Indicators of healthcare quality in isolated coronary artery bypass graft surgery performed at a tertiary cardiology center.
BACKGROUND
Quality indicators (QI) for cardiac surgery are important instruments for measuring healthcare quality in hospital centers and allow comparison with high-quality healthcare centers.


OBJECTIVE
To evaluate QIs in isolated myocardial revascularization procedures (CABG) performed at a tertiary cardiology center.


METHODS
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.


RESULTS
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%.


CONCLUSIONS
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.
Hospital Pró-Cardíaco, Núcleo Técnico de Qualidade Assistencial, Rio de Janeiro, RJ - Brazil.
Evandro Tinoco
ET
Mesquita
Ary
A
Ribeiro
Mônica Peres de
MP
Araújo
Luiz Antonio de Almeida
LA
Campos
Marco Aurélio
MA
Fernandes
Alexandre Siciliano
AS
Colafranceschi
Celso Garcia da
CG
Silveira
Edson
E
Nunes
Antônio Sérgio Cordeiro da
AS
Rocha
D000368:Aged; D001938:Brazil / Q000453:epidemiology; D016507:Cardiology Service, Hospital / Q000592:standards; D001026:Coronary Artery Bypass / Q000401:mortality / Q000592:standards*; D003324:Coronary Artery Disease / Q000401:mortality / Q000601:surgery*; D005260:Female; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay; D008297:Male; D011786:Quality Control; D019984:Quality Indicators, Health Care / Q000592:standards*; D012372:ROC Curve; D015996:Survival Rate