STS Adult CV Surgery National Database - Fall 2003 Executive Summary Contents

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Nội dung Text: STS Adult CV Surgery National Database - Fall 2003 Executive Summary Contents

 

  1. STS Adult CV Surgery National Database - Fall 2003 Executive Summary Contents Figure 1. Cumulative Number of Participating Sites Figure 2. Cumulative Number of Procedures Performed Figure 3. Cumulative Number of Isolated CAB Procedures Performed Figure 4. Unadjusted Isolated CAB Operative Mortality Figure 5. Risk-Adjusted Isolated CAB Operative Mortality Figure 6. Post-Procedure Length of Stay for Isolated CAB Procedures Figure 7. Cumulative Number of Aortic Valve Procedures Performed Figure 8. Unadjusted Aortic Valve Operative Mortality Figure 9. Risk-Adjusted Aortic Valve Operative Mortality Figure 10. Mean Post-Procedure Length of Stay for Aortic Valve Procedures Figure 11. Cumulative Number of Mitral Valve Procedures Performed Figure 12. Unadjusted Mitral Valve Operative Mortality Figure 13. Risk-Adjusted Mitral Valve Operative Mortality Figure 14. Mean Post-Procedure Length of Stay for Mitral Valve Procedures Figure 15. Cumulative Number of Selected Other Cardiac Procedures Performed Figure 16. Unadjusted Other Cardiac Operative Mortality Figure 17. Mean Post-Procedure Length of Stay for Other Cardiac Procedures Figure 18. Cumulative Number of Selected Other Non-Cardiac Procedures Performed Figure 19. Unadjusted Other Non-Cardiac Operative Mortality Figure 20. Mean Post-Procedure Length of Stay for Other Non-Cardiac Procedures Table 1 - January 1994 to June 2003 Procedure Distribution Yearly Number of Sites in Analysis Yearly Overall Procedure Count Major Procedures Distribution Incidence of Other Procedures Distribution
  2. Figure 1: Number of Participating Sites Over Last 10 Years 900 750 Cumulative Count 600 450 300 150 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year Figure 2: Number of Procedures Performed Over Last 10 Years 2,400,000 2,000,000 Cumulative Count 1,600,000 1,200,000 800,000 400,000 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year
  3. Figure 3: Number of Isolated CAB Procedures Performed Over Last 10 Years 1,500,000 1,200,000 Cumulative Count 900,000 600,000 300,000 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year Figure 4: Unadjusted Isolated CAB Operative Mortality 6% 5% 4% Percent 3% 2% 1% 0% 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year
  4. Figure 5: Risk-Adjusted Isolated CAB Operative Mortality 6% 5% 4% Percent 3% 2% 1% 0% 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year Figure 6: Post-Procedure Length of Stay for Isolated CAB Procedures 10 8 6 Days 4 2 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year Mean Median
  5. Figure 7: Number of Aortic Valve Procedures Performed Over Last 10 Years 100,000 90,000 80,000 Cumulative Count 70,000 60,000 50,000 40,000 30,000 20,000 10,000 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year AV Replace AV Replace + CAB AV Replace + MV Replace Figure 8: Unadjusted Aortic Valve Operative Mortality 15% 10% Percent 5% 0% 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year AV Replace AV Replace + CAB AV Replace + MV Replace
  6. Figure 9: Risk-Adjusted Aortic Valve Operative Mortality 10% 8% 6% Percent 4% 2% 0% 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year AV Replace AV Replace + CAB Figure 10: Mean Post-Procedure Length of Stay for Aortic Valve Procedures 20 15 Mean Days 10 5 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year AV Replace AV Replace + CAB AV Replace + MV Replace
  7. Figure 11: Number of Mitral Valve Procedures Performed Over Last 10 Years 50,000 40,000 Cumulative Count 30,000 20,000 10,000 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year MV Replace MV Replace + CAB MV Repair MV Repair + CAB Figure 12: Unadjusted Mitral Valve Operative Mortality 20% 15% Percent 10% 5% 0% 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year MV Replace MV Replace + CAB MV Repair MV Repair + CAB
