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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Related Experiment Video

Updated: Sep 11, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Using Vizient database for benchmarking pulmonary resection outcomes.

Anuj Shah1,2, Duc T Nguyen3, Swetha Mulpur4

  • 1Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TX, USA.

Journal of Thoracic Disease
|August 14, 2025
PubMed
Summary
This summary is machine-generated.

The Vizient database effectively benchmarks pulmonary resection outcomes, offering superior insights compared to the Society of Thoracic Surgeons General Thoracic Surgical Database (GTSD) for improving patient care.

Keywords:
Pulmonary resectionSociety of Thoracic Surgeon DatabaseVizient databaselobectomyquality outcomes

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Area of Science:

  • Thoracic Surgery
  • Health Services Research
  • Quality Improvement

Background:

  • Benchmarking pulmonary resection outcomes is crucial for hospital performance evaluation and patient care enhancement.
  • Existing databases like the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) and the Society of Thoracic Surgeons General Thoracic Surgical Database (GTSD) have limitations.
  • The Vizient database's utility for benchmarking lung resection outcomes requires investigation.

Purpose of the Study:

  • To evaluate the Vizient database's capability in benchmarking pulmonary resection outcomes.
  • To compare the benchmarking performance of the Vizient dashboard against the GTSD.
  • To determine if Vizient data accurately captures all pulmonary resections and measures patient risk factors.

Main Methods:

  • Retrospective cohort analysis of 184 pulmonary resection cases at a single institution.
  • Comparison of data between the Vizient dashboard and the GTSD.
  • Assessment of capture rates for pulmonary resections within the Vizient dashboard.
  • Analysis of risk factor measurement accuracy in the Vizient dashboard.

Main Results:

  • All 184 pulmonary resections were identified in the Vizient dashboard.
  • Key factors influencing length of stay (LOS) and mortality included congestive heart failure, pulmonary hypertension, anatomical resection, age, gender, and forced expiratory volume in 1 second (FEV1).
  • The Vizient dashboard indicated outcomes better than 95% of similar institutions, while GTSD showed similarity to 89% of programs.

Conclusions:

  • The Vizient dashboard offers a valid method for measuring pulmonary resection outcomes.
  • Vizient provides superior benchmarking data compared to the GTSD.
  • Vizient dashboards can be leveraged to enhance surgical outcomes in pulmonary resection.