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An overview of randomized trials of rehabilitation with exercise after myocardial infarction.
The observed 20% reduction in overall mortality reflects a decreased risk of cardiovascular mortality and fatal reinfarction throughout at least 3 years and a reduction in sudden death during the 1st year after infarction and possibly for 2-3 years.
ACC/AHA guidelines for coronary artery bypass graft surgery
Meta-Analysis Comparing the Effectiveness and Adverse Outcomes of Antifibrinolytic Agents in Cardiac Surgery
A meta-analysis to compare aprotinin, ϵ-aminocaproic acid, and tranexamic acid with placebo and head to head on 8 clinical outcomes found all antifibrinolytic agents were effective in reducing blood loss and transfusion.
Cancer: improving early detection and prevention. A community practice randomised trial.
Community practices assisted by a facilitator in the development and implementation of an office system can substantially improve provision of cancer early detection and preventive services.
ACC/AHA guidelines for coronary artery bypass graft surgery: executive summary and recommendations : A report of the American College of Cardiology/American Heart Association Task Force on Practice…
These revised guidelines are based on a computerized search of the English literature since 1989, a manual search of final articles, and expert opinion and describe the most consistent predictors of mortality after coronary artery surgery.
Mediastinitis and long-term survival after coronary artery bypass graft surgery.
Lowest hematocrit on bypass and adverse outcomes associated with coronary artery bypass grafting. Northern New England Cardiovascular Disease Study Group.
Predicting vascular complications in percutaneous coronary interventions.
Reexploration for hemorrhage following coronary artery bypass grafting: incidence and risk factors. Northern New England Cardiovascular Disease Study Group.
Hemorrhage requiring reexploration after CABG is associated with markedly increased mortality and length of stay, and patients predicted to have increased risks of bleeding may benefit from prophylactic use of aprotinin, aminocaproic acid, or other agents shown to reduce hemorrhage.
Study Designs for PDSA Quality Improvement Research
The rigor of a PDSA quality improvement study design is strengthened using replication schemes and research methodology to address extraneous factors that weaken validity of observational studies.