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Your search keyword '"Lasa, Javier J."' showing total 19 results
Start Over Author "Lasa, Javier J." Journal pediatric critical care medicine
19 results on '"Lasa, Javier J."'

1. Cardiac Surgery-Associated Acute Kidney Injury in Neonates Undergoing the Norwood Operation: Retrospective Analysis of the Multicenter Neonatal and Pediatric Heart and Renal Outcomes Network Dataset, 2015–2018

Author

Bertrandt, Rebecca A., Gist, Katja, Hasson, Denise, Zang, Huaiyu, Reichle, Garrett, Krawczeski, Catherine, Winlaw, David, Bailly, David, Goldstein, Stuart, Selewski, David, Alten, Jeffrey, Brandewie, Katie L., Diddle, John W., Ghbeis, Muhammad, Mah, Kenneth E., Neumayr, Tara M., Raymond, Tia T., Prodhan, Parthak, Garcia, Xiomara, Ramer, Shannon, Albertson, Mindy, Cooper, David, Rodriquez, Zahidee, Lukacs, Mary, Gaies, Michael, Sammons, Amanda, Sanchez de Toledo, Joan, Domnina, Yuliya A., Saenz, Lucas, Baust, Tracy, Kluck, Jane, Koch, Joshua D., Sasaki, Jun, Raees, Aanish, Afonso, Natasha S., O’Neal, Erika R., Lasa, Javier J., Phillips, Patrick A., Hock, Kristal, Borasino, Santiago, Kwiatkowski, David M., Blinder, Joshua, Valentine, Kevin M., Tadphale, Sachin D., Buckley, Jason R., Clarke, Shanelle A., Zhang, Wenying, Smith, Andrew, Absi, Mohammed, and Askenazi, David J.

Published
2024
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4. Variation in Adjusted Mortality for Medical Admissions to Pediatric Cardiac ICUs*

Author

Gaies, Michael, Ghanayem, Nancy S, Alten, Jeffrey A, Costello, John M, Lasa, Javier J, Chanani, Nikhil K, Shin, Andrew Y, Retzloff, Lauren, Zhang, Wenying, Pasquali, Sara K, Banerjee, Mousumi, and Tabbutt, Sarah

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Health Sciences, Heart Disease, Patient Safety, Cardiovascular, Pediatric, Management of diseases and conditions, 7.3 Management and decision making, Good Health and Well Being, Age Factors, Child, Preschool, Comorbidity, Diagnosis-Related Groups, Extracorporeal Membrane Oxygenation, Female, Heart Diseases, Hospital Mortality, Humans, Infant, Infant, Newborn, Intensive Care Units, Pediatric, Logistic Models, Male, Quality of Health Care, Reflex, Pupillary, Respiration, Artificial, Risk Factors, Thinness, cardiac, critical care, mortality, outcomes, pediatric, quality of care, Nursing, Paediatrics and Reproductive Medicine, Pediatrics, Clinical sciences, Paediatrics
Abstract

ObjectivesPediatric cardiac ICUs should be adept at treating both critical medical and surgical conditions for patients with cardiac disease. There are no case-mix adjusted quality metrics specific to medical cardiac ICU admissions. We aimed to measure case-mix adjusted cardiac ICU medical mortality rates and assess variation across cardiac ICUs in the Pediatric Cardiac Critical Care Consortium.DesignObservational analysis.SettingPediatric Cardiac Critical Care Consortium clinical registry.PatientsAll cardiac ICU admissions that did not include cardiac surgery.InterventionsNone.Measurements and main resultsThe primary endpoint was cardiac ICU mortality. Based on multivariable logistic regression accounting for clustering, we created a case-mix adjusted model using variables present at cardiac ICU admission. Bootstrap resampling (1,000 samples) was used for model validation. We calculated a standardized mortality ratio for each cardiac ICU based on observed-to-expected mortality from the fitted model. A cardiac ICU was considered a statistically significant outlier if the 95% CI around the standardized mortality ratio did not cross 1. Of 11,042 consecutive medical admissions from 25 cardiac ICUs (August 2014 to May 2017), the observed mortality rate was 4.3% (n = 479). Final model covariates included age, underweight, prior surgery, time of and reason for cardiac ICU admission, high-risk medical diagnosis or comorbidity, mechanical ventilation or extracorporeal membrane oxygenation at admission, and pupillary reflex. The C-statistic for the validated model was 0.87, and it was well calibrated. Expected mortality ranged from 2.6% to 8.3%, reflecting important case-mix variation. Standardized mortality ratios ranged from 0.5 to 1.7 across cardiac ICUs. Three cardiac ICUs were outliers; two had lower-than-expected (standardized mortality ratio 1) mortality.ConclusionsWe measured case-mix adjusted mortality for cardiac ICU patients with critical medical conditions, and provide the first report of variation in this quality metric within this patient population across Pediatric Cardiac Critical Care Consortium cardiac ICUs. This metric will be used by Pediatric Cardiac Critical Care Consortium cardiac ICUs to assess and improve outcomes by identifying high-performing (low-mortality) centers and engaging in collaborative learning.

Published
2019

9. Cardiopulmonary Resuscitation in the Pediatric Cardiac Catheterization Laboratory: A Report From the American Heart Association’s Get With the Guidelines-Resuscitation Registry*

Author

Lasa, Javier J., Alali, Alexander, Minard, Charles G., Parekh, Dhaval, Kutty, Shelby, Gaies, Michael, Raymond, Tia T., Guerguerian, Anne-Marie, Atkins, Dianne, Foglia, Elizabeth, Fink, Ericka, Roberts, Joan, Duval-Arnould, Jordan, Bembea, Melanie, Kleinman, Monica, Gupta, Punkaj, Sutton, Robert, and Sawyer, Taylor

Published
2019
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10. The authors reply

Author

Achuff, Barbara-Jo, Moffett, Brady S., Acosta, Sebastian, Lasa, Javier J., Checchia, Paul A., and Rusin, Craig G.

Published
2019
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