-cause ER use. Materials and Methods: This retrospective cohort study included adult patients with inpatient hospitalizations between January 2016 and June 2020 for an isolated CABG procedure at a US hospital. Propensity score matching was used to create matched cohorts to address the differences in patient, payer type, hospital, and clinical characteristics. A multivariable regression analysis was conducted to determine the association of NIRF imaging with ICG on ER use within 90 days of discharge after controlling for patient, payer type, hospital, and clinical covariates. Results: In total, 230 506 adult patients underwent an isolated CABG procedure. Less than 1% (n=1965) were assessed with NIRF imaging using ICG. There were differences in patient demographic and hospital characteristics between the treatment group (i.e. NIRF with ICG) and the comparison group (i.e. no NIRF with ICG). After controlling for covariates, a statistically significant lower 90-day all-cause ER use was documented among the treatment group (adjusted odds ratio=0.84, 95% confidence interval=0.73-0.96, Conclusion: Routine intraoperative graft patency assessment with NIRF imaging using ICG may help to improve a patient's care experience and reduce subsequent resource utilization. Intraoperative graft patency assessment with NIRF imaging using ICG is associated with a 90-day all-cause ER use reduction among CABG patients. Further studies are needed to compare the ER usage among centers that used this technique versus those that did not to determine if associated reductions in ER use are a center or technique-specific phenomenon.

Indexed as

coronary artery bypass graftingemergency roomindocyanine greenintraoperative graft patency assessmentnear-infrared fluorescence imaging

Identifiers

PMID36845794
PMCPMC9949870

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