18 Rotational atherectomy in the modern cardiac catheterisation laboratory patient demographics, procedural characteristics and clinical outcomes

2018 ◽  
Author(s):  
JJ Coughlan ◽  
S Arnous ◽  
T Kiernan
Keyword(s):  
Clinical Outcomes ◽  
Cardiac Catheterisation ◽  
Rotational Atherectomy ◽  
Patient Demographics ◽  
Catheterisation Laboratory

ID: 3526477 BILATERAL BILIARY DRAINAGE FOR MALIGNANT HILAR OBSTRUCTION USING UNCOVERED METAL STENTS: PATIENT DEMOGRAPHICS AND PREDICTORS OF CLINICAL OUTCOMES

2021 ◽  
Vol 93 (6) ◽  
pp. AB124
Author(s):  
Divya M. Chalikonda ◽  
Muhammad H. Bashir ◽  
Ian Holmes ◽  
Shuji Mitsuhashi ◽  
Anand Kumar ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Biliary Drainage ◽  
Metal Stents ◽  
Patient Demographics ◽  
Malignant Hilar Obstruction

Mechanical thrombectomy for anterior circulation stroke: 5-year experience in a statewide service with differences in pretreatment time metrics across two hospitals sites

2016 ◽  
Vol 9 (6) ◽  
pp. 535-540 ◽  
Author(s):  
Ruchi Kabra ◽  
Timothy J Phillips ◽  
Jacqui-Lyn Saw ◽  
Constantine C Phatouros ◽  
Tejinder P Singh ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Clinical Outcomes ◽  
Mechanical Thrombectomy ◽  
Stroke Onset ◽  
Anterior Circulation ◽  
Stroke Treatment ◽  
Patient Demographics ◽  
Organizational Differences ◽  
Tertiary Hospitals ◽  
Pretreatment Time

ObjectiveTo audit our institutional mechanical thrombectomy (MT) outcomes for acute anterior circulation stroke and examine the influence of workflow time metrics on patient outcomes.MethodsA database of 100 MT cases was maintained throughout May 2010—February 2015 as part of a statewide service provided across two tertiary hospitals (H1 and H2). Patient demographics, stroke and procedural details, blinded angiographic outcomes, and 90-day modified Rankin Scale (mRS) scores were recorded. The following time points in stroke treatment were recorded: stroke onset, hospital presentation, CT imaging, arteriotomy, and recanalization. Statistical analysis of outcomes, predictors of outcome, and differences between the hospitals was carried out.ResultsThrombolysis in Cerebral Infarction (TICI) 2b/3 reperfusion was 79%. Forty-nine per cent of patients had good clinical outcomes (mRS 0–2). In a subgroup analysis of 76 patients with premorbid mRS 0–1 and first CT performed ≤4.5 h after stroke onset, 60% had good clinical outcomes. Patient and disease characteristics were matched between the two hospitals. H1 had shorter times between hospital presentation and CT (32 vs 55 min, p=0.01), CT and arteriotomy (33 vs 69 min, p=0.00), and stroke onset and recanalization (198 vs 260 min, p=0.00). These time metrics independently predicted good clinical outcome. Median days spent at home in the first 90 days was greater at H1 (61 vs 8, p=0.04) than at H2. A greater proportion of patients treated at H1 were independent (mRS 0–2) at 90 days (54% vs 42%); however, this was not statistically significant (p=0.22).ConclusionsOutcomes similar to randomized controlled trials are attainable in ‘real-world’ settings. Workflow time metrics were independent predictors of clinical outcome, and differed between the two hospitals owing to site-specific organizational differences.

Coronary Intravascular Lithotripsy Versus Rotational Atherectomy in an Asian Population: Clinical Outcomes in Real-World Patients

2022 ◽  
Vol 52 ◽  
Author(s):  
Jie Jun Wong ◽  
Sridharan Umapathy ◽  
Yann Shan Keh ◽  
Yee How Lau ◽  
Jonathan Yap ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Real World ◽  
Asian Population ◽  
Rotational Atherectomy

Monitoring the health of the work environment with a daily assessment tool: the REAL – Relative Environment Assessment Lens – indicator

2015 ◽  
Vol 26 (6) ◽  
pp. 1082-1089 ◽  
Author(s):  
Karen E. Hinsley ◽  
Audrey C. Marshall ◽  
Michelle H. Hurtig ◽  
Jason M. Thornton ◽  
Cheryl A. O’Connell ◽  
...  
Keyword(s):  
Work Environment ◽  
Operating Room ◽  
Assessment Tool ◽  
Time Frame ◽  
Cardiac Catheterisation ◽  
Face Validity ◽  
Great Good ◽  
The Real ◽  
Environment Assessment ◽  
Catheterisation Laboratory

AbstractBackgroundEvidence shows that the health of the work environment impacts staff satisfaction, interdisciplinary communication, and patient outcomes. Utilising the American Association of Critical-Care Nurses’ Healthy Work Environment standards, we developed a daily assessment tool.MethodsThe Relative Environment Assessment Lens (REAL) Indicator was developed using a consensus-based method to evaluate the health of the work environment and to identify opportunities for improvement from the front-line staff. A visual scale using images that resemble emoticons was linked with a written description of feelings about their work environment that day, with the highest number corresponding to the most positive experience. Face validity was established by seeking staff feedback and goals were set.ResultsOver 10 months, results from the REAL Indicator in the cardiac catheterisation laboratory indicated an overall good work environment. The goal of 80% of the respondents reporting their work environment to be “Great”, “Good”, or “Satisfactory” was met each month. During the same time frame, this goal was met four times in the cardiovascular operating room. On average, 72.7% of cardiovascular operating room respondents reported their work environment to be “Satisfactory” or better.ConclusionThe REAL Indicator has become a valuable tool in assessing the specific issues of the clinical area and identifying opportunities for improvement. Given the feasibility of and positive response to this tool in the cardiac catheterisation laboratory, it has been adopted in other patient-care areas where staff and leaders believe that they need to understand the health of the environment in a more specific and frequent time frame.

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