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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.

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SOURCE Cardiac Data Solutions, Inc.
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