Use of a national data base to assess perioperative risk, morbidity, mortality, and cost savings in coronary artery bypass grafting.

Abstract:

:To show the usefulness of the Society of Thoracic Surgeons (STS) National Database in providing clinical and cost-related outcome data, we studied 297 consecutive patients who had isolated coronary artery bypass grafting (CABG) and who were assigned to either a "fast track" or traditional track. The observed overall mortality rate was 2.7%. The predicted mortality based on preoperative risk factors was 4.7%. Before the initiation of a "fast-track" protocol and critical pathways, the average length of stay was 8.2 days and the average cost of uncomplicated isolated CABG was $18,476. The length of postoperative stay and the cost decreased to 6.0 days and $12,427, respectively, with the application of a fast-track protocol (when appropriate) and critical pathways without affecting clinical outcomes. Use of the STS National Database provided rapid and reassessing evidence that survival and quality of care were not compromised with implementation of a cost-saving fast-track protocol and critical pathways.

journal_name

South Med J

journal_title

Southern medical journal

authors

Nikas DJ,Freeman JE,Luterman AR,Warnken LC,Nenstiel RD,Farrell M,Alpert MA

doi

10.1097/00007611-199611000-00009

subject

Has Abstract

pub_date

1996-11-01 00:00:00

pages

1074-7

issue

11

eissn

0038-4348

issn

1541-8243

journal_volume

89

pub_type

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