National Variation in Congenital Heart Surgery Outcomes.

ABSTRACT:

Background

Optimal strategies to improve national congenital heart surgery outcomes and reduce variability across hospitals remain unclear. Many policy and quality improvement efforts have focused primarily on higher-risk patients and mortality alone. Improving our understanding of both morbidity and mortality and current variation across the spectrum of complexity would better inform future efforts.

Methods

Hospitals participating in the Society of Thoracic Surgeons Congenital Heart Surgery Database (2014-2017) were included. Case mix-adjusted operative mortality, major complications, and postoperative length of stay were evaluated using Bayesian models. Hospital variation was quantified by the interdecile ratio (IDR, upper versus lower 10%) and 95% credible intervals (CrIs

SUBMITTER: Pasquali SK 

PROVIDER: S-EPMC7539149 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature