title: Outcomes of coronary surgery at a Veterans Affairs hospital versus other hospitals.
abstract: BACKGROUND
  The aim of this study was to compare outcomes of coronary artery bypass grafting (CABG) operations at a VA hospital and non-VA hospitals.
  
  
  METHODS
  Using the 2004 Nationwide Inpatient Sample database, we identified 48,669 discharge records of patients who underwent CABG in non-VA hospitals and compared these patients' outcomes with those of 688 patients who underwent CABG at our VA hospital from 2002 to 2006. Student t- tests and chi(2) tests were used to identify significant intergroup differences.
  
  
  RESULTS
  The VA patients were slightly younger than the non-VA patients (62 +/- 8 versus 66 +/- 11 y, P < 0.0001). The VA patients also had a higher prevalence of prior myocardial infarction (60.6% versus 34.6%), congestive heart failure (38.2% versus 22.1%), peripheral vascular disease (25.9% versus 7.2%), cerebral vascular disease (23.4% versus 5.9%), chronic obstructive pulmonary disease (32.3% versus 16.6%), and diabetes (41.7% versus 29.7%) (P < 0.0001 for all). Nonetheless, the in-hospital mortality rate was significantly lower in VA patients than in non-VA patients (1.6% versus 3.0%, P = 0.03).
  
  
  CONCLUSIONS
  Despite the higher prevalence of comorbidities, patients who underwent CABG at a VA hospital had a significantly lower mortality rate than CABG patients in non-VA hospitals.
authors: Baylor College of Medicine, Houston, TX 77030, USA.
authors: Justin C
authors: JC
authors: Choi
authors: Faisal G
authors: FG
authors: Bakaeen
authors: Joseph
authors: J
authors: Huh
authors: Tam K
authors: TK
authors: Dao
authors: Scott A
authors: SA
authors: LeMaire
authors: Joseph S
authors: JS
authors: Coselli
authors: Danny
authors: D
authors: Chu
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000592:standards*; D005260:Female; D006787:Hospitals, Veterans / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011787:Quality of Health Care