Advertisement
ADULT – Commentary|Articles in Press

Commentary: Time to Move Beyond the Operating Room

Published:January 25, 2023DOI:https://doi.org/10.1053/j.semtcvs.2022.11.010
      Discharge to skilled nursing facilities is increasingly common after coronary artery bypass grafting. However, patient outcomes are influenced by the quality of care delivered in such facilities.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Seminars in Thoracic and Cardiovascular Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Engelman DT
        • Ben Ali W
        • Williams JB
        • et al.
        Guidelines for perioperative care in cardiac surgery: Enhanced recovery after surgery society recommendations.
        JAMA Surg. 2019; 154: 755-766
        • Rocha RV
        • Wang X
        • Fremes SE
        • et al.
        Variations in coronary revascularization practices and their effect on long-term outcomes.
        J Am Heart Assoc. 2022; 11e022770
        • Thompson MP
        • Yost ML
        • Syrjamaki JD
        • et al.
        Sources of hospital variation in postacute care spending after cardiac surgery.
        Circ Cardiovasc Qual Outcomes. 2020; 13e006449
        • Stewart J
        • Hou H
        • Wang Y
        • et al.
        Skilled nursing facility quality rating and surgical outcomes following coronary artery bypass grafting.
        Semin Thorac Cardiovasc Surg. 2022; 17 (Online ahead of print.)https://doi.org/10.1053/j.semtcvs.2022.11.007
        • Dimick J
        • Ruhter J
        • Sarrazin MV
        • et al.
        Black patients more likely than whites to undergo surgery at low-quality hospitals in segregated regions.
        Health Aff. 2013; 32: 1046-1053
      1. Five-Star Quality Rating System. Accessed November 20, 2022. Available at:https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/fsqrs

        • Tam DY
        • Fremes SE
        Commentary: Who benefits from public reporting of outcomes in coronary surgery?.
        J Thorac Cardiovasc Surg. Published online February 2, 2022; https://doi.org/10.1016/j.jtcvs.2022.01.041

      Linked Article

      • Skilled Nursing Facility Quality Rating and Surgical Outcomes Following Coronary Artery Bypass Grafting
        Seminars in Thoracic and Cardiovascular Surgery
        • Preview
          Centers for Medicare and Medicaid Services created a 5-star quality rating system to evaluate skilled nursing facilities (SNFs). Patient discharge to lower-star quality SNFs has been shown to adversely impact surgical outcomes. Recent data has shown that over 20% of patients are discharged to an SNF after CABG, but the link between SNF quality and CABG outcomes has not been established. The purpose of this study is to evaluate the impact of SNF quality ratings on postoperative outcomes after CABG.
        • Full-Text
        • PDF