Racial and Ethnic Variation in ECMO Utilization and Outcomes in Pediatric Cardiac ICU Patients
Brunetti MA, Griffis HM, O'Byrne ML, Glatz AC, Huang J, Schumacher KR, Bailly DK, Domnina Y, Lasa JJ, Moga MA, Zaccagni H, Simsic JM and Gaynor JW
Previous studies have reported racial disparities in extracorporeal membrane oxygenation (ECMO) utilization in pediatric cardiac patients.
Sustained Performance of Cardiac Arrest Prevention in Pediatric Cardiac Intensive Care Units
Mueller D, Bailly DK, Banerjee M, Bertrandt RA, Borasino S, Briceno-Medina M, Chan T, Diddle JW, Domnina Y, Clarke-Myers K, Connelly C, Florez A, Gaies M, Garza J, Ghassemzadeh R, Lane J, McCammond AN, Olive MK, Ortmann L, Prodhan P, Raymond TT, Sasaki J, Scahill C, Schroeder LW, Schumacher KR, Werho DK, Zhang W, Alten J and
The Pediatric Cardiac Critical Care Consortium (PC4) cardiac arrest prevention (CAP) quality improvement (QI) project facilitated a decreased in-hospital cardiac arrest (IHCA) incidence rate across multiple hospitals. The sustainability of this outcome has not been determined.
Hospital variation in post-operative cardiac extracorporeal membrane oxygenation use and relationship to post-operative mortality
Brunetti MA, Gaynor JW, Zhang W, Banerjee M, Domnina YA and Gaies M
It is unclear how extracorporeal membrane oxygenation use varies across paediatric cardiac surgical programmes and how it relates to post-operative mortality. We aimed to determine hospital-level variation in post-operative extracorporeal membrane oxygenation use and its association with case-mix adjusted mortality.
Practice variation in therapeutic hypothermia for hypoxic ischemic encephalopathy among neonates with congenital heart disease in the United States
Chawla V, Peluso AM, Ball MK, Tabbutt S, Bailly DK, Mueller D, Rao R, Levy PT and
Best practice peri-extubation bundle reduces neonatal and infant extubation failure after cardiac surgery
Todd Tzanetos D, Bassi H, Furlong-Dillard J, Mastropietro C, Olive M, Klugman D and Werho D
Extubation failure after neonatal cardiac surgery is associated with increased intensive care unit length of stay, morbidity, and mortality. We performed a quality improvement project to create and implement a peri-extubation bundle, including extubation readiness testing, spontaneous breathing trial, and high-risk criteria identification, using best practices at high-performing centers to decrease neonatal and infant extubation failure by 20% from a baseline of 15.7% to 12.6% over a 2-year period.
