Key result
The newly established cardiothoracic and vascular surgery unit performed 172 procedures over two years with an overall mortality rate of 4.6% and a complication rate of 8%.
Observational (n=172)
No
Establishing a specialized cardiothoracic and vascular surgery unit in a tier-2 Indian city is feasible and yields acceptable perioperative mortality (4.6%) and complication (8%) rates.
Feasibility of CTVS setup in tier-2 India shown; leaves open questions on scalability and clinical outcomes.
This detailed article presents a comprehensive overview of the initial two-year experience in establishing a new cardiothoracic vascular surgery (CTVS) facility in a tier-2 city in India. The article discusses various aspects of setting up and operating a specialized healthcare facility. The first two years of developing the CTVS facility were included in the study period. The manpower included one cardiothoracic vascular surgeon, one cardiac anesthesiologist, two perfusionists, and two physician assistants, along with four other ancillary staff to assist in the smooth functioning of the operation theater. The CTVS recovery staff included 15 nursing officers. There was only one modular operation theater reserved for cardiothoracic vascular surgeries, along with a five-bed recovery room (CTVS intensive care unit). One-hundred-seventy-two procedures were done, including 122 open heart surgeries, 36 vascular procedures, and 14 thoracic procedures. The majority of patients were discharged by the seventh day postoperatively. Overall complication and mortality rates were 8% and 4.6%, respectively. This article also discusses relevant hospital policy, challenges faced, and future recommendations for similar endeavors. The findings highlight the successful implementation of the facility and its impact on providing specialized cardiac care to the local population.
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Tiwari et al. (2023) conducted an observational in Cardiothoracic and vascular diseases (n=172). Cardiothoracic and vascular surgery was evaluated on Overall mortality rate. The newly established cardiothoracic and vascular surgery unit performed 172 procedures over two years with an overall mortality rate of 4.6% and a complication rate of 8%.
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