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https://hdl.handle.net/2440/114883
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dc.contributor.author | Ou, L. | - |
dc.contributor.author | Chen, J. | - |
dc.contributor.author | Flabouris, A. | - |
dc.contributor.author | Hillman, K. | - |
dc.contributor.author | Parr, M. | - |
dc.contributor.author | Bellomo, R. | - |
dc.date.issued | 2018 | - |
dc.identifier.citation | Journal of Critical Care, 2018; 47:232-237 | - |
dc.identifier.issn | 0883-9441 | - |
dc.identifier.issn | 1557-8615 | - |
dc.identifier.uri | http://hdl.handle.net/2440/114883 | - |
dc.description.abstract | <h4>Purpose</h4>Hospital variability of postoperative sepsis and sepsis-related mortality after elective CABG surgery was not known in Australia.<h4>Material and methods</h4>Population-based analysis of all elective patients who underwent CABG surgery in public and private hospitals between 2007 and 2014 using linked data from the state-wide Admitted Patient Data Collection and the NSW Registry of Births, Deaths, and Marriages.<h4>Results</h4>We identified 18,928 (9464 pairs) matched patients who had elective CABG surgery in public hospitals (n = 9) and private hospitals (n = 13) during the study period. When compared to public hospital patients, private hospital patients had a significantly lower rate of post-CABG sepsis (13.3 vs 20.4 per 1000 admissions, P < 0.001; treatment effects: -7.1, 95%CI: -11.1 to -3.3), a lower in-hospital mortality rate (6.1 vs 9.9 per 1000 admissions, P = 0.006; treatment effects: -3.8, 95%CI: -6.5 to -1.1), and a lower rate of 30-day readmission (11.9% vs 13.9%, P < 0.001; treatment effects: -2.0%, 95%CI: -3.1% to -1.0%). In addition, for both public and private hospital groups, there were significant differences for all outcomes when comparing the worst and best performance quintile hospitals.<h4>Conclusions</h4>Hospital variability of postoperative sepsis, in-hospital mortality and readmission after elective CABG existed between and within public and private hospitals. | - |
dc.description.statementofresponsibility | Lixin Ou, Jack Chen, Arthas Flabouris, Ken Hillman, Michael Parr, Rinaldo Bellomo | - |
dc.language.iso | en | - |
dc.publisher | Elsevier | - |
dc.rights | © 2018 Elsevier Inc. All rights reserved. | - |
dc.source.uri | http://dx.doi.org/10.1016/j.jcrc.2018.07.018 | - |
dc.subject | Postoperative sepsis; hospital mortality; readmission; coronary artery bypass grafting | - |
dc.title | Hospital variability of postoperative sepsis and sepsis-related mortality after elective coronary artery bypass grafting surgery | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1016/j.jcrc.2018.07.018 | - |
dc.relation.grant | http://purl.org/au-research/grants/nhmrc/1020660 | - |
dc.relation.grant | http://purl.org/au-research/grants/nhmrc/1009916 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Flabouris, A. [0000-0002-1535-9441] | - |
Appears in Collections: | Anaesthesia and Intensive Care publications Aurora harvest 8 |
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