Kevin W Lobdell

Kevin W Lobdell
Atrium Health · Sanger Heart & Vascular Institute

MD

About

154
Publications
18,268
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
2,429
Citations
Citations since 2016
96 Research Items
1810 Citations
20162017201820192020202120220100200300400500
20162017201820192020202120220100200300400500
20162017201820192020202120220100200300400500
20162017201820192020202120220100200300400500
Introduction
Leading CVT transformation with technology and teamwork.
Additional affiliations
December 2018 - present
Society of Thoracic Surgeons
Position
  • Chair
Description
  • WoRD oversees the STS Research Center, including federally funded studies & other STS research grants; promotion of research suitable for the STS; education & guidance for investigators; & development, support & facilitation of clinical trials.
June 2018 - present
Thoracic Surgery Research Foundation
Position
  • Committee Member
Description
  • TSF is the charitable arm of the STS. TSF's mission is to foster the development of surgeon scientists in CT surgery; increasing knowledge and innovation to benefit patient care.
June 2017 - June 2017
Atrium Health
Position
  • Managing Director
Education
December 2005 - November 2007
University of Michigan-Ross School of Business
Field of study
  • Healthcare Management
September 1982 - May 1986
Wayne State University
Field of study
  • Medicine
September 1978 - April 1982
University of Michigan
Field of study
  • Microbiology

Publications

Publications (154)
Article
Full-text available
Early tracheal extubation is a common goal after cardiac surgery. Our study aims to examine whether timing of tracheal extubation predicts improved postoperative outcomes and late survival after cardiac surgery. We also evaluated the optimal timing of extubation and its association with better postoperative outcomes. Between 2002 and 2006, 1164 pat...
Article
Intensive insulin therapy has become a major therapeutic target in cardiac surgery patients. It has been associated, however, with an increased risk of hypoglycemia compared with conventional insulin therapy. Our study sought to identify the factors predisposing to hypoglycemia with intensive insulin therapy and investigate its effect on early clin...
Article
The aim of this study was to investigate how a continuous quality improvement (CQI) program affected major morbidity and postoperative outcomes after cardiac surgery. Patients were divided into 2 groups: those who underwent surgery (coronary artery bypass grafting, isolated valve surgery, or coronary artery bypass grafting and valve surgery) after...
Article
This study investigated the effects of a quality improvement program and goal-oriented, multidisciplinary protocols on mortality after cardiac surgery. Patients were divided into two groups: those undergoing surgery (coronary artery bypass grafting, isolated valve surgery, or coronary artery bypass grafting and valve surgery) after establishment of...
Article
Full-text available
Advances in cardiac surgical operative techniques and myocardial protection have dramatically improved outcomes in the past two decades. An unfortunate and unintended consequence is that 80% of the preventable morbidity and mortality following cardiac surgery now originates outside of the operating room. Our hope is that a renewed emphasis on evide...
Article
BACKGROUND Peri-operative anemia and transfusions are associated with adverse operative outcomes after coronary artery bypass grafting (CABG). Their individual association with long-term outcomes is unclear. METHODS CABG patients 65 and older in the Society of Thoracic Surgeons Adult Cardiac Surgery Database (STS ACSD) (N=504,596; 2011-2018) were...
Presentation
Full-text available
QIP 2004 - 2010 Telehealth 2011 - 2019 Digital Transformation - periprocedural home > 4 years & 850 patients enrolled > 2500 AV Remote Visits & > 400 Interventions Postoperative LOS ~ 20% < benchmark 30-Day Readmissions ~ 50% < benchmark > 200 clinic visits avoided > 100 ED visits avoided Financial Impact - $MM PC Improvement Network VCSQI 17 I...
Presentation
Full-text available
Strength, weaknesses, opportunities, and threats to ERAS-Cardiac
Presentation
Full-text available
Overview of the Perfect Care experience and the impact on quality, safety, & value of technology in transforming the periprocedural home
Presentation
Full-text available
Digital Health and Remote Monitoring to Reduce LOS and Readmissions
Article
Full-text available
Objective Several short-term readmission and mortality prediction models have been developed using clinical risk factors or biomarkers among patients undergoing coronary artery bypass graft (CABG) surgery. The use of biomarkers for long-term prediction of readmission and mortality is less well understood. Given the established association of cardia...
Article
Background: Composite performance measures for STS Adult Cardiac Surgery Database participants (typically hospital departments or practice groups) are currently available only for individual procedures. To assess overall participant performance, STS has developed a composite metric encompassing the most common adult cardiac procedures. Methods:...
Article
Background: The original STS CABG composite measure uses a 1-year analytic cohort and 98% credible intervals (CrI) to classify better (3-star) or worse (1-star) than expected performance. As CABG volumes per STS participant (e.g., hospital or practice group) have decreased, it has become more challenging to classify performance categories using th...
Presentation
Full-text available
ERAS-Cardiac, Perfect Care, and the Perfect Care Improvement Network.
Article
Background Failure to rescue (FTR) focuses on the ability to prevent death among patients who experience postoperative complications. The Society of Thoracic Surgeons (STS) Quality Measurement Task Force has developed a new, risk- adjusted FTR quality metric for adult cardiac surgery. Methods The study population was taken from 1118 STS Adult Card...
Presentation
Full-text available
Goal directed therapy and Perfusion
Presentation
Full-text available
Overview of the value of intraoperative and perioperative monitoring routine(s), with focus on PA catheter and TEE use.
Article
Background: The STS Quality Measurement Task Force has developed risk models and composite performance measures for isolated coronary artery bypass grafting surgery (CABG), isolated aortic valve replacement (AVR), isolated mitral valve replacement or repair (MVRR), AVR+CABG, and MVRR+CABG. To further enhance its portfolio of risk-adjusted performa...
Article
Full-text available
Artificial intelligence (AI) is a useful tool for clinical decision-making in hospitals, and for strategic decision-making in other industries. This scoping review provides a comprehensive review of the potential for AI to improve strategic decision-making in hospitals by exploring current applications of AI in this area. Peer-reviewed publications...
Presentation
Full-text available
History, status, and future of ERAS Cardiac Society.
Presentation
Full-text available
Perfect Care is a personalized, precise perioperative program & improvement network.
Presentation
Full-text available
Perfect Care is a personalized, precise perioperative program and improvement network.
Article
Full-text available
The COVID-19 pandemic has magnified the importance of delivering high-quality healthcare while preserving limited or depleted resources. This is particularly true in cardiac surgery, which depends on the same equipment, hospital capacity, and personnel that have been re-directed to COVID-19 care. Enhanced recovery programs promote standardized, con...
Article
The burgeoning demands for quality, safety, and value in cardiothoracic surgery, in combination with the advancement and acceleration of digital health solutions and information technology, provide a unique opportunity to simultaneously improve efficiency and effectiveness in cardiothoracic surgery. This primer on digital health will explore and re...
Article
Goal-directed therapy couples therapeutic interventions with physiologic and metabolic targets to mitigate a patient's modifiable risks for death and complications. Goal-directed therapy attempts to improve quality-of-care metrics, including length of stay, rate of readmission, and cost per case. Debate persists around specific parameters and goals...
Presentation
Full-text available
Review of Atrium Health's COVID19 response with emphasis on digital and telehealth solutions. Emphasis on Perfect Care's remote patient monitoring and collaborative. https://youtu.be/wAQZnHQwWW0
Presentation
Thank you to those that supported and joined the webinar. Terrific discussion regarding leadership, challenges, & solutions during these turbulent times. Spoiler alert-networks win. 🚨
Article
Full-text available
The rapid onset and intensity of this pandemic has left society, and health care systems in particular, reeling from the effects and wondering how they could be so unprepared. While it feels unprecedented in many ways, the Covid-19 pandemic itself is not the primary cause of the current chaos in health care. Pandemics have occurred before and will...
Presentation
Full-text available
Leadership and mentoring. Level 1-5 leadership (via Jim Collins), Grit, Growth Mindset, etc.
Article
Full-text available
Cardiac surgery results in a multifactorial systemic inflammatory response with inflammatory cytokines, such as interleukin-10 and 6 (IL-10 and IL-6), shown to have potential in the prediction of adverse outcomes including readmission or mortality. This study sought to measure the association between IL-6 and IL-10 levels and 1-year hospital readmi...
Article
Background: Enhanced recovery after surgery (ERAS) is a perioperative patient management strategy that is being adopted rapidly across surgical specialties worldwide. Components of ERAS work collaboratively throughout the perioperative course to achieve significant benefits for both the patient and the entire healthcare system. The use of ERAS in...
Presentation
Full-text available
Teamwork, technology, and transformation to combat burnout.
Presentation
Full-text available
Perfect Care - Teamwork. Technology. Transformation.
Presentation
Full-text available
Overview of Perfect Care's approach to acquiring novel data and larger volumes of data, leveraging talent with technology, and fundamentals of teamwork to accelerate learning, improve decision making, and continuously improve the quality, safety, and value of health care. Presented within the 33rd annual EACTS, ERAS session, where we aim to mitiga...
