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| The Monthly Pulse |
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| Institution-specific machine learning model can predict cardiac patient's mortality risk prior to surgery
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| The Story |
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| Data science specialists and cardiovascular surgeons from The Mount Sinai Hospital recently teamed up to form a patient- and hospital-specific machine learning model to predict postsurgical mortality for cardiovascular patients. The model draws on specific data sets including health characteristics, socioeconomic factors, and demographics. Historically, the STS risk scores have been considered the gold standard for assessing procedural risks. |
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| What You Should Know |
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| As data science and medicine become more interwoven, predictive machine learning models can empower surgeons to develop a much more individualized risk for their patients prior to complex procedures. While population-derived models such as the STS risk scores continue to be useful, the machine learning model created by The Mount Sinai team showed greater accuracy and prediction performance. As these and other technologies are refined and deployed more broadly, the medical community will be able to leverage a new set of tools to drive better patient outcomes.
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| Routinely Removed Organ Linked to Increased Mortality, Cancer Risk
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| The Story |
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| According to a landmark study published in the New England Journal of Medicine, adults who have undergone thymectomy had a significantly increased risk of all-cause mortality and cancer. The risk was at least double for both cancer and all-cause mortality at five years post-surgery compared to patients who received cardiothoracic surgery without thymectomy. Rates were also higher compared to the general population.
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| What You Should Know |
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| Incidental thymectomy is commonly performed during cardiothoracic surgery to enable access to the surgical field. While the thymus is known to play an important role in immune system development, it had been considered safe to remove during adulthood. Recent studies have shown that the thymus continues producing T lymphocytes, however, and this study supports the notion that removal of the organ could have dangerous unintended effects. As such, preservation of the thymus should be prioritized when possible.
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| Abbott pulls Trifecta heart valves off the market due to early deterioration |
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| The Story |
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| In February 2023, the FDA warned healthcare providers about the potential risk of early structural valve deterioration (SVD) in Abbott’s Trifecta valves. Now, Abbott has announced their decision to cease sales and distribution of the aortic surgical heart valve. The FDA and the manufacturer are working together to perform risk evaluations for patients who have already had the device implanted. |
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| What You Should Know |
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| Abbott’s Trifecta valve features a unique externally mounted leaflet design, which may in part be the cause of its premature lifespan compared to other heart valves. The FDA defines early deterioration as five years or less. In reports, it appears SVD peaks at three to four years following the implant. Physicians who have used the Trifecta valve should instruct patients to watch for symptoms such as shortness of breath or fatigue and continue to monitor affected populations.
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| Leadership Reflections |
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Servant Leadership - Taylor Swift Style
I had the privilege of taking my daughter to a Taylor Swift Eras Tour concert and didn’t expect to come away with a leadership reflection. But I couldn’t help but consider the many ways in which Taylor does a beautiful job modeling servant leadership, which is all about empowering others on your team so they can perform to their highest potential.
Work Ethic
Taylor has a prolific collection of work for her age, including songwriting, performing, music videos, short film, acting, directing, and so forth. When many were slowing down during COVID in 2020-21, Taylor wrote and released two new albums as well as two re-recorded albums. Her Eras Tour includes 146 shows across five continents encompassing a set list of 44 songs divided into 10 acts that runs for more than three hours.
Vulnerability
Much of Taylor’s content comes from her own life experiences. Her willingness to be vulnerable endears her to her audience and allows them to connect personally and deeply with her music.
Care for Her Team
Taylor plays two unique songs during each Eras Tour show. They are done acoustically and by her alone. This allows her team to have a much needed break during the 3+ hour set. It also doesn’t require them to prepare two new songs for every show.
Challenging Herself Professionally
In her Los Angeles series of six performances in a week, Taylor played twelve unique songs that she likely has not performed publicly in years. That is self-induced pressure which I am quite certain I would not have the courage to endure. While not necessarily an element of servant leadership, it certainly can inspire others to take calculated risks and push beyond their comfort zones.
Generosity
Taylor has been giving generously to various charities and individual needs for many years. Most recently, she shared more than $55 million with her Eras Tour crew of truck drivers, dancers, riggers, sound technicians, catering staff, and more.
Whether or not you’re a Swiftie yourself, it’s clear that Taylor’s commitment to prioritizing the wants and needs of her fans and crews has paid off. I hope, like me, you can be inspired to follow Taylor’s lead and think about the ways we can model these servant leader traits in our own leadership roles.
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| Upcoming Events |
CT Assist will be sponsoring/exhibiting at the Advanced Practice Provider Leadership Summit (APPex) and OR Manager Conference. If you're attending please stop by our table in the exhibit hall, we'd love to see you! |
| Advanced Practice Provider Leadership Summit (APPex) |
| Fri. Sept. 15 - Sat., Sept. 16 |
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| OR Manager Conference |
| Mon., Sept. 18 - Wed., Sept. 20 |
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| STS Advocacy Conference |
| Tues., Oct 17 - Wed., Oct 18 |
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| 3rd Annual Philadelphia CardioVascular Congress |
| Thurs., Oct. 19 - Fri., Oct. 20 |
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| 25th Annual Update on Perfusion Conference |
| Thurs., Oct. 26 - Sat., Oct. 28 |
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| 34th Annual Cardiovascular Interventions |
| Tues., Nov. 7 - Fri., Nov 10 |
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