We track outcomes from common procedures as “Quality Indicators” for congenital heart surgery. Consider that in 2003, the Cleveland Clinic’s inpatient mortality rate for isolated mitral valve repair was only 0.3%.
The hospital is initially identified as a high-mortality outlier, but converts its outlier status into average after 120 days. Follow-up was available on 3905 of 3939 patients (99%). Pediatric heart surgery survival rates reflect the number of patients who survived within 30 days of the surgery or until the time they were discharged, whichever period is longer. Differences in categorical variables were analyzed by χ2 or Fisher’s exact tests, and differences in continuous variables were analyzed by ANOVA. The effect of the intervention group appeared to be time-dependent (slopes of coefficients −0.04, −0.06, −0.12, P = 0.01, P < 0.001, P < 0.001). Early and late outcomes of cardiac surgery in octogenarians. Ischemic Heart Disease Patient Outcomes Research Team, European system for cardiac operative risk evaluation (EuroSCORE), A Statistical Framework for Severity Adjustment of Hospital Mortality Rates, Comparing and ranking hospitals based on outcome: results from Netherlands Stroke Survey, Limitations of ranking lists based on cardiac surgery mortality rates, Gaming in risk-adjusted mortality rates: effect of misclassification of risk factors in the benchmarking of cardiac surgery risk-adjusted mortality rates, Nonparametric estimation from incomplete estimations, R: A Language and Environment for Statistical Computing [computer program], R Foundation for Statistical Computing, 2011. Patients stratified by age are shown in Table 2. Like the analysis of freedom from subsequent myocardial infarction, freedom from either surgical or percutaneous revascularization was greatest among older age groups. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. Risk-adjusted survival functions for the ten centres are plotted. Dallas, TX 75231
Braz J Cardiovasc Surg. Benchmark results were affected by the choice of the follow-up period: four hospitals changed outlier status when the follow-up was increased from 30 days to 1 year.
In this model, sex and weight were no longer independent risk factors.
In total, 620 reoperations were performed. © American Heart Association, Inc. All rights reserved. A random effects model accounts for within-hospital variability and between-hospital variability and is the preferred type of regression model used for comparison between centres [10, 11]. 1-800-242-8721
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