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March 1, 2012Circulation Cardiovascular Quality and OutcomesOpen Access

Coronary Artery Bypass Graft

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Key result

Undergoing CABG surgery at a hospital 1 SD below average performance was associated with higher odds of in-hospital mortality compared to a hospital 1 SD above average (OR 2.06; 95% CI 1.40-3.04).

Population

8,739 consecutive patients undergoing isolated CABG surgery across 43 hospitals in China, mean age 62.2, 78%…

Design

Cohort

Follow-up

in-hospital

Authors

SHShengshou HuZZZhe ZhengXYXin Yuan

Discussion

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Overview

Hospital performance variation was associated with CABG mortality; hypothesis-generating for quality initiatives without supporting practice changes.

Study Design

Type

Observational (n=8,739)

Multicenter

Yes

Structured PICO

P
Population
8,739 consecutive patients (mean age 62.2 years, 22% female) undergoing isolated CABG surgery across 43 hospitals in China between 2007 and 2008.
E
Exposure
Isolated CABG surgery
O
Outcome
Hospital-level risk-standardized in-hospital all-cause mortality rates (RSMR) and major complication rates (RSMCR)hard clinical

Main Result

Odds Ratio: 2.06 (95% CI 1.4–3.04)

In-hospital mortality and complication rates after CABG in China are generally low but exhibit significant hospital-level and regional variation, highlighting opportunities for quality improvement.

Cite This Study

Hu et al. (2012) conducted an observational in Isolated CABG surgery (n=8,739). CABG surgery at a hospital 1 SD below average performance vs. CABG surgery at a hospital 1 SD above average performance was evaluated on In-hospital all-cause mortality (OR 2.06, 95% CI 1.40-3.04). Undergoing CABG surgery at a hospital 1 SD below average performance was associated with higher odds of in-hospital mortality compared to a hospital 1 SD above average (OR 2.06; 95% CI 1.40-3.04).

synapsesocial.com/papers/6a86d2bbc7caab105a1546cchttps://doi.org/10.1161/circoutcomes.111.962365
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