Coronary bypass surgery: from variability to standardization?

Abstract:

PURPOSE OF REVIEW:The review summarizes recent literature on standardization of care in coronary artery bypass grafting (CABG), with particular attention to the impact of standardization on outcomes and resource utilization. RECENT FINDINGS:An increasing number of studies have demonstrated potential advantages to standardization in CABG. Certain process measures such as specific medications at discharge, selection and duration of antibiotic prophylaxis, and use of the internal mammary artery have been advocated as quality indicators in CABG and have contributed to standardized care and improvement in outcomes. In addition, as the potentially harmful consequences of blood transfusions are increasingly being recognized, efforts to standardize transfusion practices in CABG have been undertaken. Nevertheless, despite recognition that uniformity of care improves outcomes, evidence suggests that there continues to be substantial variability between hospitals in the delivery of care to the CABG patient. SUMMARY:There continue to be opportunities for further identification and implementation of cost-effective pathways to lower overall resource utilization while improving outcomes in CABG patients.

journal_name

Curr Opin Cardiol

authors

Kilic A,Whitman GJ

doi

10.1097/HCO.0000000000000113

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

547-52

issue

6

eissn

0268-4705

issn

1531-7080

journal_volume

29

pub_type

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