Use of 90-day mortality does not change assessment of hospital quality after coronary artery bypass grafting in New York State.

ABSTRACT:

Objectives

Publicly reported postoperative 30-day mortality rates are commonly used to compare hospital quality after coronary artery bypass grafting. We sought to determine whether 90-day mortality rates, which are not publicly reported but better capture postdischarge mortality, are a better determinant of hospital performance.

Methods

We performed a retrospective cohort analysis of 30- versus 90-day risk-standardized mortality rates at adult cardiac surgical centers in New York State from 2008 to 2014. Hospitals were classified as good or poor performing outliers at each time point based on the bounds of the 95% confidence interval around each hospital's predicted risk-standardized mortality rates determined via hierarchical models. The primary outcome was change in insti

SUBMITTER: Mittel A 

PROVIDER: S-EPMC7554081 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature