Navigation Links
Number of Revascularization Procedures, Related In-Hospital Mortality and Some Complications Decline, While Rates of Infection and Acute Respiratory Distress Syndrome (ARDS) Following Coronary Artery Bypass Graft (CABG) Surgery Increase
Date:3/31/2009

Increases translate into $170 million in incremental Medicare spending in FY 2006

ATLANTA, March 31 /PRNewswire/ -- The number of revascularization procedures, related in-hospital mortality and some complications among Medicare beneficiaries decreased between 2003 and 2006. At the same time, rates of infection and acute respiratory distress syndrome (ARDS) following coronary artery bypass graft (CABG) surgery increased. Those were among the findings of research funded and conducted by Cardiac Data Solutions, Inc. (CDS) presented at the American College of Cardiology's 58th Annual Scientific Session in Orlando.

According to the study, the number of hospitalizations for CABG declined 7.4 percent annually from 2003 to 2006. The number of hospitalizations for percutaneous coronary intervention (PCI) decreased 2.3% annually from 2004 to 2006 after peaking in 2003. Further research is necessary to determine if the volume decreases, which were unexpected given the aging population, are due to anti-smoking activities, improvements in medical management, and/or increased use of drug-eluting stents.

During the study period, average annual in-hospital mortality decreased 4.9% for CABG and 7.6% for PCI procedures. Researchers also reported statistically significant decreases in complications including post-operative stroke among CABG patients and vascular complications for PCI patients; additionally, the rate of new-onset hemodialysis for PCI cases decreased by 50%.

The incidence of ARDS and post-operative infection associated with CABG surgery increased during the study period. The increase in the rate of ARDS and post-operative infection complications has an economic toll. Prior research conducted by CDS indicates that ARDS and post-operative infection can add more than $46,000 to hospital costs per admission, which equates to more than $170 million in incremental Medicare costs in FY 2006.

"The decline in the number of revascularization procedures may be attributed to a variety of factors, including changes in medical therapy and PCI technology," says Cardiac Data Solutions founder April Simon, RN, who was one of the researchers. "From a quality perspective, it will be important to monitor patient outcomes for facilities and clinicians to determine if the decline in volumes impacts the ability to gain the necessary proficiency and expertise to maintain the current trend of improved outcomes despite increased patient severity."

The research studied all Medicare beneficiaries undergoing CABG or PCI, with the exception of those with any concomitant valve surgery, in a U.S. hospital between October 1, 2002 and September 30, 2006.

In addition to Simon, the researchers included Phillip P. Brown, MD, cardiovascular surgeon (retired) and past chairman, Department of Surgery, Centennial Medical Center; Aaron Kugelmass, MD, director of Cardiac Catheterization at Henry Ford Hospital; David J. Cohen, MD, interventional cardiologist and director, Cardiovascular Research, Mid America Heart Institute, St. Luke's Hospital; Matthew R. Reynolds, MD, electrophysiologist and director, Economics and Quality of Life Core Lab, Harvard Clinical Research Institute; and Steven D. Culler, PhD, associate professor, Rollins School of Public Health, Emory University.

About Cardiac Data Solutions, Inc. (CDS)

Founded in 1999, Cardiac Data Solutions, Inc. (CDS) provides consultation services, data analysis, clinical benchmarks, management tools, research support services and leadership training to hospitals, physicians, payors, manufacturers and the financial community. CDS is focused solely on the cardiovascular market with the primary mission of supporting and improving clinical and business decisions to improve the quality of patient care. Using a proprietary data analysis tool with comprehensive and current data on clinical outcomes, CDS helps identify opportunities for improvement and develop evidence-based strategies to achieve them. Visit http://www.cardiacdatasolutions.com.

    CONTACT:

    Karen Conway
    303-564-2147
    719-488-0359
    kmcassociates@aol.com

This release was issued through eReleases(TM). For more information, visit http://www.ereleases.com.


'/>"/>
SOURCE Cardiac Data Solutions, Inc.
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Battle Continues Over Vietnam PTSD Numbers
2. Record Number of Americans Lack Health Insurance
3. Growing Number of U.S. Kids Not Getting Needed Vaccinations
4. AUDIO from Medialink and Pfizer: Number of Uninsured Americans Grows to 47 Million
5. Number of Partners Doesnt Explain Gay HIV Rate
6. StemCyte, Inc. Ranked Number Six in Deloittes Technology Fast 50 Program for Los Angeles
7. Abortion Numbers Fall Worldwide
8. BioDiscovery Releases NEXUS CGH Version 2 for DNA Copy Number Analysis and Visualization
9. Health Market Science Ranked Number Ten in Deloittes Technology Fast 50 Program for Greater Philadelphia
10. Huge numbers willing to go under knife to alter their appearance, study finds
11. HearAtLast Continues Rapid Expansion, Opening Two New Retail Locations in Richmond Hill and Markham Wal-Mart Stores Number 3195 and 3053
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/5/2016)... ... 05, 2016 , ... Freed-Hardeman University President Joe A. Wiley ... joint enrollment and degree completion agreement. The agreement, which begins with the ... FHU|Dickson. , The agreement allows students to be jointly admitted to both ...
(Date:2/5/2016)... ... 05, 2016 , ... The American public tends to feel uncomfortable about drinking ... regular municipal or well water. The recent experience with lead contaminated water in Flint, ... long way toward increasing public acceptance of recycled waste water as drinking water. ...
(Date:2/5/2016)... ... , ... At its annual meeting held last week, the American Parkinson Disease ... of Directors. Mr. McDermott succeeds former APDA Chairman, Fred Greene. , "We are pleased ... APDA President and CEO. “Pat has tirelessly served APDA since 2001 when he was ...
(Date:2/5/2016)... IL (PRWEB) , ... February 05, 2016 , ... In ... disguised form as a dream. A hallmark feature of patients with eating disorders is ... needs. The eating disorder behaviors and obsessions are regarded as maladaptive means for coping ...
(Date:2/5/2016)... ... February 05, 2016 , ... KICVentures ( http://www.kicventures.com ... Development event in New York City on Thursday, January 21, 2016. Kingsley ... Mediacom, (both alumnus of the varsity Columbia soccer program) spoke at the event, ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... HARROGATE, England , February 5, 2016 ... --> Today, VoicePower Ltd - The Speech Recognition People, ... has been deployed to improve patient care, reduce turnaround times and ... ,- Wirral CCG ,- VoicePower client since 2013 Challenge: ... Challenge: --> - Six doctors ,- Wirral ...
(Date:2/4/2016)...  Edwards Lifesciences Corporation (NYSE: EW ), the ... and critical care monitoring, announced today that it has ... Morgan Stanley & Co. LLC to repurchase $325 million ... the Company,s previously authorized program to repurchase up to ... --> --> Under the ...
(Date:2/4/2016)... FOSTER CITY, Calif. , Feb. 4, 2016 ... (the "Company") today announced it has entered into ... and Exchange Commission (SEC) fully resolving the SEC,s ... Practices Act (FCPA).  Under the terms of the ... total of $12.8 million, including disgorgement, pre-judgment interest ...
Breaking Medicine Technology: