The operating surgeon is an independent predictor of chest tube drainage following cardiac surgery

Barry Dixon, David A Reid, Marnie Collins, Andrew Newcomb, Alexander Rosalion, Cheng-Hon Yap, John Santamaria, Duncan J Campbell

Research output: Contribution to journalArticleResearchpeer-review

22 Citations (Scopus)

Abstract

Objectives Bleeding into the chest is a major cause of blood transfusion and adverse outcomes following cardiac surgery. The authors investigated predictors of bleeding following cardiac surgery to identify potentially correctable factors. Design Data were retrieved from the medical records of patients undergoing cardiac surgery over the period of 2002 to 2008. Multivariate analysis was used to identify the independent predictors of chest tube drainage. Setting Tertiary hospital. Participants Two thousand five hundred seventy-five patients. Interventions Cardiac surgery. Results The individual operating surgeon was independently associated with the extent of chest tube drainage. Other independent factors included internal mammary artery grafting, cardiopulmonary bypass time, urgency of surgery, tricuspid valve surgery, redo surgery, left ventricular impairment, male gender, lower body mass index and higher preoperative hemoglobin levels. Both a history of diabetes and administration of aprotinin were associated with reduced levels of chest tube drainage. Conclusions The individual operating surgeon was an independent predictor of the extent of chest tube drainage. Attention to surgeon-specific factors offers the possibility of reduced bleeding, fewer transfusions, and improved patient outcomes.
Original languageEnglish
Pages (from-to)242 - 246
Number of pages5
JournalJournal of Cardiothoracic and Vascular Anesthesia
Volume28
Issue number2
DOIs
Publication statusPublished - 2014

Cite this

Dixon, Barry ; Reid, David A ; Collins, Marnie ; Newcomb, Andrew ; Rosalion, Alexander ; Yap, Cheng-Hon ; Santamaria, John ; Campbell, Duncan J. / The operating surgeon is an independent predictor of chest tube drainage following cardiac surgery. In: Journal of Cardiothoracic and Vascular Anesthesia. 2014 ; Vol. 28, No. 2. pp. 242 - 246.
@article{bdae0851018643fea1132c0ad319de48,
title = "The operating surgeon is an independent predictor of chest tube drainage following cardiac surgery",
abstract = "Objectives Bleeding into the chest is a major cause of blood transfusion and adverse outcomes following cardiac surgery. The authors investigated predictors of bleeding following cardiac surgery to identify potentially correctable factors. Design Data were retrieved from the medical records of patients undergoing cardiac surgery over the period of 2002 to 2008. Multivariate analysis was used to identify the independent predictors of chest tube drainage. Setting Tertiary hospital. Participants Two thousand five hundred seventy-five patients. Interventions Cardiac surgery. Results The individual operating surgeon was independently associated with the extent of chest tube drainage. Other independent factors included internal mammary artery grafting, cardiopulmonary bypass time, urgency of surgery, tricuspid valve surgery, redo surgery, left ventricular impairment, male gender, lower body mass index and higher preoperative hemoglobin levels. Both a history of diabetes and administration of aprotinin were associated with reduced levels of chest tube drainage. Conclusions The individual operating surgeon was an independent predictor of the extent of chest tube drainage. Attention to surgeon-specific factors offers the possibility of reduced bleeding, fewer transfusions, and improved patient outcomes.",
author = "Barry Dixon and Reid, {David A} and Marnie Collins and Andrew Newcomb and Alexander Rosalion and Cheng-Hon Yap and John Santamaria and Campbell, {Duncan J}",
year = "2014",
doi = "10.1053/j.jvca.2013.09.010",
language = "English",
volume = "28",
pages = "242 -- 246",
journal = "Journal of Cardiothoracic and Vascular Anesthesia",
issn = "1053-0770",
publisher = "Elsevier",
number = "2",

}

The operating surgeon is an independent predictor of chest tube drainage following cardiac surgery. / Dixon, Barry; Reid, David A; Collins, Marnie; Newcomb, Andrew; Rosalion, Alexander; Yap, Cheng-Hon; Santamaria, John; Campbell, Duncan J.

In: Journal of Cardiothoracic and Vascular Anesthesia, Vol. 28, No. 2, 2014, p. 242 - 246.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - The operating surgeon is an independent predictor of chest tube drainage following cardiac surgery

AU - Dixon, Barry

AU - Reid, David A

AU - Collins, Marnie

AU - Newcomb, Andrew

AU - Rosalion, Alexander

AU - Yap, Cheng-Hon

AU - Santamaria, John

AU - Campbell, Duncan J

PY - 2014

Y1 - 2014

N2 - Objectives Bleeding into the chest is a major cause of blood transfusion and adverse outcomes following cardiac surgery. The authors investigated predictors of bleeding following cardiac surgery to identify potentially correctable factors. Design Data were retrieved from the medical records of patients undergoing cardiac surgery over the period of 2002 to 2008. Multivariate analysis was used to identify the independent predictors of chest tube drainage. Setting Tertiary hospital. Participants Two thousand five hundred seventy-five patients. Interventions Cardiac surgery. Results The individual operating surgeon was independently associated with the extent of chest tube drainage. Other independent factors included internal mammary artery grafting, cardiopulmonary bypass time, urgency of surgery, tricuspid valve surgery, redo surgery, left ventricular impairment, male gender, lower body mass index and higher preoperative hemoglobin levels. Both a history of diabetes and administration of aprotinin were associated with reduced levels of chest tube drainage. Conclusions The individual operating surgeon was an independent predictor of the extent of chest tube drainage. Attention to surgeon-specific factors offers the possibility of reduced bleeding, fewer transfusions, and improved patient outcomes.

AB - Objectives Bleeding into the chest is a major cause of blood transfusion and adverse outcomes following cardiac surgery. The authors investigated predictors of bleeding following cardiac surgery to identify potentially correctable factors. Design Data were retrieved from the medical records of patients undergoing cardiac surgery over the period of 2002 to 2008. Multivariate analysis was used to identify the independent predictors of chest tube drainage. Setting Tertiary hospital. Participants Two thousand five hundred seventy-five patients. Interventions Cardiac surgery. Results The individual operating surgeon was independently associated with the extent of chest tube drainage. Other independent factors included internal mammary artery grafting, cardiopulmonary bypass time, urgency of surgery, tricuspid valve surgery, redo surgery, left ventricular impairment, male gender, lower body mass index and higher preoperative hemoglobin levels. Both a history of diabetes and administration of aprotinin were associated with reduced levels of chest tube drainage. Conclusions The individual operating surgeon was an independent predictor of the extent of chest tube drainage. Attention to surgeon-specific factors offers the possibility of reduced bleeding, fewer transfusions, and improved patient outcomes.

UR - http://www.sciencedirect.com/science/article/pii/S105307701300517X

U2 - 10.1053/j.jvca.2013.09.010

DO - 10.1053/j.jvca.2013.09.010

M3 - Article

VL - 28

SP - 242

EP - 246

JO - Journal of Cardiothoracic and Vascular Anesthesia

JF - Journal of Cardiothoracic and Vascular Anesthesia

SN - 1053-0770

IS - 2

ER -