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Published on: March 27, 2018
Outcomes of coronary artery bypass grafting: a 3 year analysis using the Society of Thoracic Surgeons Database
J A Smith1, J A Mack, F L Rosenfeldt
1Department of Cardiothoracic Surgery, Alfred Hospital, Prahran, Victoria, Australia. jasmith@al.com.au
Insights
Cardiac surgery outcomes in Australia were favorable compared to international benchmarks. Establishing a local database can improve risk assessment and comparative analysis for improved patient care.
Area of Science:
- Cardiovascular Surgery
- Health Services Research
Background:
- Accurate risk factor analysis is crucial in modern cardiac surgery.
- The Society of Thoracic Surgeons Database aids risk assessment and outcome review in the USA.
Purpose of the Study:
- To evaluate outcomes of isolated coronary artery bypass grafting (CABG) at Alfred Hospital, Melbourne.
- To compare local CABG outcomes with international data.
Main Methods:
- Data from all isolated CABG patients at Alfred Hospital over three years were collected.
- This data was entered into the Society of Thoracic Surgeons Database for analysis.
Main Results:
- Mortality and morbidity rates for isolated CABG at Alfred Hospital compared favorably.
- Local outcomes were comparable to those within the large international database.
Conclusions:
- The study demonstrates favorable outcomes for isolated CABG at Alfred Hospital.
- Establishing an Australasian cardiac surgical database is recommended for local risk assessment and comparative analysis.
Background:
Accurate risk factor analysis is a critical element in contemporary cardiac surgical practice. In the USA, the Society of Thoracic Surgeons Database allows institutions and individual surgeons to carry out detailed patient risk assessment and to review their cardiac surgical outcomes in a comparative fashion.
Methods:
To evaluate outcomes of isolated coronary artery bypass grafting, data from all patients operated upon at the Alfred Hospital, Melbourne, Australia, over a 3 year period were entered into the Society of Thoracic Surgeons Database.
Results:
Our results (mortality and morbidity) compared favourably with those contained within this large international database.
Conclusion:
It is hoped that a similar Australasian database can be established to facilitate a meaningful local risk assessment and a comparative analysis of outcomes of cardiac surgical procedures.
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