Article
Full-text available
Chronic kidney disease (CKD) is a major risk factor for coronary artery disease (CAD). As well as their high prevalence of traditional CAD risk factors, such as diabetes and hypertension, persons with CKD are also exposed to other nontraditional, uremia-related cardiovascular disease risk factors, including inflammation, oxidative stress, and abnor...
Article
Full-text available
Chronic kidney disease (CKD) is a major risk factor for valvular heart disease (VHD). Mitral annular and aortic valve calcifications are highly prevalent in CKD patients and commonly lead to valvular stenosis and regurgitation, as well as complications including conduction system abnormalities and endocarditis. VHD, especially mitral regurgitation...
Article
The Society of Thoracic Surgeons (STS) Workforce on Research Development and the STS Research Center currently offer 3 outcomes research platforms using the STS General Thoracic Surgery Database: (1) the traditional Access and Publications Program supports STS-sponsored projects with data analysis conducted at an STS-approved data analytic center,...
Presentation
Full-text available
Essential elements of Enhanced Recovery After Cardiac Surgery
Presentation
Full-text available
Overview of risk assessment and mitigation strategies, experience, and demands for further investigation.
Article
Enhanced Recovery After Surgery (ERAS) evidence-based protocols for perioperative care can lead to improvements in clinical outcomes and cost savings. This article aims to present consensus recommendations for the optimal perioperative management of patients undergoing cardiac surgery. A review of meta-analyses, randomized clinical trials, large no...
Presentation
Full-text available
Overview of risk factors and mitigation strategies to better understand and prioritize research on chest drains.
Presentation
Full-text available
ERAS-Cardiac Update
Article
2019 Research update form the Society of Thoracic Surgeons Adult Cardiac Surgery Database. Includes information on CAB, AVR, MVR, Ascending Aortic Surgery, and RIsk Models.
Presentation
Full-text available
Presentation
Full-text available
Overview of 15 years of cardiac quality improvement efforts at Atrium Health and lessons learned.
Presentation
Full-text available
Overview of digital and telehealth-benefits and risks.
Presentation
Full-text available
https://www.youtube.com/watch?v=YlvBULMcLLk
Presentation
Full-text available
Research using the Society of Thoracic Surgeon's Database. History and current status.
Presentation
Full-text available
Society of Thoracic Surgeons Participant User File Research Update
Presentation
Full-text available
Leadership & Change Challenges Transformation
Presentation
Full-text available
Communication is central to safety & quality. This presentations discusses fundamentals of HPOs, HROs, & institutional learning in the era of IoT.
Presentation
Full-text available
A review of quality improvement efforts and enhanced recovery, from a personal and program's perspective.
Article
Full-text available
Background Previous research suggests that novel biomarkers may be used to identify patients at increased risk of acute kidney injury following cardiac surgery. The purpose of this study was to evaluate the relationship between preoperative levels of circulating Galectin-3 (Gal-3) and acute kidney injury after cardiac surgery. Methods Preoperative...
Presentation
Full-text available
Key concepts of knowledge management, idea flow, decision making, biases, & related value of ERAS efforts.
Poster
Full-text available
Five year, single institution review of glycemic control associated with cardiac critical care.
Presentation
Full-text available
Leadership. Teamwork. Institutions. Decision making. Biases. Information Flow. Knowledge Management. Technology. Quality. Value. Safety. Transformation.
Article
Background: Hospital readmission within 30 days is associated with higher risks of complications, death, and increased costs. Accurate statistical models to stratify the risk of 30-day readmission or death after cardiac surgery could help clinical teams focus care on those patients at highest risk. We hypothesized biomarkers could improve predicti...
Presentation
Full-text available
Overview of ERAS, ERAS Cardiac Surgery, & Perfect Care
Article
Background: Novel cardiac biomarkers including sST2, Galectin-3 and NT-proBNP may be associated with long-term adverse outcomes following cardiac surgery. We sought to measure the association between cardiac biomarker levels and 1-year hospital readmission or mortality. Methods: Plasma biomarkers from 1,047 patients discharged alive after isolat...
Presentation
Full-text available
Lessons Learned: 1. Teamwork makes the dream work 2. Keep score 3. Learn quickly 4. Continuously Improve 5. Tell the world about it 6. Upward spiral of success
Presentation
Full-text available
HPOs: 1. Common Aspirational Goals 2. Alignment 3. Accountability
Presentation
Full-text available
Overview of challenges faced by leaders advocating for change in quality, safety, & value. Also high-performance and high-reliability strategies to assist leaders and their teams.
