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1972年至1982年冠状动脉搭桥手术患者特征及手术结果的变化

Changes in patient characteristics and surgical outcomes for coronary artery bypass surgery 1972-82.

作者信息

Rosenfeld K, Luft H S, Garnick D W, McPhee S J

出版信息

Am J Public Health. 1987 Apr;77(4):498-500. doi: 10.2105/ajph.77.4.498.

DOI:10.2105/ajph.77.4.498
PMID:3493710
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1646937/
Abstract

Data from a national sample of hospitals were used to explore reasons for improved in-hospital survival rate for coronary artery bypass graft (CABG) surgery between 1972 and 1982. Increases in annual volumes of surgery explain a large fraction of the decline in death rates. The residual can be attributed to improved techniques, experience, and other factors, even though more operations were done on older patients and women in 1982 than 1972.

摘要

来自全国医院样本的数据被用于探究1972年至1982年间冠状动脉搭桥术（CABG）住院生存率提高的原因。每年手术量的增加解释了死亡率下降的很大一部分原因。剩余部分可归因于技术改进、经验积累及其他因素，尽管1982年比1972年对老年患者和女性进行了更多手术。

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3
Outcomes of surgery under Medicaid.医疗补助计划下的手术结果。
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4
Developing leaders vs training administrators in the health services.培养卫生服务领域的领导者与培训管理人员
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Volume and outcome in coronary artery bypass graft surgery: true association or artefact?冠状动脉搭桥手术中的手术量与预后：真实关联还是人为因素？
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本文引用的文献

1
The relation between surgical volume and mortality: an exploration of causal factors and alternative models.手术量与死亡率之间的关系：对因果因素及替代模型的探讨
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The next 30 years--will the progress continue?未来30年——进步能否持续？
Circulation. 1980 Jul;62(1):1-7. doi: 10.1161/01.cir.62.1.1.
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Coronary bypass surgery for chronic angina--1981. A perspective.1981年慢性心绞痛的冠状动脉搭桥手术。一种观点。
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JAMA. 1981;246(17):1912-6.
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Does practice make perfect? Part I: The relation between hospital volume and outcomes for selected diagnostic categories.熟能生巧吗？第一部分：特定诊断类别的医院诊疗量与治疗结果之间的关系。
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6
Does practice make perfect? Part II: The relation between volume and outcomes and other hospital characteristics.熟能生巧吗？第二部分：手术量与手术结果及其他医院特征之间的关系。
Med Care. 1984 Feb;22(2):115-25.
7
Should operations be regionalized? The empirical relation between surgical volume and mortality.手术应该进行区域化吗？手术量与死亡率之间的实证关系。
N Engl J Med. 1979 Dec 20;301(25):1364-9. doi: 10.1056/NEJM197912203012503.
8
Aortocoronary bypass grafting in the management of patients with coronary artery disease.
Am J Med. 1979 Apr;66(4):651-66. doi: 10.1016/0002-9343(79)91179-3.
9
An 11 year evolution of coronary arterial surgery (1968-1978).冠状动脉手术的11年发展历程（1968 - 1978年）
Ann Surg. 1979 Oct;190(4):444-55. doi: 10.1097/00000658-197910000-00004.