Trends in the Utilization and Mortality for Coronary Artery Bypass Graft Surgery in California Hospitals
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CABG surgery, a major interventional procedure to treat coronary artery diseases, is the most common type of open-heart surgery and the costliest procedure in California. It is known that there are large disparities in the use of CABG procedures and outcomes by assigned sex at birth and by race/ethnicity. Understanding changes in CABG utilization and outcome by assigned sex at birth and race/ethnicity over time is important in the evaluation of hospital resources, regional health policy, quality improvement, and the promotion of health equity.
California Hospital Inpatient Mortality Rates and Quality Ratings
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The dataset contains risk-adjusted mortality rates, quality ratings, and number of deaths and cases for 6 medical conditions treated (Acute Stroke, Acute Myocardial Infarction, Heart Failure, Gastrointestinal Hemorrhage, Hip Fracture and Pneumonia) and 5 procedures performed (Abdominal Aortic Aneurysm Repair, Unruptured/Open, Abdominal Aortic Aneurysm Repair, Unruptured/Endovascular, Carotid Endarterectomy, Pancreatic Resection, Percutaneous Coronary Intervention) in California hospitals. The 2022 IMIs were generated using AHRQ Version 2023, while previous years' IMIs were generated with older versions of AHRQ software (2021 IMIs by Version 2022, 2020 IMIs by Version 2021, 2019 IMIs by Version 2020, 2016-2018 IMIs by Version 2019, 2014 and 2015 IMIs by Version 5.0, and 2012 and 2013 IMIs by Version 4.5). The differences in the statistical method employed and inclusion and exclusion criteria using different versions can lead to different results. Users should not compare trends of mortality rates over time. However, many hospitals showed consistent performance over years; “better” performing hospitals may perform better and “worse” performing hospitals may perform worse consistently across years. This dataset does not include conditions treated or procedures performed in outpatient settings. Please refer to statewide table for California overall rates: https://data.chhs.ca.gov/dataset/california-hospital-inpatient-mortality-rates-and-quality-ratings/resource/af88090e-b6f5-4f65-a7ea-d613e6569d96
California Statewide Inpatient Mortality Rates
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The dataset contains risk-adjusted mortality rates, and number of deaths and cases for 6 medical conditions treated (Acute Stroke, Acute Myocardial Infarction, Heart Failure, Gastrointestinal Hemorrhage, Hip Fracture and Pneumonia) and 6 procedures performed (Abdominal Aortic Aneurysm Repair, Carotid Endarterectomy, Craniotomy, Esophageal Resection, Pancreatic Resection, Percutaneous Coronary Intervention) in California hospitals. The 2014 and 2015 IMIs were generated using AHRQ Version 5.0, while the 2012 and 2013 IMIs were generated using AHRQ Version 4.5. The differences in the statistical method employed and inclusion and exclusion criteria using different versions can lead to different results. Users should not compare trends of mortality rates over time. However, many hospitals showed consistent performance over years; “better” performing hospitals may perform better and “worse” performing hospitals may perform worse consistently across years. This dataset does not include conditions treated or procedures performed in outpatient settings. Please refer to hospital table for hospital rates: https://data.chhs.ca.gov/dataset/california-hospital-inpatient-mortality-rates-and-quality-ratings