Article
Full-text available
Quality and safety, and the deviation from EBM and EBP, may be threatened by individuals, teams, and institutions. Knowledge of principles related to decision making and biases, idea flow, and knowledge management is vital. A disciplined focus on structure, process, institutional learning, and the development of a culture of continuous improvement...
Article
Objective The purpose of this study was to evaluate the relationship between preoperative levels of serum ST2 and acute kidney injury following cardiac surgery. Previous research has shown that biomarkers facilitate the prediction of acute kidney injury and other complications after cardiac surgery. Methods Preoperative serum ST2 proteins were mea...
Article
Background: The last published version of the Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database (ACSD) risk models were developed in 2008 based on patient data from 2002 to 2006 and have been periodically recalibrated. In response to evolving changes in patient characteristics, risk profiles, surgical practice, and outcomes, STS ha...
Article
Background: The Society of Thoracic Surgeons (STS) uses statistical models to create risk-adjusted performance metrics for Adult Cardiac Surgery Database (ACSD) participants. Because of temporal changes in patient characteristics and outcomes, evolution of surgical practice, and additional risk factors available in recent ACSD versions, completely...
Presentation
Full-text available
ERAS Cardiac Surgery Overview History, priorities, and review of early extubation & goal-directed therapy. Also includes perspective with institutional quality improvement program.
Presentation
Aims: 1. To understand these threats to decision-making, quality, and patient safety it is vital to consider common phenomena and foibles with the individual (patient or practitioner), the team, and the institution. 2. It is also essential to recognize how decisions are made, information flows, innovation diffuses, and knowledge is managed. 3. Stra...
Presentation
“The PUF Program was designed primarily as an affordable option for investigators to pose research questions, quickly obtain quality data, analyze these data themselves with appropriate biostatistics resources, receive feedback, and develop their efforts into abstracts and manuscripts.”
Presentation
Overview of the first 14 months of using the STS National Database to accelerate learning & improving through the democratization of data.
Poster
Biomarkers significantly improve prediction of readmission or mortality following discharge from isolated CABG surgery. Improved risk modeling for readmission or mortality could help identify at risk patients following CABG.
Article
Despite increasing recognition of physician burnout, its incidence has only increased in recent years, with nearly half of physicians suffering from symptoms of burnout in the most recent surveys. Unfortunately, most burnout research has focused on its profound prevalence rather than seeking to identify the root cause of the burnout epidemic. Healt...
Presentation
Full-text available
High-value care should focus on high-performance, high-reliability, and learning faster than others.
Article
The Society for Translational Medicine and The Chinese Society for Thoracic and Cardiovascular Surgery conducted a systematic review of the literature in an attempt to improve our understanding in the postoperative management of chest tubes of patients undergoing pulmonary lobectomy. Recommendations were produced and classified based on an internat...
Chapter
High-value cardiothoracic critical care (CCC) is rapidly evolving to meet the demands of increased patient acuity and to incorporate advances in technology. The high-performing CCC system and culture should aim to learn quickly and continuously improve. CCC demands a proactive, interactive, precise, and expert team, as well as continuity.
Article
Organizations and their cardiothoracic surgical teams must determine the causes of errors and develop solutions that address the inherent systems problems that lie at the root of these events. When they occur, however, the causes are not readily apparent to frontline staff because of the affective and cognitive distortions these failures engender a...
Chapter
Identifying the high-risk patient and targeting perioperative strategies to anticipate and reduce complications are important components in achieving improved surgical outcomes. Various models are available which predict, to varying degrees, the risk of mortality and complications. These models increasingly assist clinicians in decision-making and...
Chapter
The foundation of a health delivery system must include a patient-centered approach which emphasizes quality and patient safety. Remarkable change is under way in healthcare and the surgical environment is, in many ways, “ground zero” in this revolution given its “target-rich” environment. The full continuum of care before, during, and after surger...
Article
Summary-Proactive, precise, and expert management of cardiac surgery patients must include meticulous monitoring of UO and real-time management of oliguria to combat the risks of AKI. Ongoing investigation of AKI will assist in optimizing the patient selection, timing of operation, operative and anesthetic techniques, and postoperative care.
Poster
Pro-inflammatory cytokines IL-6 and IL-10 may be markers of ischemia-reperfusion injury and show promise in predicting readmission and mortality following cardiac surgery. Further research will be needed to elucidate the complex inflammatory response following cardiac surgery and their relationship to outcome quality metrics such as readmission and...
Article
The considerable global burden of surgery, combined with evidence of considerable variability in cardiothoracic surgical outcomes, and its associated costs create a “burning platform” to improve the delivery of health care. An important component of this effort involves a systematic, prioritized approach to risk assessment and management to improve...