Brown P P, Mack M J, Simon A W, Battaglia S L, Tarkington L G, Culler S D, Becker E R
HCA-The Healthcare Company, Nashville, Tennessee, USA.
Ann Thorac Surg. 2001 Sep;72(3):S1009-15. doi: 10.1016/s0003-4975(01)02937-x.
sites and then analyzed the patient and hospital characteristics that had an impact on clinical outcomes.
The mortality rates for the high- and low-volume OPCAB facilities both averaged 2.9% (p = NS). Patients at the high-volume OPCAB facilities had significantly lower rates of major complications (shock/hemorrhage, neurologic, renal, and cardiac) than those at the low-volume OPCAB facilities. Of the seven minor complications, rates for six were lower in the high-volume OPCAB facilities, but none of the differences reached statistical significance. High-volume OPCAB sites were significantly more likely to discharge their patients directly home than were low-volume OPCAB sites (80% versus 66%; p = 0.001).
The results suggested that surgical team experience and choice of approaches to performing CABG had an impact on patient outcomes.
对这些地点进行分析，然后分析影响临床结果的患者和医院特征。
高手术量和低手术量的非体外循环冠状动脉旁路移植术（OPCAB）机构的死亡率平均均为2.9%（p = 无显著性差异）。高手术量OPCAB机构的患者发生主要并发症（休克/出血、神经、肾脏和心脏并发症）的发生率明显低于低手术量OPCAB机构的患者。在七种轻微并发症中，高手术量OPCAB机构六种并发症的发生率较低，但所有差异均未达到统计学显著性。高手术量OPCAB机构的患者直接出院回家的可能性明显高于低手术量OPCAB机构（80% 对 66%；p = 0.001）。
结果表明手术团队经验和冠状动脉旁路移植术（CABG）的手术方式选择对患者结局有影响。
