Abstract
Purpose: Hospital variability of postoperative sepsis and sepsis-related mortality after elective CABG surgery was not known in Australia. Material and methods: Population-based analysis of all elective patients who underwent CABG surgery in public and private hospitals between 2007 and 2014 using linked data from the state-wide Admitted Patient Data Collection and the NSW Registry of Births, Deaths, and Marriages. Results: We identified 18,928 (9464 pairs) matched patients who had elective CABG surgery in public hospitals (n = 9) and private hospitals (n = 13) during the study period. When compared to public hospital patients, private hospital patients had a significantly lower rate of post-CABG sepsis (13.3 vs 20.4 per 1000 admissions, P < 0.001; treatment effects: −7.1, 95%CI: −11.1 to −3.3), a lower in-hospital mortality rate (6.1 vs 9.9 per 1000 admissions, P = 0.006; treatment effects: −3.8, 95%CI: −6.5 to −1.1), and a lower rate of 30-day readmission (11.9% vs 13.9%, P < 0.001; treatment effects: −2.0%, 95%CI: −3.1% to −1.0%). In addition, for both public and private hospital groups, there were significant differences for all outcomes when comparing the worst and best performance quintile hospitals. Conclusions: Hospital variability of postoperative sepsis, in-hospital mortality and readmission after elective CABG existed between and within public and private hospitals.
| Language | English |
|---|---|
| Pages | 232-237 |
| Number of pages | 6 |
| Journal | Journal of Critical Care |
| Volume | 47 |
| DOIs | |
| Publication status | Published - 1 Oct 2018 |
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Keywords
- Coronary artery bypass grafting
- Hospital mortality
- Postoperative sepsis
- Readmission
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Hospital variability of postoperative sepsis and sepsis-related mortality after elective coronary artery bypass grafting surgery. / Ou, Lixin; Chen, Jack; Flabouris, Arthas; Hillman, Ken; Parr, Michael; Bellomo, Rinaldo.
In: Journal of Critical Care, Vol. 47, 01.10.2018, p. 232-237.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Hospital variability of postoperative sepsis and sepsis-related mortality after elective coronary artery bypass grafting surgery
AU - Ou, Lixin
AU - Chen, Jack
AU - Flabouris, Arthas
AU - Hillman, Ken
AU - Parr, Michael
AU - Bellomo, Rinaldo
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Purpose: Hospital variability of postoperative sepsis and sepsis-related mortality after elective CABG surgery was not known in Australia. Material and methods: Population-based analysis of all elective patients who underwent CABG surgery in public and private hospitals between 2007 and 2014 using linked data from the state-wide Admitted Patient Data Collection and the NSW Registry of Births, Deaths, and Marriages. Results: We identified 18,928 (9464 pairs) matched patients who had elective CABG surgery in public hospitals (n = 9) and private hospitals (n = 13) during the study period. When compared to public hospital patients, private hospital patients had a significantly lower rate of post-CABG sepsis (13.3 vs 20.4 per 1000 admissions, P < 0.001; treatment effects: −7.1, 95%CI: −11.1 to −3.3), a lower in-hospital mortality rate (6.1 vs 9.9 per 1000 admissions, P = 0.006; treatment effects: −3.8, 95%CI: −6.5 to −1.1), and a lower rate of 30-day readmission (11.9% vs 13.9%, P < 0.001; treatment effects: −2.0%, 95%CI: −3.1% to −1.0%). In addition, for both public and private hospital groups, there were significant differences for all outcomes when comparing the worst and best performance quintile hospitals. Conclusions: Hospital variability of postoperative sepsis, in-hospital mortality and readmission after elective CABG existed between and within public and private hospitals.
AB - Purpose: Hospital variability of postoperative sepsis and sepsis-related mortality after elective CABG surgery was not known in Australia. Material and methods: Population-based analysis of all elective patients who underwent CABG surgery in public and private hospitals between 2007 and 2014 using linked data from the state-wide Admitted Patient Data Collection and the NSW Registry of Births, Deaths, and Marriages. Results: We identified 18,928 (9464 pairs) matched patients who had elective CABG surgery in public hospitals (n = 9) and private hospitals (n = 13) during the study period. When compared to public hospital patients, private hospital patients had a significantly lower rate of post-CABG sepsis (13.3 vs 20.4 per 1000 admissions, P < 0.001; treatment effects: −7.1, 95%CI: −11.1 to −3.3), a lower in-hospital mortality rate (6.1 vs 9.9 per 1000 admissions, P = 0.006; treatment effects: −3.8, 95%CI: −6.5 to −1.1), and a lower rate of 30-day readmission (11.9% vs 13.9%, P < 0.001; treatment effects: −2.0%, 95%CI: −3.1% to −1.0%). In addition, for both public and private hospital groups, there were significant differences for all outcomes when comparing the worst and best performance quintile hospitals. Conclusions: Hospital variability of postoperative sepsis, in-hospital mortality and readmission after elective CABG existed between and within public and private hospitals.
KW - Coronary artery bypass grafting
KW - Hospital mortality
KW - Postoperative sepsis
KW - Readmission
UR - http://www.scopus.com/inward/record.url?scp=85050509712&partnerID=8YFLogxK
U2 - 10.1016/j.jcrc.2018.07.018
DO - 10.1016/j.jcrc.2018.07.018
M3 - Article
VL - 47
SP - 232
EP - 237
JO - Journal of Critical Care
T2 - Journal of Critical Care
JF - Journal of Critical Care
SN - 0883-9441
ER -