  8. Figure 13: Risk-Adjusted Mitral Valve Operative Mortality 20% 15% Percent 10% 5% 0% 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year MV Replace MV Replace + CAB Figure 14: Mean Post-Procedure Length of Stay for Mitral Valve Procedures 20 15 Mean Days 10 5 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year MV Replace MV Replace + CAB MV Repair MV Repair + CAB
  9. Figure 15: Number of Selected Other Cardiac Procedures Performed Over Last 10 Years 20,000 16,000 Cumulative Count 12,000 8,000 4,000 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year Left Ventricular Aneurysm Ventricular Septal Defect Pulmonary Valve Tricuspid Valve Figure 16: Unadjusted Other Cardiac Operative Mortality 50% 40% 30% Percent 20% 10% 0% 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year Left Ventricular Aneurysm Ventricular Septal Defect Pulmonary Valve Tricuspid Valve
  10. Figure 17: Mean Post-Procedure Length of Stay for Other Cardiac Procedures 20 15 Mean Days 10 5 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year Left Ventricular Aneurysm Ventricular Septal Defect Pulmonary Valve Tricuspid Valve Figure 18: Number of Selected Other Non-Cardiac Procedures Performed Over Last 10 Years 40,000 35,000 30,000 Cumulative Count 25,000 20,000 15,000 10,000 5,000 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year Aortic Aneurysm Carotid Endarterectomy
  11. Figure 19: Unadjusted Other Non-Cardiac Operative Mortality 25% 20% 15% Percent 10% 5% 0% 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year Aortic Aneurysm Carotid Endarterectomy Figure 20: Mean Post-Procedure Length of Stay for Other Non-Cardiac Procedures 20 15 Mean Days 10 5 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Procedure Year Aortic Aneurysm Carotid Endarterectomy
  12. Table 1: The Society of Thoracic Surgeons National Adult Cardiac Surgery Database Jan 1994 to Jun 2003 Procedure Distribution 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 337 404 452 466 460 380 363 419 481 431 Yearly Number of Sites in Analysis 152,064 200,293 235,377 252,688 240,590 210,295 200,451 204,305 222,523 100,131 Yearly Overall Procedure Count Major Procedures Isolated CAB 115,679 153,414 182,911 192,543 181,774 155,831 146,086 145,497 153,650 67,483 Isolated Aortic Valve Replace 6,367 7,836 8,969 9,932 10,108 9,108 9,025 9,602 11,062 5,251 Isolated Mitral Valve Replace 3,057 3,800 4,275 5,048 5,134 4,303 4,209 4,124 4,380 1,817 Aortic Valve Replace + CAB 5,707 7,552 9,212 10,444 10,908 10,045 9,921 10,361 11,751 5,506 Mitral Valve Replace + CAB 1,955 2,629 3,003 3,467 3,575 3,106 2,899 2,805 2,949 1,249 Aortic + Mitral Valve Replace 775 959 1,086 1,230 1,191 1,037 1,008 959 1,011 457 Mitral Valve Repair 982 1,256 1,586 2,234 2,262 2,086 2,331 2,750 3,659 1,690 Mitral Valve Repair + CAB 994 1,427 1,753 2,297 2,239 1,957 2,517 3,162 3,886 1,913 Not Classified Above 16,548 21,420 22,582 25,493 23,399 22,822 22,455 25,045 30,175 14,765 Incidence of Other Procedures Pulmonary Valve 147 199 373 461 543 529 449 463 486 217 Tricuspid Valve 909 1,292 1,410 1,880 1,751 1,666 1,787 2,272 3,158 1,695 LVA - Left Ventrical Aneurysm Repair 615 852 1,095 1,180 1,057 1,046 728 885 1,057 465 VSD - Ventricular Septal Defect Repair 335 476 518 576 525 547 409 422 455 204 ASD - Atrial Septal Defect Repair 971 1,354 1,601 1,934 1,852 2,005 1,921 2,121 2,373 1,013 Batista 1 7 11 69 30 182 8 20 5 5 Congenital Defect Repair 524 497 548 600 577 681 494 628 762 390 Transmyocardial Laser Revascularization 1 13 61 148 194 652 1,521 1,479 1,763 865 Cardiac Trauma 73 97 97 134 98 233 95 114 180 60 Cardiac Transplant 439 497 575 657 558 699 450 480 615 268 AICD - Automatic Implanted Cardioverter 1,087 993 583 604 330 363 215 208 288 132 Defibrillator Aortic Aneurysm 2,272 3,152 3,882 4,358 4,236 3,905 3,580 3,949 5,080 2,328 Carotid Endarterectomy 1,450 2,400 2,790 3,106 2,778 2,439 2,047 2,317 2,482 990 Other Vascular 1,146 1,505 1,692 1,624 1,372 1,347 1,124 1,374 1,399 580 Other Thoracic 1,463 1,752 1,939 1,915 1,541 1,529 1,383 1,655 1,858 751
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