Departments of Cardiothoracic Anesthesiology and Outcomes Research, Cleveland Clinic, Cleveland, OH, USA. Department of Outcomes Research, Cleveland Clinic, Cleveland, OH, USA. Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH, USA. Departments of Quantitative Health Sciences and Outcomes Research, Cleveland Clinic, Cleveland, OH, USA. Department of Laboratory Medicine, Cleveland Clinic, Cleveland, OH, USA. Department of Pathology and Laboratory Administration, Cleveland Clinic, Cleveland, OH, USA. Department of Cardiothoracic Anesthesiology, Cleveland Clinic, Cleveland, OH, USA.