Evidence map›Paper›PMID 37156364›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2024

Extracorporeal Life Support Organization Center of Excellence recognition is associated with improved failure to rescue after cardiac arrest.

Raymond J Strobel, Dustin T Money, Andrew M Young, Alex M Wisniewski, Anthony V Norman, Raza M Ahmad, Emily F Kaplan, Mark Joseph, Mohammed Quader, Michael Mazzeffi and 3 more

Abstract read
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In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

13 authors.

Raymond J StrobelDivision of Cardiac Surgery, Department of Surgery, University of Virginia, Charlottesville, Va.
Dustin T MoneyDivision of Cardiac Surgery, Department of Surgery, University of Virginia, Charlottesville, Va.
Andrew M YoungDivision of Cardiac Surgery, Department of Surgery, University of Virginia, Charlottesville, Va.
Alex M WisniewskiDivision of Cardiac Surgery, Department of Surgery, University of Virginia, Charlottesville, Va.
Anthony V NormanDivision of Cardiac Surgery, Department of Surgery, University of Virginia, Charlottesville, Va.
Raza M AhmadDivision of Cardiac Surgery, Department of Surgery, University of Virginia, Charlottesville, Va.
Emily F KaplanSchool of Medicine, University of Virginia, Charlottesville, Va.
Mark JosephCarilion Clinic Cardiothoracic Surgery, Virginia Tech Carilion School of Medicine, Roanoke, Va.
Mohammed QuaderDivision of Cardiothoracic Surgery, Department of Surgery, Virginia Commonwealth University, Richmond, Va.
Michael MazzeffiDepartment of Anesthesiology, University of Virginia, Charlottesville, Va.
Leora T YarboroDivision of Cardiac Surgery, Department of Surgery, University of Virginia, Charlottesville, Va.
Nicholas R TemanDivision of Cardiac Surgery, Department of Surgery, University of Virginia, Charlottesville, Va. Electronic address: NRT4C@virginia.edu.
Investigators for the Virginia Cardiac Services Quality Initiative

Funding

Cardiovascular Surgery Training ProgramT32HL007849 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI KRON, IRVING L., LAUBACH, VICTOR E · 1998 to 2025
$7.0M
Network for Cardiothoracic Surgical Investigations in Cardiovascular MedicineUM1HL088925 · NHLBI · UNIVERSITY OF VIRGINIA · PI BADHWAR, VINAY, KRON, IRVING L. · 2013 to 2025
$6.8M
NHLBI NIH HHS T32 HL007849NHLBI NIH HHS UM1 HL088925
6 · The paper itself

Abstract

objectiveThe influence of Extracorporeal Life Support Organization (ELSO) center of excellence (CoE) recognition on failure to rescue after cardiac surgery is unknown. We hypothesized that ELSO CoE would be associated with improved failure to rescue.

methodsPatients undergoing a Society of Thoracic Surgeons index operation in a regional collaborative (2011-2021) were included. Patients were stratified by whether or not their operation was performed at an ELSO CoE. Hierarchical logistic regression analyzed the association between ELSO CoE recognition and failure to rescue.

resultsA total of 43,641 patients were included across 17 centers. In total, 807 developed cardiac arrest with 444 (55%) experiencing failure to rescue after cardiac arrest. Three centers received ELSO CoE recognition, and accounted for 4238 patients (9.71%). Before adjustment, operative mortality was equivalent between ELSO CoE and non-ELSO CoE centers (2.08% vs 2.36%; P = .25), as was the rate of any complication (34.5% vs 33.8%; P = .35) and cardiac arrest (1.49% vs 1.89%; P = .07). After adjustment, patients undergoing surgery at an ELSO CoE facility were observed to have 44% decreased odds of failure to rescue after cardiac arrest, relative to patients at non-ELSO CoE facility (odds ratio, 0.56; 95% CI, 0.316-0.993; P = .047).

conclusionsELSO CoE status is associated with improved failure to rescue following cardiac arrest for patients undergoing cardiac surgery. These findings highlight the important role that comprehensive quality programs serve in improving perioperative outcomes in cardiac surgery.

Indexed as

Extracorporeal Membrane OxygenationHeart ArrestHeartHumansRetrospective Studiesextracorporeal membrane oxygenationfailure to rescueoutcomesquality improvement

Identifiers

PMID37156364
PMCPMC10626046

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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.