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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
Statement of
Lixin Ou, Jack Chen, Arthas Flabouris, Ken Hillman, Michael Parr, Rinaldo Bellomo
Abstract: Hospital variability of postoperative sepsis and sepsis-related mortality after elective CABG surgery was not known in Australia.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.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.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.
RMID: 0030095346
DOI: 10.1016/j.jcrc.2018.07.018
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Appears in Collections:Anaesthesia and Intensive Care publications

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