What question did this study set out to answer?

To determine whether preoperative risk scores predict hospital and postoperative length of stay as well as total hospital costs in patients undergoing coronary artery bypass graft surgery.

December 1, 2001European Journal of Cardio-Thoracic Surgery

Evaluation of the relationship between preoperative risk scores, postoperative and total length of stays and hospital costs in coronary bypass surgery

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Why the study?

Does the Cleveland Clinic preoperative risk score predict hospital length of stay and costs in first-time CABG patients?

Population

2,104 first-time coronary artery bypass graft patients treated at Helsinki University Central Hospital…

Design

Cohort

Follow-up

Hospital stay

Authors

TKTuula S. KurkiHelsinki University Hospital UHUnto HäkkinenFinnish Institute for Health and Welfare JLJ. LauharantaHelsinki University Hospital

Discussion

Member takes

Implication

May inform CABG resource allocation; leaves open prospective validation for efficiency or outcomes.

Key Points

To determine whether preoperative risk scores predict hospital and postoperative length of stay as well as total hospital costs in patients undergoing coronary artery bypass graft surgery.
Included 2,104 first-time CABG patients treated at Helsinki University Central Hospital between 1997 and 1998.
Preoperatively scored patients using the Cleveland Clinic model and evaluated associations with hospital stay and costs using multivariate analysis.
Each 1-point increase in preoperative risk score increased total length of stay by 0.8 days and postoperative stay by 0.55 days, while age >74 years added an extra day to total stay.
Mean total cost was €8,750 (SD €4,430), with costs increasing compared to a score of 0 by €1,300 for a score of 2 and over €7,000 for scores >6.
Total costs increased by an average of €6,980 (80%) in the event of a major complication and by €935 (10%) in patients aged >74 years.

Structured PICO

Does the Cleveland Clinic preoperative risk score predict hospital length of stay and costs in first-time CABG patients?

Population

2,104 first-time coronary artery bypass graft (CABG) patients treated at Helsinki University Central Hospital during 1997-1998.

Intervention

Cleveland Clinic preoperative risk score evaluation

Outcome

Hospital length of stay (LOS), postoperative length of stay (POS), and total costs

Higher preoperative risk scores in CABG patients are significantly associated with longer hospital stays and increased total costs, highlighting their utility in resource planning.

Cite This Study

Kurki et al. (2001) studied this question.

synapsesocial.com/papers/6a70733235aa2c282ce1c4a7 https://doi.org/10.1016/s1010-7940(01)00988-5

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Evaluation of the relationship between preoperative risk scores, postoperative and total length of stays and hospital costs in coronary bypass surgery

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Evaluation of the relationship between preoperative risk scores, postoperative and total length of stays and hospital costs in coronary bypass surgery

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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