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Surgical patients' mortality rates drop at ACS NSQIP hospitals in California
Date:7/15/2013

SAN DIEGO (July 15, 2013) A new study evaluating surgical outcomes at California hospitals enrolled in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) found surgical patients at ACS NSQIP hospitals had significantly reduced mortality rates compared with non-ACS NSQIP hospitals. These findings were presented Sunday, July 14, 2013 at the ACS NSQIP National Conference, taking place July 13-16 in San Diego, Calif.

Researchers analyzed data from 1,184,895 patients at 227 hospitals from 1995 to 2009 to identify whether surgical outcomes improved over time in ACS NSQIP hospitals compared with non-ACS NSQIP hospitals. Outcome measures included in-hospital mortality, 30-day mortality, 30-day readmissions and one-year mortality rates on seven complex surgical procedures, including: abdominal aortic aneurysm repair, aortic valve replacement, bariatric operations, coronary artery bypass grafting, esophagectomy, pancreatectomy, and percutaneous coronary intervention.

For these procedures the investigators reported that ACS NSQIP hospitals had significantly lower 30-day mortality rates (OR 0.73[0.70-0.76] versus 0.81[0.78-0.83]) and one-year mortality rates (OR 0.84[0.81-0.87] versus 0.90[0.88-0.92]) than non-ACS NSQIP hospitals. The researchers also identified a decrease in 30-day readmission and in-hospital mortality rates, although the difference did not reach statistical significance.

There have been considerable improvements in outcomes of complex surgical procedures in California since 1995; however, during this time period, surgical outcomes and mortality rates at ACS NSQIP hospitals have improved faster than at non-ACS NSQIP hospitals, which may be attributed to increased active participation in ACS NSQIP.

"The magnitude of the decrease in mortality rates at ACS NSQIP hospitals demonstrates a clear distinction between ACS NSQIP hospitals and non-ACS NSQIP hospitals in terms of surgical
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Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
American College of Surgeons
Source:Eurekalert

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