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Data.mtview.april'18

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Outcomes of patients undergoing cardiac surgery at Mt View Medical Center by Dr. Robert Poston. Dataset includes 215 patients that underwent surgery between 5/17 until 5/18, just prior to Dr. Poston leaving to join Downstate University.

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Data.mtview.april'18

  1. 1. Major CT Surgery cases 5.1.17 through 4.30.18 Apr-18 5.1.17 - 4.30.18 Trend Notes Total Major CV Cases 20 215 Elective 9 108 Urgent 10 100 Emergent 1 7 Case type Robotic 9 110  CPB Full 16 107 About 49.8% of cases are on full bypass Combo 0 30 About 14% of cases are pump assist None 4 78  About 36.3% of cases are off pump Approach Full sternotomy 7 79 About 37% of cases had a full sternotomy Mini Thoracotomy 13 136 About 63% of cases required only a mini thoracotomy Procedure Type AVR 3 21 There were a total of 34 aortic valves in this 12 month span AVR+CABG 1 9 CABG Only 12 156 MV Repair/Replace 3 15 Other 1 14 Total CT surgery cases 20 215 LOS (Days) Overall LOS 10 9.8  (Days) Admit to surgery 3.9 2.3 (Days) Surgery to D/C 6.1 7.4  (Days) CABG overall LOS 10.2 9.3  (Days) Valve overall LOS 11.1 10.5 x (Days) Avg. ICU LOS (hours) 144 135 x (Hours) Avg. IMC LOS (hours) 76.2 82.8 (Hours) In Hospital Events Afib 4 46  18-24 Post Op BGL Peak 143 178  Benchmark goal 180 or less 24 hour Pre Op BB CABG 100% 81.1% x STS 89.9% Average Vent Time (Hours) 24 13.7  4 outliers >280 hours removed OR Extubations 7 66  30.7% of cases are extubated in the OR OR Time 6.6 5.7 Time in hours from OR entry to OR exit Cut Time 5 4 Time of primary surgical incision to incision close Disposition (ALL patients) Rehab/LTAC 5 56 x About 26% of cases are discharged to rehab (STS avg 17.6%) Home 8 142 x About 66% of cases are discharged home (STS avg 78.5%) Nursing home 0 3  About 1.4% of cases require a nursing home (STS avg 2.7) Remaining Inpatient 6 Inpatient Death 1 7 Readmission 0 31 x About 14.4% readmission rate (STS avg 10%) Infections Deep sternal 0 1 Primary incision superficial 0 8 Harvest conduit site 0 9 Cannulation site 0 4 Other 0 1 Risk Based on 201 STS Risk Stratifiable Cases 0-5% Mortality Risk 15 174 About 86.6% of cases are 5% or < mortality risk 5.1-7.0% Mortality Risk 2 9 About 4.5% of cases are between 5.1-7.0% mortality risk 7.1%-10.0 Mortaltiy Risk 1 2 About 1% of cases are between 7.1-10% mortality risk 10.1-20% Mortality Risk 1 14 About 6.9% of cases are between 10.1 and 20% mortality risk 20% and greater Mortality Risk 19 2 About 1% of cases are 20% or > mortality risk STS (Risk Stratifiable Cases) Actual Pred Trend Based on 201 STS Risk Stratifiable Cases Prolonged vent 14.4% 11.7% x 29 Patients were vented >24 hours ReOp 2.0% 3.8%  4 Patients went for ReOp Stroke 0.0% 1.3%  0 Patients sufffered a permanent stroke RF 3.5% 2.7% x 7 Patients experienced RF. Deep sternal infection 0.5% 0.3% x 1 Patient experienced a deep sternal infection Morbidity/ Mortality 15.4% 16.4%  31 Patients experienced either a single morbidity or was a mortality Mortality (w/in 30 days) 3.5% 3.1% x 7 Patients passed away w/in 30 days of sugery (STS risk cases) MVRMCCardiothoracicSurgeryDashboardMay1,2017throughApril30,2018 This is a confidential patient safety work product document. It is protected from disclosure pursuant to the Review Organization Immunity Act [41-9-1 to 41-9-7 NMSA 1978] and Patient Safety and Quality Improvement Act (42 CFR Part 3) and other state and federal laws. Unauthorized disclosure or duplication is prohibited. This document was prepared solely for quality improvement/ peer review. All proceedings and data associated with this document are protected under federal and state quality improvement and peer review statutes. Unauthorized disclosure may result in fines or imprisonment or both

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