Kristine M Chaisson

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OBJECTIVES The goal of this study was to assess the concordance between the American College of Cardiology (ACC) and the American Heart Association (AHA) 2004 Guideline Update for Coronary Artery Bypass Graft Surgery and actual clinical practice. BACKGROUND There is substantial geographic variability in the population-based rates of coronary artery bypass(More)
BACKGROUND Of patients undergoing cardiac surgery in the United States, 15% to 20% are re-hospitalized within 30 days. Current models to predict readmission have not evaluated the association between severity of postoperative acute kidney injury (AKI) and 30-day readmissions. METHODS We collected data from 2,209 consecutive patients who underwent either(More)
BACKGROUND Contrast-induced acute kidney injury (CI-AKI) is associated with increased morbidity and mortality after percutaneous coronary interventions and is a patient safety objective of the National Quality Forum. However, no formal quality improvement program to prevent CI-AKI has been conducted. Therefore, we sought to determine whether a 6-year(More)
Approximately 1 in 5 patients undergoing cardiac surgery are readmitted within 30 days of discharge. Among the primary causes of readmission are infection and disease states susceptible to the inflammatory cascade, such as diabetes, chronic obstructive pulmonary disease, and gastrointestinal complications. Currently, it is not known if a patient's baseline(More)
Concord Hospital was able to use an existing electrocardiogram (ECG) data management system to greatly improve efficiency regarding the managing, interpreting, viewing, and reporting of ECGs. By taking advantage of the full capabilities of the current ECG data management system, Tracemaster, we were able to design a workflow process to allow any physician(More)
BACKGROUND Acute kidney injury due to contrast material occurs in 3% to 15% of the 2 million cardiac catheterizations done in the United States each year. OBJECTIVE To reduce acute kidney injury due to contrast material after cardiovascular interventional procedures. METHODS Nurse leaders in the Northern New England Cardiovascular Disease Study Group, a(More)
BACKGROUND Preoperative interventions improve outcomes for patients after coronary artery bypass surgery (CABG). OBJECTIVE To reduce mortality for patients undergoing urgent CABG. METHODS Eight centers implemented preoperative aspirin and statin, preinduction heart rate less than 80/min, hematocrit greater than 30%, blood sugar less than 150 mg/dL (8.3(More)
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