Comparing clinical outcomes in high-volume and low-volume off-pump coronary bypass operation programs

Ann Thorac Surg. 2001 Sep;72(3):S1009-15. doi: 10.1016/s0003-4975(01)02937-x.

Abstract

sites and then analyzed the patient and hospital characteristics that had an impact on clinical outcomes.

Results: The mortality rates for the high- and low-volume OPCAB facilities both averaged 2.9% (p = NS). Patients at the high-volume OPCAB facilities had significantly lower rates of major complications (shock/hemorrhage, neurologic, renal, and cardiac) than those at the low-volume OPCAB facilities. Of the seven minor complications, rates for six were lower in the high-volume OPCAB facilities, but none of the differences reached statistical significance. High-volume OPCAB sites were significantly more likely to discharge their patients directly home than were low-volume OPCAB sites (80% versus 66%; p = 0.001).

Conclusions: The results suggested that surgical team experience and choice of approaches to performing CABG had an impact on patient outcomes.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cardiopulmonary Bypass
  • Clinical Competence
  • Coronary Artery Bypass / methods
  • Coronary Artery Bypass / mortality
  • Coronary Artery Bypass / statistics & numerical data*
  • Female
  • Hospital Mortality
  • Hospitals / statistics & numerical data*
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Postoperative Complications
  • Survival Rate
  • Treatment Outcome