Institution: Dartmouth-Hitchcock Medical School
Grant Title: Redesigning Cardiac Surgery to Reduce Neurologic Injury
Grant Number: K02 HS15663
Duration: 5 years (2006-2011)
Total Award: $481,000
Project Description: This project has two main goals:
- To understand and identify better the discrete processes of clinical care which produce neurologic injury subsequent to cardiac surgery.
- To modify these processes of clinical care during cardiac surgery to reduce a patient's risk of developing a neurologic injury. The research combines the use of outcomes research with continuous quality improvement to redesign processes of cardiac surgery to reduce a patient's risk of developing a neurologic injury.
Career Goals: Dr. Likosky is an Assistant Professor in the Departments of Surgery and Community & Family Medicine at Dartmouth Medical School. He received his PhD from Dartmouth in Evaluative Clinical Sciences followed by a National Research Service Award (NRSA) post-doctoral fellowship. He is committed to a career in health services research and specifically, surgical outcomes research. Ultimately, he would like to become a Professor in Surgery working on improving the outcomes of patients undergoing surgical procedures.
Progress to Date: Dr. Likosky had a publication stemming from his efforts to redesign care as detailed in Aim #1. Sixty-four subjects have been enrolled from the Catholic Medical Center and 35 have been recruited from Dartmouth-Hitchcock Medical Center. Regarding Aim #2, the grantee published findings regarding the role of biomarkers as an endpoint for evaluating care.
Future Plans: The grantee will focus on:
- Developing a list of proposed changes to reduce each mechanism of brain injury.
- Developing a list of registry fields to track performance.
- Developing a manuscript from the analyses regarding hypotension and cerebral hypoperfusion.
- Submitting a R01 to fund further investigations.
Highlights and Specific Accomplishments:
- Recipient of numerous academic honors.
- Co-director of the Surgical Outcomes Assessment Program in the Department of Surgery.
- Director of Departmental Data Center.
K-Generated Publications: None thus far.
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