Practice Pattern Variability in Intraoperative Transesophageal Echocardiography use for Cardiac Valve Surgery

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Geographic variation in intraoperative TEE utilization among 19,386 undergoing aortic valve or mitral valve surgery from 2010 to 2015. The overall rate of TEE observed in the data set was 82% (95% CI: 81-82%). Among states with a minimum of 100 eligible cases, TEE utilization varied from 61% in both AL (95% CI: 56-66%) and LA (95% CI: 53-68%) to 92% (NC; 95% CI: 90-94%).

https://doi.org/10.1053/j.jvca.2018.07.040

 
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Geographic variation in intraoperative TEE utilization among 12,313 undergoing aortic valve replacement surgery from 2010 to 2015. The overall rate of TEE observed in the aortic valve subgroup was 80% (95% CI: 79-81%). Among states with a minimum of 100 cases, TEE utilization varied from 49% (AL; 95% CI: 41-56%) to 92% (NC; 95% CI: 89-94%).

https://doi.org/10.1053/j.jvca.2018.07.040

 
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Geographic variation in intraoperative TEE utilization among 7,073 undergoing mitral valve repair or replacement surgery from 2010 to 2015. The overall rate of TEE observed in the mitral valve subgroup was 85% (95% CI: 84-86%). Among states with a minimum of 100 cases, TEE utilization varied from 73% (TN; 95% CI: 65-80%) to 94% (UT; 95% CI: 88-97%).

https://doi.org/10.1053/j.jvca.2018.07.040

 
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Echo: CABG Surgery