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.
Trends in the Utilization and Mortality for Coronary Artery Bypass Graft Surgery in California Hospitals
공공데이터포털
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.
Number of Selected Inpatient Medical Procedures in California Hospitals
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This dataset contains the number (volume) of 6 selected inpatient procedures (Esophageal Resection, Pancreatic Resection, Abdominal Aortic Aneurysm Repairs (AAA Repairs), Carotid Endarterectomy, Coronary Artery Bypass Graft Surgery, Percutaneous Coronary Intervention) performed in California hospitals. Data are reported for January – September 2015 due to coding changes from ICD-9-CM to ICD-10-CM/PCS for procedures, which began 10/1/2015. Comparisons across years should be made with caution since other years’ results are based on 12 months of data, while 2015 analysis is based on 9 months of data. The data starting 2015 may differ from previous years due to the coding change. This dataset does not include procedures performed in outpatient settings.
Debate: PCI vs CABG: a moving target, but we are gaining
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The treatment of patients with coronary artery disease continues to evolve; all three strategies – medical therapy, surgical revascularization, and percutaneous coronary intervention – have changed. Medical therapy with intense risk-factor modification and treatment with a statin, aspirin, and angiotensin-converting enzyme (ACE) inhibitors, should be used unless contraindicated. Surgical therapy has also changed with the introduction of minimally invasive, beating heart surgery. Percutaneous coronary intervention has perhaps changed the most radically with adjunctive therapy – glycoprotein IIb/IIIa inhibitors, thienopyridines, and reliance on stent implantation. The future, with new distal protection devices and drug-coated stents, should continue to see increased numbers of patients who can benefit from percutaneous intervention.
Measurable Hospital-Acquired Conditions (Composite Patient Safety and Adverse Events Indicator) Statewide Rate, California (LGHC Indicator)
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This dataset contains the statewide composite patient safety and Adverse Events indicator (PSI) rate used to determine the “Incidence of measurable hospital-acquired conditions” rate for the Let’s Get Healthy California Initiative. PSI rates may not be comparable across years as significant changes were made to composition, definition, and calculation of PSI over time. The current composite PSI includes the following component indicators: pressure ulcer, iatrogenic pneumothorax, in-hospital fall-associated fracture, postoperative hemorrhage or hematoma, postoperative acute kidney injury requiring dialysis, postoperative respiratory failure, perioperative pulmonary embolism or deep vein thrombosis, postoperative sepsis, postoperative wound dehiscence, abdominopelvic accidental puncture or laceration.