Effect of individual patient risk, centre, surgeon and anaesthetist on length of stay in hospital after cardiac surgery: Association of Cardiothoracic Anaesthesia and Critical Care (ACTACC) consecutive cases series study of 10 UK specialist centres.

ABSTRACT:

Objectives

To determine the relative contributions of patient risk profile, local and individual clinical practice on length of hospital stay after cardiac surgery.

Design

Ten-year audit of prospectively collected consecutive cardiac surgical cases. Case-mix adjusted outcomes were analysed in models that included random effects for centre, surgeon and anaesthetist.

Setting

UK centres providing adult cardiac surgery.

Participants

10 of 36 UK specialist centres agreed to provide outcomes for all major cardiac operations over 10 years. After exclusions (duplicates, cases operated by more than one consultant, deaths and procedures for which the EuroSCORE risk score for cardiac surgery is not appropriate), there were 107 038 cardiac surgical procedures between April

SUBMITTER: Papachristofi O 

PROVIDER: S-EPMC5595188 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature