TY - JOUR
T1 - Excellent short- and long-term outcomes after concomitant aortic valve replacement and coronary artery bypass grafting performed by surgeons in training
AU - Saxena, Akshat
AU - Dinh, Diem Thi Thuy
AU - Smith, Julian Anderson
AU - Reid, Christopher Michael
AU - Shardey, Gilbert
AU - Newcomb, Andrew
PY - 2013
Y1 - 2013
N2 - No previous studies have specifically addressed the effect of training on outcomes after concomitant
aortic valve replacement and coronary artery bypass grafting. This study evaluated the early and late outcomes
after concomitant aortic valve replacement and coronary artery bypass grafting performed by surgeons in
training.
Methods: A retrospective analysis of data collected prospectively by the Australian and New Zealand Society
of Cardiac and Thoracic Surgeons Cardiac Surgery Database between June 2001 and December 2009 was
performed. Concomitant aortic valve replacement and coronary artery bypass grafting was performed in
2540 patients; of these procedures, 290 (11.4 ) were by trainees. Patient demographics, intraoperative characteristics,
and early morbidity were compared between trainee and staff cases using chi-square analysis and t tests.
Multivariate analyses were used to determine the independent association of training status with 30-day and late
mortality.
Results: Compared with staff cases, trainee cases were younger (mean age, 73.0 vs 74.2 years; P ? .025) and
less likely to present with triple vessel disease (27.9 vs 38.3 , P?.001) or previous cardiac surgery (6.3 vs
2.8 , P ? .016). Trainee cases had longer mean perfusion (160.4 vs 144.6 minutes, P
AB - No previous studies have specifically addressed the effect of training on outcomes after concomitant
aortic valve replacement and coronary artery bypass grafting. This study evaluated the early and late outcomes
after concomitant aortic valve replacement and coronary artery bypass grafting performed by surgeons in
training.
Methods: A retrospective analysis of data collected prospectively by the Australian and New Zealand Society
of Cardiac and Thoracic Surgeons Cardiac Surgery Database between June 2001 and December 2009 was
performed. Concomitant aortic valve replacement and coronary artery bypass grafting was performed in
2540 patients; of these procedures, 290 (11.4 ) were by trainees. Patient demographics, intraoperative characteristics,
and early morbidity were compared between trainee and staff cases using chi-square analysis and t tests.
Multivariate analyses were used to determine the independent association of training status with 30-day and late
mortality.
Results: Compared with staff cases, trainee cases were younger (mean age, 73.0 vs 74.2 years; P ? .025) and
less likely to present with triple vessel disease (27.9 vs 38.3 , P?.001) or previous cardiac surgery (6.3 vs
2.8 , P ? .016). Trainee cases had longer mean perfusion (160.4 vs 144.6 minutes, P
UR - http://www.sciencedirect.com/science/article/pii/S0022522312012305
U2 - 10.1016/j.jtcvs.2012.09.073
DO - 10.1016/j.jtcvs.2012.09.073
M3 - Article
VL - 145
SP - 334
EP - 340
JO - Journal of Thoracic and Cardiovascular Surgery
JF - Journal of Thoracic and Cardiovascular Surgery
SN - 0022-5223
IS - 2
ER -