Percentage of adult patients undergoing an open cardiac procedure for whom core temperature was >37.5° C (99.5° F) for more than 5 consecutive minutes while on cardiopulmonary bypass.
Consistent with the 2020 Updates from the Adult Cardiac Anesthesiology Section of STS,1 guidelines for perioperative care in cardiac surgery: enhanced recovery after surgery,2,3 STS practice guidelines for temperature management while on bypass,4 and the Anesthesia Quality Improvement measure, AQI65, for cerebral hyperthermia avoidance for cardiac surgery,5 this proposed measure defines hyperthermia as ≥37C while on bypass. Hyperthermia while on bypass and during rewarming has been associated with respiratory failure, acute kidney injury, and mortality after cardiac surgery.6,7
Measure Start:
Measure End:
Adult patients undergoing open cardiac surgical procedures as determined by Procedure Type: Cardiac value code: 1 and requiring cardiopulmonary bypass
Less than 5 consecutive minutes of non-artifact body temperature > 37.5 degrees Celsius between cardiopulmonary bypass start and cardiopulmonary bypass end. (Temperature hierarchy listed under “Other Measure Details”).
(Prioritizes core temperature measurements)
*This measure will include only valid MPOG cases as defined by the Is Valid Case phenotype.
Not applicable.
Any provider signed in for ≥40 minutes from bypass start until bypass end (see algorithm for time period below)..
If bypass duration is <40 minutes, the provider signed in for the greatest number of minutes during this period (per staff role) will be attributed.
In the event that two or more providers in the same class are signed in for the same duration, all providers signed in for the longest duration will be attributed.
Algorithm for determining start/end times for sign-in duration:
Start:
End:
Measure Author |
Institution |
Allison Janda, MD |
University of Michigan |
Kate Buehler, MS, RN |
University of Michigan |
Rob Coleman |
University of Michigan |
Mike Mathis, MD |
University of Michigan |
MPOG Cardiac Subcommittee |
Date Reviewed | Reviewer | Institution | Summary | QC Vote |
---|---|---|---|---|
NA |
NA |
NA |
NA |
NA |
Date | Criteria | Revision |
---|---|---|
None |