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https://hdl.handle.net/2440/114883
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Type: | Journal article |
Title: | Hospital variability of postoperative sepsis and sepsis-related mortality after elective coronary artery bypass grafting surgery |
Author: | Ou, L. Chen, J. Flabouris, A. Hillman, K. Parr, M. Bellomo, R. |
Citation: | Journal of Critical Care, 2018; 47:232-237 |
Publisher: | Elsevier |
Issue Date: | 2018 |
ISSN: | 0883-9441 1557-8615 |
Statement of Responsibility: | Lixin Ou, Jack Chen, Arthas Flabouris, Ken Hillman, Michael Parr, Rinaldo Bellomo |
Abstract: | <h4>Purpose</h4>Hospital variability of postoperative sepsis and sepsis-related mortality after elective CABG surgery was not known in Australia.<h4>Material and methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>Hospital variability of postoperative sepsis, in-hospital mortality and readmission after elective CABG existed between and within public and private hospitals. |
Keywords: | Postoperative sepsis; hospital mortality; readmission; coronary artery bypass grafting |
Rights: | © 2018 Elsevier Inc. All rights reserved. |
DOI: | 10.1016/j.jcrc.2018.07.018 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1020660 http://purl.org/au-research/grants/nhmrc/1009916 |
Published version: | http://dx.doi.org/10.1016/j.jcrc.2018.07.018 |
Appears in Collections: | Anaesthesia and Intensive Care publications Aurora harvest 8 |
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