The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care
We conducted a thorough literature review on the emerging role of failure to rescue (FTR) as a quality metric for cardiovascular surgery and critical care. For this purpose, we identified all original research studies assessing the implementation of FTR in cardiovascular surgery and critical care fr...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/14/4876 |
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| author | Dimitrios E. Magouliotis Andrew Xanthopoulos Prokopis-Andreas Zotos Arian Arjomandi Rad Evangelos Tatsios Metaxia Bareka Alexandros Briasoulis Filippos Triposkiadis John Skoularigis Thanos Athanasiou |
| author_facet | Dimitrios E. Magouliotis Andrew Xanthopoulos Prokopis-Andreas Zotos Arian Arjomandi Rad Evangelos Tatsios Metaxia Bareka Alexandros Briasoulis Filippos Triposkiadis John Skoularigis Thanos Athanasiou |
| author_sort | Dimitrios E. Magouliotis |
| collection | DOAJ |
| description | We conducted a thorough literature review on the emerging role of failure to rescue (FTR) as a quality metric for cardiovascular surgery and critical care. For this purpose, we identified all original research studies assessing the implementation of FTR in cardiovascular surgery and critical care from 1992 to 2023. All included studies were evaluated for their quality. Although all studies defined FTR as mortality after a surgical complication, a high heterogeneity has been reported among studies regarding the included complications. There are certain factors that affect the FTR, divided into hospital- and patient-related factors. The identification of these factors allowed us to build a stepwise roadmap to reduce the FTR rate. Recently, FTR has further evolved as a metric to assess morbidity instead of mortality, while being also evaluated in the context of interventional cardiology. All these advances are further discussed in the current review, thus providing all the necessary information to surgeons, anesthesiologists, and physicians willing to implement FTR as a metric of quality in their establishment. |
| first_indexed | 2024-03-11T00:57:27Z |
| format | Article |
| id | doaj.art-21bf0e482f524455b58eb474d547e8b1 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T00:57:27Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-21bf0e482f524455b58eb474d547e8b12023-11-18T19:55:18ZengMDPI AGJournal of Clinical Medicine2077-03832023-07-011214487610.3390/jcm12144876The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical CareDimitrios E. Magouliotis0Andrew Xanthopoulos1Prokopis-Andreas Zotos2Arian Arjomandi Rad3Evangelos Tatsios4Metaxia Bareka5Alexandros Briasoulis6Filippos Triposkiadis7John Skoularigis8Thanos Athanasiou9Unit of Quality Improvement, Department of Cardiothoracic Surgery, University of Thessaly, Biopolis, 41110 Larissa, GreeceDepartment of Cardiology, University of Thessaly, Biopolis, 41110 Larissa, GreeceDepartment of Cardiothoracic Surgery, University of Thessaly, Biopolis, 41110 Larissa, GreeceDepartment of Surgery and Cancer, Imperial College London, St Mary’s Hospital, London W2 1NY, UKDepartment of Cardiothoracic Surgery, University of Thessaly, Biopolis, 41110 Larissa, GreeceDepartment of Anesthesiology, University of Thessaly, Biopolis, 41110 Larissa, GreeceDepartment of Therapeutics, Faculty of Medicine, National and Kapodistrian University of Athens, 10679 Athens, GreeceDepartment of Cardiology, University of Thessaly, Biopolis, 41110 Larissa, GreeceDepartment of Cardiology, University of Thessaly, Biopolis, 41110 Larissa, GreeceDepartment of Surgery and Cancer, Imperial College London, St Mary’s Hospital, London W2 1NY, UKWe conducted a thorough literature review on the emerging role of failure to rescue (FTR) as a quality metric for cardiovascular surgery and critical care. For this purpose, we identified all original research studies assessing the implementation of FTR in cardiovascular surgery and critical care from 1992 to 2023. All included studies were evaluated for their quality. Although all studies defined FTR as mortality after a surgical complication, a high heterogeneity has been reported among studies regarding the included complications. There are certain factors that affect the FTR, divided into hospital- and patient-related factors. The identification of these factors allowed us to build a stepwise roadmap to reduce the FTR rate. Recently, FTR has further evolved as a metric to assess morbidity instead of mortality, while being also evaluated in the context of interventional cardiology. All these advances are further discussed in the current review, thus providing all the necessary information to surgeons, anesthesiologists, and physicians willing to implement FTR as a metric of quality in their establishment.https://www.mdpi.com/2077-0383/12/14/4876failure to rescueFTRcardiac surgerycardiologycardiovascularmortality |
| spellingShingle | Dimitrios E. Magouliotis Andrew Xanthopoulos Prokopis-Andreas Zotos Arian Arjomandi Rad Evangelos Tatsios Metaxia Bareka Alexandros Briasoulis Filippos Triposkiadis John Skoularigis Thanos Athanasiou The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care Journal of Clinical Medicine failure to rescue FTR cardiac surgery cardiology cardiovascular mortality |
| title | The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care |
| title_full | The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care |
| title_fullStr | The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care |
| title_full_unstemmed | The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care |
| title_short | The Emerging Role of “Failure to Rescue” as the Primary Quality Metric for Cardiovascular Surgery and Critical Care |
| title_sort | emerging role of failure to rescue as the primary quality metric for cardiovascular surgery and critical care |
| topic | failure to rescue FTR cardiac surgery cardiology cardiovascular mortality |
| url | https://www.mdpi.com/2077-0383/12/14/4876 |
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