ArticleArquivos brasileiros de cardiologia2020
Analysis of >100,000 Cardiovascular Surgeries Performed at the Heart Institute and a New Era of Outcomes.
Article in Arquivos brasileiros de cardiologia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Is Incentive Spirometry Superior to Standard Care in Postoperative Cardiac Surgery on Clinical Outcomes and Length of Hospital and Intensive Care Unit Stay? A Systematic Review with Meta-Analysis.Brazilian journal of cardiovascular surgery · 2024Pooled it
- Post-Coronary Artery Bypass: The Power of Prognostic Nutritional Index in Determining Mortality.Anatolian journal of cardiology · 2025Article
- Incidence of failure-to-rescue after coronary artery bypass grafting: a multicenter observational study from the REPLICCAR II registry in Brazil.Patient safety in surgery · 2025Article
- Preoperative Predictors of Hospital Readmission within 5 Years Following CABG: Cohort Analysis of the REPLICCAR II Database.Arquivos brasileiros de cardiologia · 2025Article
- Article
- Data-driven coaching to improve statewide outcomes in CABG: before and after interventional study.International journal of surgery (London, England) · 2024Article
- Predictors of 30-Day Hospital Readmission Following CABG in a Multicenter Database: A Cross-Sectional Study.Arquivos brasileiros de cardiologia · 2024Article
- Proposed Risk Score in Patients with Aortic Stenosis Submitted to Valve Replacement Surgery.Brazilian journal of cardiovascular surgery · 2023Observational
- From Volume to Value Creation in Cardiac Surgery: What is Needed to Get off the Ground in Brazil?Arquivos brasileiros de cardiologia · 2023Article
- Soluble TREM-1 plasma levels are associated with acute kidney injury, acute atrial fibrillation and prolonged ICU stay after cardiac surgery- a proof-concept study.Frontiers in cardiovascular medicine · 2023Article
- Adherence to the cardiac surgery checklist decreased mortality at a teaching hospital: A retrospective cohort study.Clinics (Sao Paulo, Brazil) · 2022Article
- Teams, Rapid Recovery Protocols and Technology to Resume Cardiac Surgery in the COVID-19 Era.Brazilian journal of cardiovascular surgery · 2021Article
- 2020 Top 10 Original Articles in the Arquivos Brasileiros de Cardiologia and the Revista Portuguesa de Cardiologia.Revista portuguesa de cardiologia · 2021Article
- 2020 Top 10 Original Articles in the Arquivos Brasileiros de Cardiologia and the Revista Portuguesa de Cardiologia.Arquivos brasileiros de cardiologia · 2021Article
- Safe and effective protocol for discharge 3 days after cardiac surgery.Scientific reports · 2021Article
- Most deaths in low-risk cardiac surgery could be avoidable.Scientific reports · 2021Article
- Endovascular correction of isolated descending thoracic aortic disease: a descriptive analysis of 1,344 procedures over 10 years in the public health system of São Paulo.Clinics (Sao Paulo, Brazil) · 2021Article
- Checklists as a central part of surgical safety culture.Sao Paulo medical journal = Revista paulista de medicinaArticle
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Authors and funding
11 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe current challenge of cardiovascular surgery (CVS) is to improve the outcomes in increasingly severe patients. In this respect, continuous quality improvement (CQI) programs have had an impact on outcomes.
objectiveTo assess the evolution of the incidence and mortality due to CVS, as well as the current outcomes of the Hospital das Clínicas Heart Institute of the University of São Paulo Medical School (InCor-HCFMUSP).
methodsAn outcome analysis of CVSs performed at the InCor, between January 1984 and June 2019. We observed the surgical volume and mortality rates in 5 time periods: 1st (1984-1989), 2nd (1990-1999), 3rd (2000-2007), 4th (2008-2015) and 5th (2016-2019). The CQI program was implemented between 2015 and 2016. The analysis included the total number of surgeries and the evolution of the most frequent procedures.
resultsA total of 105,599 CCVs were performed, with an annual mean of 2,964 procedures and mortality of 5,63%. When comparing the 4th and the 5th periods, the average global volume of surgeries was increased from 2,943 to 3,139 (p = 0.368), bypass graft (CABG), from 638 to 597 (p = 0.214), heart valve surgery, from 372 to 465 (p = 0.201), and congenital heart disease surgery, from 530 to 615 (p = 0.125). The average global mortality went from 7.8% to 5% (p < 0.0001); in CABG surgery, from 5.8% to 3.1% (p < 0.0001); in heart valve surgery, from 14% to 7.5% (p < 0.0001) and in congenital heart disease surgery, from 12.1% to 9.6% (p < 0.0001).
conclusionIn spite of a recent trend towards increased surgical volume, there was a significant decrease in operative mortality in the groups studied. After the implementation of the CQI program, the mortality rates were closer to international standards.
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