| Autor: |
Evandro Tinoco, Mesquita, Ary, Ribeiro, Mônica Peres de, Araújo, Luiz Antonio de Almeida, Campos, Marco Aurélio, Fernandes, Alexandre Siciliano, Colafranceschi, Celso Garcia da, Silveira, Edson, Nunes, Antônio Sérgio Cordeiro da, Rocha |
| Rok vydání: |
2007 |
| Předmět: |
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| Zdroj: |
Arquivos brasileiros de cardiologia. 90(5) |
| ISSN: |
1678-4170 |
| Popis: |
Quality indicators (QI) for cardiac surgery are important instruments for measuring healthcare quality in hospital centers and allow comparison with high-quality healthcare centers.To evaluate QIs in isolated myocardial revascularization procedures (CABG) performed at a tertiary cardiology center.One hundred and forty-four consecutive patients who had undergone isolated CABG were evaluated between October 2005 and March 2007. One hundred and eight patients were men (75%), the mean age was 65+/-11, and the EuroSCORE was 4+/-3. The following QIs were measured: time elapsed between the surgery date-setting appointment and the actual day of the CABG (TDC); surgery cancellation rate (SCR) due to problems in hospital infrastructure; length of hospital stay (LOS); operative mortality (OM) and rate of readmission (RHR) for infection in the surgical wound.The TDC (n=98) was 4+/-3 days (median: 4 days) and the SCR was zero. The OM recorded of 4.9% (95% confidence interval [CI] = 2.2 - 9.87%) was lower than the expected OM of 5.1% (95% CI = 1.4% to 14.37%), but with no statistical significance (p=0.65). The area under the ROC curve of the EuroSCORE for the OM was 0.702 (95% CI = 0.485 - 0.919). LOS was 11+/-9 days. The area under the ROC curve of the EuroSCORE for the LOS was 0.764 (95% CI = 0.675 - 0.852). The RHR recorded was 2.1%.The measurement of the QIs showed that, in a medical center with a low annual volume of CABG, the results were compatible with the risk profile of the population involved. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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