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Peds Cardiac Surgical Outcomes Improved in Consortium

In-hospital mortality, major complications dropped for hospitals in Pediatric Cardiac Critical Care Consortium

TUESDAY, Nov. 26, 2019 (HealthDay News) — Children’s hospitals participating in the Pediatric Cardiac Critical Care Consortium (PC4) have improved cardiac surgery outcomes, including a 24 percent reduction in in-hospital mortality, according to a study published in the Dec. 3 issue of the Journal of the American College of Cardiology.

Michael Gaies, M.D., M.P.H., from the University of Michigan Medical School in Ann Arbor, and colleagues analyzed 19,600 hospitalizations in the PC4 clinical registry that included cardiovascular surgery from August 2014 to June 2018 to examine whether outcomes improved over time.

The researchers observed no evidence of improvement during the baseline period. Compared with baseline, there was significant improvement in the postexposure period for postoperative intensive care unit mortality (2.1 versus 2.7 percent; 22 percent relative reduction), in-hospital mortality (2.5 versus 3.3 percent; 24 percent relative reduction), major complications (10.1 versus 11.5 percent; 12 percent relative reduction), intensive care unit length of stay (7.3 versus 7.7 days; 5 percent relative reduction), and duration of ventilation (61.3 versus 70.6 hours; 13 percent relative reduction). No significant improvement was seen in mortality, complications, or length of hospital stay in non-PC4 hospitals.

“We demonstrated aggregate improvement in the quality of care for patients undergoing cardiac surgery at children’s hospitals participating in PC4, which is likely a result of our commitment to transparent data sharing and collaboration,” the authors write.

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