|
|
30th Annual Meeting Abstracts - Procedure Rates and Outcomes of Coronary Revascularization Procedures in California and New York
Procedure Rates and Outcomes of Coronary Revascularization Procedures in California and New York
J. S. Carey1, J. P. Gold2, S. J. Rossiter1, B. Danielsen3. ,
1California Society of Thoracic Surgeons, Torrance, CA, 2Albert Einstein College of Medicine, Bronx, NY, 3Health Information Solutions, Sacramento, CA
BACKGROUND:
The California Cardiac Surgery Initiative is a joint project of the California Society of Thoracic Surgeons and the California Healthcare Foundation which seeks to enlist hospitals and physicians in a collaborative quality improvement program. To identify areas for improvement, we compared data from New York, which has a mandatory reporting program, to California, which does not.
METHODS:
The patient discharge database of the California Office of Statewide Health Planning and Development was queried for all coronary artery bypass (CABG) and percutaneous coronary intervention (PCI) procedures performed during 1999-2001, using ICD-9 codes to identify procedures and risk variables. The data was compared to reports published by the New York State Department of Health.
RESULTS: | Year 2000 | California | New York | | Population | 33,871,648 | 18,976,457 | | CABG, N | 27,282 | 18,116 | | CABG/1000 persons | 0.81 | 0.95 | | PCI, N | 50,559 | 39,234 | | PCI/1000 persons | 1.49 | 2.07 | | CABG Mortality N, (%) | 745 (2.73) | 406 (2.24) | | PCI Mortality N, (%) | 730 (1.44) | 284 (0.72) |
Risk factor analysis indicated that the populations of New York and California were comparable with regard to age, gender and comorbidities. Data from 1999-2001 for California showed a mortality for PCI of 1.41 for all three years; in-hospital mortality for PCI in New York was 0.79 for 1998-2000.
CONCLUSIONS: In-hospital mortality rates for CABG and PCI are higher in California as compared to New York. The populations are similar, but the procedure performance rates are higher in New York. The reasons for these differences are not apparent and require further study.
Back to Final Program
|
