Evidence map›Paper›PMID 38888548›Full record

ArticleThe journal of extra-corporeal technology2024

Perfusion Measures and Outcomes (PERForm) registry: First annual report.

David C Fitzgerald, Xiaoting Wu, Timothy A Dickinson, Donald Nieter, Erin Harris, Shelby Curtis, Emily Mauntel, Amanda Crosby, Gaetano Paone, Joshua B Goldberg and 6 more

Abstract read
In one paragraph

Article in The journal of extra-corporeal technology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. The PediPERForm Learning Network congenital perfusion registry.The journal of extra-corporeal technology · 2025
    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

16 authors.

David C FitzgeraldMedical University of South Carolina College of Health Professions, 151-A Rutledge Avenue, A321, Charleston, SC 29425, USA.
Xiaoting WuDepartment of Cardiac Surgery, Michigan Medicine, University of Michigan, 1500 E Medical Center Dr., 5144 Cardiovascular Center, Ann Arbor, MI 48109-5864, USA.
Timothy A DickinsonDivision of Cardiovascular Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Donald NieterMichigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative, Arbor Lakes Building 3 #3130/4251 Plymouth Road, Ann Arbor, MI 48105, USA.
Erin HarrisMedical University of South Carolina College of Health Professions, 151-A Rutledge Avenue, A321, Charleston, SC 29425, USA.
Shelby CurtisMedical University of South Carolina College of Health Professions, 151-A Rutledge Avenue, A321, Charleston, SC 29425, USA.
Emily MauntelMedical University of South Carolina College of Health Professions, 151-A Rutledge Avenue, A321, Charleston, SC 29425, USA.ORCID 0009-0009-6526-1037
Amanda CrosbyDepartment of Perfusion Services, University of Tennessee Medical Center, 1924 Alcoa Hwy, Knoxville, TN 37920, USA.
Gaetano PaoneDivision of Cardiothoracic Surgery, Emory University School of Medicine, 550 Peachtree Street, NE Davis-Fischer Bldg, 4th Floor, Atlanta, GA 30308, USA.
Joshua B GoldbergDepartment of Cardiothoracic Surgery, Weill Cornell Medical Center/New York Presbyterian Hospital, 525 E 68th St M 404, New York, NY 10065, USA.
Alphonse DeLuciaDepartment of Cardiac Surgery, University of Michigan Health West, 2122 Health Dr. SW, Suite 133, Wyoming, MI 49519, USA.
Kaushik MandalCardiovascular Services, Detroit Medical Center Sinai Grace Hospital, 6001 West Outer Drive Suite POB 321, Detroit, MI 48235, USA.
Patricia F TheurerMichigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative, Arbor Lakes Building 3 #3130/4251 Plymouth Road, Ann Arbor, MI 48105, USA.
Carol LingDepartment of Cardiac Surgery, Michigan Medicine, University of Michigan, 1500 E Medical Center Dr., 5144 Cardiovascular Center, Ann Arbor, MI 48109-5864, USA.
Jeffrey ChoresCardiovascular Services, Ascension St. John Providence Health System, 16001 West Nine Mile Road, Southfield, MI 48075, USA.
Donald S LikoskyDepartment of Cardiac Surgery, Michigan Medicine, University of Michigan, 1500 E Medical Center Dr., 5144 Cardiovascular Center, Ann Arbor, MI 48109-5864, USA - Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative, Arbor Lakes Building 3 #3130/4251 Plymouth Road, Ann Arbor, MI 48105, USA.ORCID 0000-0003-0416-9359

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Perfusion Measures and Outcomes (PERForm) registry was established in 2010 to advance cardiopulmonary bypass (CPB) practices and outcomes. The registry is maintained through the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative and is the official registry of the American Society of Extracorporeal Technology.

methodsThis first annual PERForm registry report summarizes patient characteristics as well as CPB-related practice patterns in adult (≥18 years of age) patients between 2019 and 2022 from 42 participating hospitals. Data from PERForm are probabilistically matched to institutional surgical registry data. Trends in myocardial protection, glucose, anticoagulation, temperature, anemia (hematocrit), and fluid management are summarized. Additionally, trends in equipment (hardware/disposables) utilization and employed patient safety practices are reported.

resultsA total of 40,777 adult patients undergoing CPB were matched to institutional surgical registry data from 42 hospitals. Among these patients, 54.9% underwent a CABG procedure, 71.6% were male, and the median (IQR) age was 66.0 [58.0, 73.0] years. Overall, 33.1% of the CPB procedures utilized a roller pump for the arterial pump device, and a perfusion checklist was employed 99.6% of the time. The use of conventional ultrafiltration decreased over the study period (2019 vs. 2022; 27.1% vs. 24.9%) while the median (IQR) last hematocrit on CPB has remained stable [27.0 (24.0, 30.0) vs. 27.0 (24.0, 30.0)]. Pump sucker termination before protamine administration increased over the study period: (54.8% vs. 75.9%).

conclusionFew robust clinical registries exist to collect data regarding the practice of CPB. Although data submitted to the PERForm registry demonstrate overall compliance with published perfusion evidence-based guidelines, noted opportunities to advance patient safety and outcomes remain.

Indexed as

Cardiopulmonary BypassRegistriesAdultAgedFemaleHumansMaleMichiganMiddle AgedCABGCardiopulmonary bypass – (CPB)Replacement – CardioplegiaSurgery – Aortic valve

Identifiers

PMID38888548
PMCPMC11185137

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Registered trials

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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.