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| The Monthly Pulse |
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| Heart bypass surgery may be best treatment after heart attack for some older adults
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| The Story |
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| A recent study published in the Journal of the American Geriatrics Society shows that adults aged 65 and older who received coronary artery bypass experienced better long-term outcomes than their peers who received a stent. Improvements were seen across a number of key areas, including second heart attack, stroke, death from any cause, and rehospitalization. |
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| What You Should Know |
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| Inserting a stent is often the preferred treatment for acute coronary syndrome in older adults due to its shorter recovery time. Yet, these recent findings suggest coronary artery bypass shouldn’t be ruled out for the 65-and-older population. Although there were no statistically significant differences between the two groups one year after treatment, the bypass group’s outcomes improved over time, including far fewer days spent in the hospital. Discussing these benefits with senior patients may help them make informed treatment decisions that could help to support long-term quality of life.
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| An Important Shift May Be Happening in CT Surgery |
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| The Story |
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| Current membership for the Society of Thoracic Surgeons (STS) is just 6% female, but the society says that’s about to change. According to research from STS and other cardiothoracic surgery societies, the proportion of female trainees has grown in recent decades and was at an all-time high of 26% in 2020. |
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| What You Should Know |
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| In 1976, the STS membership survey didn’t even include a question on sex. Now, the influx of female trainees suggests the field will become increasingly populated by women. Research indicates perceived barriers for women in cardiothoracic surgery include lifestyle factors and lack of mentorship opportunities, as well as implicit and explicit bias. Addressing these challenges could help healthcare organizations attract and retain a more gender inclusive workforce.
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| Early home discharge after robot-assisted CABG |
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| The Story |
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| Robot-assisted coronary bypass surgery is a less-invasive alternative to conventional surgery. A recent study published in Interactive CardioVascular and Thoracic Surgery assessed several patient outcomes to determine whether the robot-assisted procedure delivered more benefits than the traditional approach. |
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| What You Should Know |
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| According to the research, which spanned October 2016 to July 2019, early discharges were more frequent in patients who received robot-assisted CABG compared to conventional procedures. Patients in the robot-assisted group were discharged two days earlier (five versus seven days), with no major differences in health-related quality of life. With shorter hospital stays, the robotic approach may be an attractive option to reduce the use of healthcare resources.
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| Leadership Reflections |
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Initiative
Adam Grant is an organizational psychologist, bestselling author, and Wharton’s top-rated professor for seven straight years. One of his recent posts led me to reflect on how I respond to problems and the type of problem-solving environment I’m creating for my team. It was simply this:
- Cynicism: We have a problem, but they don’t want to solve it.
- Pessimism: We have a problem, but we can’t solve it.
- Optimism: We have a problem, and we can solve it.
- Responsibility: We have a problem. Can I help solve it?
- Initiative: We have a problem. Here’s how I’m solving it.
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Here are three things Adam suggests we can do to encourage initiative and proactivity:
- Model it - Replace, “That’s the way we’ve always done it,” with, “What if we tried it a different way?”
- Celebrate it - Applaud initiative when you see it to help others recognize and associate it with a positive response.
- Enable it - Invite team members to point out problems even if they don’t have a solution. Criticize yourself out loud, which shows people you’re open to being challenged.
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| If you’ve created an environment that fosters initiative, I’d love to hear what’s worked for you! |
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| Florida Perfusion Society Case Reports in the Sun |
| Fri., July 22 - Sat., July 23 |
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| 2022 STS Structural Heart Symposium |
| Fri., Aug 19 to Sat., Aug 20 |
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| 33rd Annual Cardiovascular Interventions |
| Tues., Oct 25 to Fri., Oct 28 |
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| 2022 Advances in Quality & Outcomes: A Data Managers Meeting |
| Wed., Oct 26 - Fri., Oct 28 |
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