Thourani Vinod H, Badhwar Vinay, Shahian David M, Edwards Fred H, O'Brien Sean, Habib Robert H, Kelly John J, Rankin J Scott, Prager Richard, Jacobs Jeffrey P
Division of Cardiothoracic Surgery, Emory University, Atlanta, Georgia.
Division of Cardiothoracic Surgery, West Virginia University, Morgantown, West Virginia.
Ann Thorac Surg. 2017 Jul;104(1):22-28. doi: 10.1016/j.athoracsur.2017.05.013. Epub 2017 Jun 1.
Containing more than 6 million cumulative operative records and accounting for 90% to 95% of adult cardiac surgery performed in the United States, The Society of Thoracic Surgeons Adult Cardiac Surgery Database is an invaluable resource for performance assessment, quality improvement, and clinical research. This article reviews the seven major research efforts published in 2016 that utilized the Adult Cardiac Surgery Database. Two studies evaluated national trends in clinical practice, three assessed the effect of several risk factors on postoperative morbidity and mortality, and two developed new models to evaluate quality of care. The findings of these studies have enhanced clinical practice and delineated areas for future quality improvement research.
胸外科医师协会成人心脏手术数据库包含超过600万份累积手术记录，占美国成人心脏手术的90%至95%，是用于绩效评估、质量改进和临床研究的宝贵资源。本文回顾了2016年发表的七项主要研究成果，这些研究使用了成人心脏手术数据库。两项研究评估了临床实践的全国趋势，三项评估了几个风险因素对术后发病率和死亡率的影响，两项开发了新模型来评估医疗质量。这些研究结果改进了临床实践，并明确了未来质量改进研究的方向。
