The California Cabg Mortality Reporting Program Iv. Risk Model for Adjusting Hospital Mortality Rates,
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چکیده
Patients treated at different hospitals often vary in the severity of their pre-operative clinical condition. To fairly compare outcomes at different hospitals, it is necessary to adjust for differences in the case mix of patients across hospitals. CCMRP "levels the playing field" by accounting for the pre-operative condition of each patient. Hospitals that routinely handle complex cases (e.g., sicker prior to surgery) get a larger risk-adjustment weighting in the risk model, while hospitals that handle less complex cases get a smaller weighting.
منابع مشابه
The CABG surgery volume-outcome relationship: temporal trends and selection effects in California, 1998-2004.
OBJECTIVE To investigate the temporal trends in the volume-outcome relationship in coronary artery bypass graft (CABG) surgery in California from 1998 to 2004, and to assess the selection effects on this relationship by using data from periods of voluntary and mandatory hospital reporting. DATA SOURCES We used patient-level clinical data collected for the California CABG Mortality Reporting P...
متن کاملThe California Cabg Mortality Reporting Program
CCMRP staff reviewed the clinical literature on pre-operative risk factors for bypass surgery and examined variables collected by the leading cardiac reporting programs to inform data collection for the program. CCMRP also reviewed a consensus statement prepared by a panel of researchers from the major CABG reporting programs that was particularly valuable in identifying those pre-operative cha...
متن کاملThe California Cabg Mortality Reporting Program
Each year, approximately 26,000 Californians with advanced heart disease undergo a major surgical procedure known as coronary artery bypass graft (CABG) surgery. In California, 119 hospitals offer bypass surgery to adult patients. Prior to the establishment of the California CABG Mortality Reporting Program (CCMRP) and the release of its first report in July 2001, little was known about how wel...
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BACKGROUND Individuals of low socioeconomic status (SES) have reduced access to coronary artery bypass graft surgery (CABG). It is unknown if low-SES CABG patients have reduced access to hospitals with better outcomes. METHODS We conducted a retrospective cohort analysis of the California CABG Mortality Reporting Program, consisting of individuals with zip code information who underwent CABG ...
متن کاملDo hospitals and surgeons with higher coronary artery bypass graft surgery volumes still have lower risk-adjusted mortality rates?
BACKGROUND Studies that are the basis of recommended volume thresholds for CABG surgery are outdated and not reflective of recent advances in the field. This study examines both hospital and surgeon volume-mortality relations for CABG surgery through the use of a population-based clinical data set. METHODS AND RESULTS Data from New York's clinical CABG surgery registry from 1997 to 1999 (tota...
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