Richard S. D’Agostino, MD, Jeffrey P

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Presentation transcript:

The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2018 Update on Outcomes and Quality Richard S. D’Agostino, MD, Jeffrey P. Jacobs, MD, Vinay Badhwar, MD, Felix G. Fernandez, MD, MS, Gaetano Paone, MD, MHSA, David W. Wormuth, MD, MPH, David M. Shahian, MD The Annals of Thoracic Surgery Volume 105, Issue 1, Pages 15-23 (January 2018) DOI: 10.1016/j.athoracsur.2017.10.035 Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Relative distribution of cardiac operations by procedure type for calendar year 2016. “Other procedures” includes cardiac procedures not classified in the pie chart, including tricuspid valve operations, ventricular assist devices, arrhythmia operations, and transplants, among others. Procedures enclosed within a box are those for which The Society of Thoracic Surgeons Adult Cardiac Surgery Database has developed risk-adjustment models and composite quality ratings. (AVR = aortic valve replacement; CABG = coronary artery bypass grafting; MV = mitral valve; MVR = mitral valve replacement.) The Annals of Thoracic Surgery 2018 105, 15-23DOI: (10.1016/j.athoracsur.2017.10.035) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Trends in blood product use among more commonly performed procedures from 2010 to 2016 as shown by the percentage of patients receiving any blood product during the intraoperative or postoperative phase. (AVR = aortic valve replacement; CABG = coronary artery bypass grafting; MV = mitral valve; MVR = mitral valve replacement.) The Annals of Thoracic Surgery 2018 105, 15-23DOI: (10.1016/j.athoracsur.2017.10.035) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Trends in selected preoperative risk factors for coronary artery bypass grafting from 2006 to 2016. (CHF = congestive heart failure as assessed by New York Heart Association Functional Classification; PCI = percutaneous coronary intervention.) The Annals of Thoracic Surgery 2018 105, 15-23DOI: (10.1016/j.athoracsur.2017.10.035) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Coronary artery bypass grafting: trends in the number and types of grafts and procedures performed off-pump (without the use of cardiopulmonary bypass) from 2006 to 2016. (BIMA = bilateral internal mammary artery grafts; Radial = radial artery graft.) The Annals of Thoracic Surgery 2018 105, 15-23DOI: (10.1016/j.athoracsur.2017.10.035) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Change in procedure volume for aortic valve and thoracic aortic procedures from 2006 to 2016. Aortic aneurysm includes procedures on the ascending aorta, aortic arch, and descending and thoracoabdominal aorta. (AVR = aortic valve replacement; CABG = coronary artery bypass grafting; TAVR = transcatheter aortic valve replacement.) The Annals of Thoracic Surgery 2018 105, 15-23DOI: (10.1016/j.athoracsur.2017.10.035) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Volume trends in mitral and tricuspid valve operations from 2006 to 2016. Tricuspid procedure includes isolated tricuspid valve operations or procedures performed in conjunction with other cardiac operations. (CABG = coronary artery bypass grafting; MV = mitral valve; MVR = mitral valve replacement.) The Annals of Thoracic Surgery 2018 105, 15-23DOI: (10.1016/j.athoracsur.2017.10.035) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions