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Coronary artery bypass graft surgery in Brazil from 2008 to 2017

Kalil Hussein Khalil1, Michel Pompeu B O Sá2,3, Dominique Vervoort4

  • 1Department of Cardiovascular Surgery, Hospital Norte Paranaense, Arapongas, Paraná, Brazil.

Journal of Cardiac Surgery
|January 20, 2021
PubMed

Insights

Coronary artery bypass grafting (CABG) in Brazil

Area of Science:

  • Cardiovascular Surgery
  • Public Health Systems
  • Health Services Research

Background:

  • Brazil's public health system faces challenges in understanding cardiac surgical care volume and outcomes.
  • Despite advances, data on coronary artery bypass grafting (CABG) in Brazil's public sector is limited.
  • This study addresses the knowledge gap regarding CABG trends and outcomes in Brazil's public healthcare.

Purpose of the Study:

  • To evaluate the outcomes of coronary artery bypass grafting (CABG) procedures within Brazil's public health system.
  • To analyze trends in CABG volume, mortality, and associated factors from 2008 to 2017.
  • To identify regional disparities in CABG outcomes in Brazil's public healthcare.

Main Methods:

  • Utilized DATASUS, the Brazilian Ministry of Health's data processing system, for surgical procedure data.
  • Analyzed isolated coronary artery bypass grafting (CABG) procedures performed between January 2008 and December 2017.
  • Employed statistical analysis, including the chi-squared test, to compare mortality rates across regions and over time.

Main Results:

  • A total of 226,697 coronary artery bypass grafting (CABG) procedures were identified over the 10-year study period.
  • The overall in-hospital mortality rate for CABG was 5.7%, with significant regional variations observed.
  • Mortality rates by state ranged from 2.6% to 13.1%, while the national average remained stable.

Conclusions:

  • A substantial volume of coronary artery bypass grafting (CABG) is performed in Brazil's public health system.
  • Significant disparities exist in CABG mortality, procedure volume, and surgical distribution across Brazilian regions.
  • Future research should focus on risk-adjusted analyses and comprehensive data collection to improve healthcare policies and accountability.
Abstract

Keywords:
Brazilcoronary artery bypass graftdatabasedeath ratehealth-care policyrisk adjustment

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