Annals Animated (September 2024)

This Society of Thoracic Surgeons Database analysis compares outcomes of patients from the STS Adult Cardiac Surgery Database who received operating room extubation (ORE) after cardiac surgery to those who received fast-track extubation (FTE) within 6 hours after surgery. The authors of this analysis examine patients who underwent nonemergent cardiac procedures with the STS risk models between July 2017 and December 2022. Risk-adjusted outcomes - including operative mortality, prolonged length of stay, composite reoperation for bleeding and reintubation, and composite morbidity and mortality - of ORE and FTE were compared by observed-to-expected ratios with 95% CIs aggregated over all procedure types, and ORE vs FTE adjusted odds ratios (ORs) specific to each procedure type using multivariable logistic regression. The authors conclude that ORE was associated with statistically similar or better results across each of the 4 studied outcomes and that mortality rates were significantly lower in ORE patients undergoing coronary artery bypass grafting, aortic valve replacement, and mitral valve replacement.
Read the accompanying article in The Annals of Thoracic Surgery: www.annalsthor...