The California Cabg Mortality Reporting Program
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چکیده
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 well California hospitals performed this surgery. Such information is critical for hospital quality improvement efforts and for enabling patients and their families to make informed decisions about where to receive care that is effective and safe.
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 Iv. Risk Model for Adjusting Hospital Mortality Rates,
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.,...
متن کاملArea socioeconomic status and mortality after coronary artery bypass graft surgery: the role of hospital volume.
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 کاملSurvival enhancing indications for coronary artery bypass graft surgery in California
BACKGROUND Coronary artery bypass graft (CABG) surgery is performed because of anticipated survival benefit, improvement in quality of life, or both. We performed this study to explore variations in clinical indications for CABG surgery among California hospitals and surgeons. METHODS Using California CABG Outcomes Reporting Program data, we classified all isolated CABG cases in 2003-2004 as ...
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