Likely variations in perioperative mortality associated with cardiac surgery: When does high mortality reflect bad practice?

Heart

Volumn 84, Issue 1, 2000, Pages 79-82

  Sherlaw Johnson, C ^a   Lovegrove, J ^a   Treasure, T ^b   Gallivan, S ^a  

^a UNIVERSITY COLLEGE LONDON   (United Kingdom)

^b ST GEORGE S HOSPITAL   (United Kingdom)

Author keywords

Locally derived risk score; Parsonnet score; Perioperative mortality; Variable life adjusted display

Indexed keywords

ARTICLE; CARDIOVASCULAR DISEASE; CLINICAL PRACTICE; CORRELATION FUNCTION; HEART DEATH; HEART SURGERY; HUMAN; MAJOR CLINICAL STUDY; PRIORITY JOURNAL; SCORING SYSTEM; SURGEON; SURGICAL MORTALITY;

EID: 0033932402     PISSN: 13556037     EISSN: None     Source Type: Journal    
DOI: 10.1136/heart.84.1.79     Document Type: Article

References (20)

1. Dubois RW, Rogers WH, Moxley JH, et al. Hospital inpatient mortality. Is it a predictor of quality? N Engl J Med 1987;317:1674-80.
2. Parsonnet V, Dean D, Bernstein AD. A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease. Circulation 1989;79(suppl 1):1-12.
3. Nashef SAM, Carey F, Silcock MM, et al. Risk stratification for open heart surgery: trial of the Parsonnet system in a British hospital. BMJ 1992;305:1066-7.
4. Anderson JR, Parker DJ, Unsworth-White MJ, et al. Training surgeons and safeguarding patients. Ann R Coll Surg Engl 1996;78(suppl):116-8.
5. O'Connor GT, Plume SK, Olmstead EM, et al. Multivariate prediction of in-hospital mortality associated with coronary artery bypass graft surgery. Northern New England cardiovascular disease study group. Circulation 1992;85:2110-8.
6. Marshall G, Shroyer AL, Grover FL, et al. Baysian-logit model for risk assessment in coronary artery bypass grafting. Ann Thorac Surg 1994;57:1492-9.
7. Edwards FH, Clark RE, Schwartz M. Coronary artery bypass grafting: the Society of Thoracic Surgeons national database experience. Ann Thorac Surg 1994;57:20-6.
8. Tu JV, Jaglal SB, Naylor CD. Multicenter validation of a risk index for mortality, intensive care unit stay, and overall hospital length of stay after cardiac surgery. Steering Committee of the provincial adult cardiac care network of Ontario. Circulation 1995;91:899-900.
9. Lovegrove J, Sherlaw-Johnson C, Valencia O, et al. Monitoring the performance of cardiac surgeons. J Opl Res Soc 1999;50:684-9.
10. Bridgewater B, Neve H, Moat N, et al. Predicting operative risk for coronary artery surgery in the United Kingdom: a comparison of various risk prediction algorithms. Heart 1998;79:350-5.
11. Lovegrove J, Valencia O, Treasure T, et al. Monitoring the results of cardiac surgery by variable life-adjusted display. Lancet 1997;350:1128-30.
12. de Leval MR, Francois K, Bull C, et al. Analysis of a cluster of surgical failures: application to a series of neonatal arterial switch operations. J Thorac Cardiovasc Surg 1994;107: 914-24.
13. Williams SM, Parry BR, Schlup MMT. Quality control: an application of the cusum. BMJ 1992;304:1359-61.
14. Sergeant P, Meyns B. La critique est aisée mais l'art est difficile. Lancet 1997;350:1114-5.
15. Stoppard T. Rosencrantz and Guildenstern are dead. London: Faber and Faber, 1967.
16. Altman DG. Practical statistics for medical research. London, Chapman and Hall, 1991:152-9.
17. Treasure T. Risks and results of surgery. Br Heart J 1995;74: 11-12.
18. Poloniecki J, Valencia O, Littlejohns P. Cumulative risk adjusted mortality chart for detecting changes in death rate: observational study of heart surgery. BMJ 1998;316: 1697-700.
19. Gallivan S, Lovegrove J, Sherlaw-Johnson C. Detection of changes in mortality after heart surgery: Control limits failed to account for case mix. BMJ 1998;317: 1453.
20. DeGroot MH. Probability and statistics, 2nd ed. Reading, Massachusetts: Addison Wesley, 1986:276.