Hospital variability of postoperative sepsis and sepsis-related mortality after elective coronary artery bypass grafting surgery

dc.contributor.authorOu, L.
dc.contributor.authorChen, J.
dc.contributor.authorFlabouris, A.
dc.contributor.authorHillman, K.
dc.contributor.authorParr, M.
dc.contributor.authorBellomo, R.
dc.date.issued2018
dc.description.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.
dc.description.statementofresponsibilityLixin Ou, Jack Chen, Arthas Flabouris, Ken Hillman, Michael Parr, Rinaldo Bellomo
dc.identifier.citationJournal of Critical Care, 2018; 47:232-237
dc.identifier.doi10.1016/j.jcrc.2018.07.018
dc.identifier.issn0883-9441
dc.identifier.issn1557-8615
dc.identifier.orcidFlabouris, A. [0000-0002-1535-9441]
dc.identifier.urihttp://hdl.handle.net/2440/114883
dc.language.isoen
dc.publisherElsevier
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1020660
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1009916
dc.rights© 2018 Elsevier Inc. All rights reserved.
dc.source.urihttps://doi.org/10.1016/j.jcrc.2018.07.018
dc.subjectPostoperative sepsis; hospital mortality; readmission; coronary artery bypass grafting
dc.titleHospital variability of postoperative sepsis and sepsis-related mortality after elective coronary artery bypass grafting surgery
dc.typeJournal article
pubs.publication-statusPublished

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