Publication: Risk-Adjusted Survival after Coronary Artery Bypass Grafting: Implications for Quality Improvement
Open/View Files
Date
2014
Published Version
Journal Title
Journal ISSN
Volume Title
Publisher
MDPI
The Harvard community has made this article openly available. Please share how this access benefits you.
Citation
Efird, Jimmy T., Wesley T. O’Neal, Stephen W. Davies, Jason B. O’Neal, Linda C. Kindell, Curtis A. Anderson, W. Randolph Chitwood, T. Bruce Ferguson, and Alan P. Kypson. 2014. “Risk-Adjusted Survival after Coronary Artery Bypass Grafting: Implications for Quality Improvement.” International Journal of Environmental Research and Public Health 11 (7): 7470-7481. doi:10.3390/ijerph110707470. http://dx.doi.org/10.3390/ijerph110707470.
Research Data
Abstract
Mortality represents an important outcome measure following coronary artery bypass grafting. Shorter survival times may reflect poor surgical quality and an increased number of costly postoperative complications. Quality control efforts aimed at increasing survival times may be misleading if not properly adjusted for case-mix severity. This paper demonstrates how to construct and cross-validate efficiency-outcome plots for a specified time (e.g., 6-month and 1-year survival) after coronary artery bypass grafting, accounting for baseline cardiovascular risk factors. The application of this approach to regional centers allows for the localization of risk stratification rather than applying overly broad and non-specific models to their patient populations.
Description
Other Available Sources
Keywords
outcomes, coronary artery bypass grafting, CABG, survival, mortality
Terms of Use
This article is made available under the terms and conditions applicable to Other Posted Material (LAA), as set forth at Terms of Service