What is the clinical evidence from this study?

Study design: Observational. Population: Cardiac surgery (n=99176). Intervention: Cardiac surgical procedures. Primary outcome: Hospital mortality.

What question did this study set out to answer?

To document procedural volume, patient demographics, and in-hospital mortality across cardiac surgery centers in Germany during 2008.

August 25, 2009The Thoracic and Cardiovascular Surgeon

Cardiac Surgery in Germany during 2008. A Report on Behalf of the German Society for Thoracic and Cardiovascular Surgery

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Key result

Among 99,176 cardiac surgical procedures in Germany in 2008, hospital mortality was 2.8% for isolated CABG and 4.7% for isolated valve procedures.

Key Points

To document procedural volume, patient demographics, and in-hospital mortality across cardiac surgery centers in Germany during 2008.
Voluntary nationwide registry collected data across 79 German cardiac surgical units throughout the year 2008.
Analyzed 99,176 total cardiac surgical procedures, excluding pacemaker and implantable cardioverter-defibrillator implantations.
Patients older than 80 years accounted for 10.3% of the total cohort, an increase from 9.8% in 2007.
Hospital mortality was 2.8% among 47,337 isolated coronary artery bypass grafting procedures, of which 11.3% were performed off-pump.
In-hospital mortality reached 4.7% across 22,243 isolated valve procedures.

Study Design

Type

Observational (n=99,176)

Multicenter

Yes

Structured PICO

Population

99,176 cardiac surgical procedures performed in 79 German units during 2008, with >10.3% of patients older than 80 years.

Exposure

Cardiac surgical procedures (including isolated CABG and isolated valve procedures)

Outcome

Hospital mortalityhard clinical

This national registry report provides a comprehensive overview of cardiac surgical volumes and in-hospital mortality in Germany for 2008, serving as a benchmark for quality control.

Discussion

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Implication

National registry benchmarks cardiac surgical mortality; leaves open whether outcomes have improved since 2008.

Cite This Study

Gummert et al. (2009) conducted an observational in Cardiac surgery (n=99,176). Cardiac surgical procedures was evaluated on Hospital mortality. Among 99,176 cardiac surgical procedures in Germany in 2008, hospital mortality was 2.8% for isolated CABG and 4.7% for isolated valve procedures.

synapsesocial.com/papers/6a9d4d8691d47537a28b03ce https://doi.org/10.1055/s-0029-1185915

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Cardiac Surgery in Germany during 2008. A Report on Behalf of the German Society for Thoracic and Cardiovascular Surgery

Key Points

Study Design

Structured PICO

Discussion

Implication

Cite This Study

Cardiac Surgery in Germany during 2008. A Report on Behalf of the German Society for Thoracic and Cardiovascular Surgery

Key Points

Study Design

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider