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J Thorac Cardiovasc Surg 2009;138:253-254
© 2009 The American Association for Thoracic Surgery

Letter to the Editor

Quality improvement program decreases mortality after cardiac surgery

Fernando A. Atik, MD

Instituto de Cardiologia do Distrito Federal, Fundação Universitária de Cardiologia, Brasilia, Brazil

The first 20% of the full text of this article appears below.

To the Editor:

We read with interest the article by Stamou and colleagues,1Go who showed that a quality improvement program decreased mortality after cardiac surgery in a large cohort, using a risk-adjusted methodology. Most importantly, outcomes improved mostly due to fewer cardiac-related deaths. Moreover, there was a lower relative decline in mortality among patients with diabetes than among those without diabetes, indicating the influence of patient individual factors on outcomes. Finally, they conclude that future quality improvement programs should focus on high-risk patients, which they misclassified as . . . [Full Text of this Article]


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Reply to the Editor
Sotiris C. Stamou and Kevin W. Lobdell
J. Thorac. Cardiovasc. Surg. 2009 138: 254-255. [Extract] [Full Text] [PDF]

Quality improvement program decreases mortality after cardiac surgery
Sotiris C. Stamou, Sara L. Camp, Robert M. Stiegel, Mark K. Reames, Eric Skipper, Larry T. Watts, Marcy Nussbaum, Francis Robicsek, and Kevin W. Lobdell
J. Thorac. Cardiovasc. Surg. 2008 136: 494-499. [Abstract] [Full Text] [PDF]





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