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Tabula viva chirurgic: a living surgical document
Marius J Swart1, Gina Joubert2, Jan-Albert van den Berg3
1Bloemfontein Mediclinic; Health Sciences Education, Faculty of Health Sciences, and Department of Practical Theology, Faculty of Theology, University of the Free State, Bloemfontein, South Africa.
Cardiovascular Journal of Africa
|November 15, 2016
Summary
This cardiac surgery study analyzed 1,750 coronary artery bypass graft (CABG) patients. Favorable outcomes were observed, with mortality linked to patient co-morbidities.
Area of Science:
- Cardiovascular Surgery
- Surgical Outcomes Research
Background:
- Private cardiac surgical practices are vital for patient care.
- Understanding outcomes in private practice complements large registry data.
Purpose of the Study:
- To present surgical outcomes from a private cardiac surgical practice.
- To compare observed mortality and morbidity with established benchmarks.
- To identify risk factors for postoperative death.
Main Methods:
- Statistical analysis of a personal database of 1,750 consecutive coronary artery bypass graft (CABG) patients.
- Comparison of mortality and major morbidity figures with large national/international registries.
- Stepwise logistic regression to determine independent risk factors for postoperative death.
Main Results:
- Over 12 years, 1,750 patients underwent CABG (76.8% male, 23.2% female).
- Observed mortality rate was 3.03%, compared to an expected EuroSCORE of 3.87%.
- Independent risk factors for death included urgency, renal impairment, re-operation, and additional procedures. Major complications occurred in 91 patients.
Conclusions:
- Mortality and morbidity rates were favorable compared to international registries.
- Patient co-morbidities were identified as the primary drivers of mortality.
- Findings offer insights into surgical practice and potential for enhanced surgeon understanding.
