 |
|
Comparison of Survival in Cardiac Surgery at a Veterans Administration Hospital and Its Affiliated University Hospital
David C. Kress, MD;
George M. Kroncke, MD;
Paramjeet S. Chopra, MD;
David J. Cohen, MD;
Paul W. Rasmussen, MS;
Ronald D. Nichols, CCP;
Ellouise S. Beatty, MS;
Herbert A. Berkoff, MD
Arch Surg. 1988;123(4):439-443.
Abstract
• Survival data were reviewed for 3330 open cardiac procedures from 1975 through 1984 at the William S. Middleton Memorial Veterans Hospital, Madison, Wis, and the University of Wisconsin Hospitals and Clinics, Madison. Respective operative survivals were 98.6% and 98.7% for myocardial revascularizations with vein graft or internal mammary artery (CABG), 96.2% and 96.8% for CABG reoperation, 97.8% and 95.9% for aortic valve replacement, 96.3% and 90.3% for aortic valve replacement plus CABG, 100.0% and 94.9% for mitral valve replacement, and 100.0% and 82.9% for mitral valve replacement plus CABG. There were no significant differences in six-year survival curves between hospitals despite threefold differences in average annual caseload (88 vs 294). This suggests that residency-directed cardiac surgery programs can function equally as well at a Veterans Administration hospital as at an affiliated university hospital.
(Arch Surg 1988;123:439-443)
Author Affiliations
From the Division of Cardiothoracic Surgery, William S. Middleton Memorial Veterans Hospital (Drs Kroncke and Cohen and Mr Nichols), and University of Wisconsin Hospitals and Clinics (Drs Kress, Kroncke, Chopra, Cohen, and Berkoff and Ms Beatty) and Clinical Cancer Center (Mr Rasmussen), Madison.
Footnotes
Accepted for publication Jan 27, 1988.
Read before the Association of Veterans Administration Surgeons, Portland, Ore, May 8, 1987.
Reprint requests to University of Wisconsin Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792 (Dr Kroncke).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Risk Stratification and Comorbidity
Ferraris et al.
Card Surg Adult 2008;3:199-246.
FULL TEXT
Risk Stratification and Comorbidity
Ferraris and Ferraris
Card Surg Adult 2003;2:187-224.
FULL TEXT
Outcome of Myocardial Infarction in Veterans Health Administration Patients as Compared with Medicare Patients
Petersen et al.
NEJM 2000;343:1934-1941.
ABSTRACT
| FULL TEXT
Using Severity-adjusted Mortality to Compare Performance in a Veterans Mffairs Hospital and in Private-sector Hospitals
Gordon et al.
American Journal of Medical Quality 2000;15:207-211.
ABSTRACT
The "New VA": A National Laboratory for Health Care Quality Management
Kizer
American Journal of Medical Quality 1999;14:3-20.
ABSTRACT
|
