Individual Surgeon's Impact on the Risk of Re-exploration for Excessive Bleeding After Coronary Artery Bypass Surgery

Meta-analysis of the Sources of Bleeding after Adult Cardiac Surgery

“…Eighteen studies including 2455 patients 5,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] fulfilled the pre-specified selection criteria and were included in this analysis ( Fig. 1).…”

“…3 A significant variability of severe blood loss and re-exploration for bleeding has been observed at institutional 4 and individual surgeon's level. 5,6 These observations suggest that perioperative bleeding may be related to differences in surgical skills and in the management of perioperative bleeding. Since a number of reoperations are secondary to technical factors, 7 there is a need to estimate the proportion and types of surgical sites of bleeding as a means to reduce such a severe complication.…”

Outcome of Jehovah's Witnesses after adult cardiac surgery: systematic review and meta‐analysis of comparative studies

“…Meticulous surgical technique and hemostasis are key issues in avoiding excessive intra‐ and postoperative blood loss. In fact, a number of studies demonstrated that surgical sources of bleeding are the main reasons for reexploration and the individual surgeon has a major impact in avoiding significant blood loss . In this regard, it is worth noting that intraoperative optimization of coagulation and meticulous surgical technique might have significantly contributed to the lower rate of reoperation for bleeding among JWs.…”

“…In fact, a number of studies demonstrated that surgical sources of bleeding are the main reasons for reexploration and the individual surgeon has a major impact in avoiding significant blood loss. 16,17 In this regard, it is worth noting that intraoperative optimization of coagulation and meticulous surgical technique might have significantly contributed to the lower rate of reoperation for bleeding among JWs. Such a low rate of resternotomy observed among JWs should be viewed in light of a lower threshold for reoperation in these patients.…”

Bleeding risk assessment in patients undergoing elective cardiac surgery using ROTEM®platelet and Multiplate®impedance aggregometry

“…If drainage over 24 h‐exceeded the 75th percentile of the whole study population, patients were characterised as ‘excessively bleeding’. A similar definition has already been described in the literature . Data were analysed for normal distribution using a D'Agostino and Pearson omnibus normality test.…”