Analysis of >100,000 Cardiovascular Surgeries Performed at the Heart Institute and a New Era of Outcomes Article Swipe
Omar Asdrúbal Vilca Mejía
,
Luiz Augusto Ferreira Lisboa
,
Luiz Fernando Canêo
,
Elisandra Trevisan Arita
,
Carlos Manuel de Almeida Brandão
,
Ricardo Ribeiro Dias
,
Roberto Costa
,
Marcelo Biscegli Jatene
,
Pablo Maria Alberto Pomerantzeff
,
Luís Alberto Oliveira Dallan
,
Fábio Biscegli Jatene
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.6084/m9.figshare.14270333
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.6084/m9.figshare.14270333
Background: The current challenge of cardiovascular surgery (CVS) is to improve the outcomes in increasingly severe patients. In this respect, continuous quality improvement (CQI) programs have had an impact on outcomes. Objective: To assess the evolution of the incidence and mortality due to CVS, as well as the current outcomes of the Hospital das Clínicas Heart Institute of the University of São Paulo Medical School (InCor-HCFMUSP). Methods: An outcome analysis of CVSs performed at the InCor, between January 1984 and June 2019. We observed the surgical volume and mortality rates in 5 time periods: 1st (1984-1989), 2nd (1990-1999), 3rd (2000-2007), 4th (2008-2015) and 5th (2016-2019). The CQI program was implemented between 2015 and 2016. The analysis included the total number of surgeries and the evolution of the most frequent procedures. Results: A total of 105,599 CCVs were performed, with an annual mean of 2,964 procedures and mortality of 5,63%. When comparing the 4th and the 5th periods, the average global volume of surgeries was increased from 2,943 to 3,139 (p = 0.368), bypass graft (CABG), from 638 to 597 (p = 0.214), heart valve surgery, from 372 to 465 (p = 0.201), and congenital heart disease surgery, from 530 to 615 (p = 0.125). The average global mortality went from 7.8% to 5% (p < 0.0001); in CABG surgery, from 5.8% to 3.1% (p < 0.0001); in heart valve surgery, from 14% to 7.5% (p < 0.0001) and in congenital heart disease surgery, from 12.1% to 9.6% (p < 0.0001). Conclusion: In spite of a recent trend towards increased surgical volume, there was a significant decrease in operative mortality in the groups studied. After the implementation of the CQI program, the mortality rates were closer to international standards.
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Metadata
- Type
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- https://doi.org/10.6084/m9.figshare.14270333
- OA Status
- gold
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All OpenAlex metadata
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https://openalex.org/W4394523890Canonical identifier for this work in OpenAlex
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https://doi.org/10.6084/m9.figshare.14270333Digital Object Identifier
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Analysis of >100,000 Cardiovascular Surgeries Performed at the Heart Institute and a New Era of OutcomesWork title
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datasetOpenAlex work type
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enPrimary language
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2021Year of publication
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2021-01-01Full publication date if available
- Authors
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Omar Asdrúbal Vilca Mejía, Luiz Augusto Ferreira Lisboa, Luiz Fernando Canêo, Elisandra Trevisan Arita, Carlos Manuel de Almeida Brandão, Ricardo Ribeiro Dias, Roberto Costa, Marcelo Biscegli Jatene, Pablo Maria Alberto Pomerantzeff, Luís Alberto Oliveira Dallan, Fábio Biscegli JateneList of authors in order
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https://doi.org/10.6084/m9.figshare.14270333Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.6084/m9.figshare.14270333Direct OA link when available
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Medicine, Cardiology, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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