Cardiovascular procedures

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Cardiovascular procedures include heart and circulatory system procedures. Many indicators in the surgery and infection control sections also apply to cardiovascular procedures. These indicators include various complication rates and death rates, and summarize how well certain recommended approaches to these procedures are followed. At Norton Healthcare, only Norton Audubon Hospital and Norton Hospital (downtown) perform open heart and interventional cardiology procedures.

Click on the indicator description or on the results to obtain the full report.

Key

better than U.S. average near U.S. average worse than U.S. average # = too few eligible cases to calculate a reliable statistic
blank = does not apply
italic number = no comparative data
  Desired Performance Norton Audubon Norton Hospital Norton Suburban Kosair Children's Kentucky U.S.
Cardiac catheterizations - percent of
procedures that are bilateral low 4.3 2.4 2.9   2.9 6.5
procedures showing insignificant heart disease low 37.0 39.0 41.0      
patients with vascular complications low 0.7 0.4 0.7      
  Desired Performance Norton Audubon Norton Hospital Norton Suburban Kosair Children's Kentucky U.S.
PCIs (angioplasties) - percent of
heart attack / PCI patients treated w/in 90 minutes high 56.3 #        
patients with vascular complications low 0.9 2.0        
lesions treated successfully with PCI stent high 99.3 99.0        
procedures that are successful high 94.5 93.3        
PCI stented patients given anti-platelets at discharge high 98.6 98.7        
patients who die (ACC risk-adjusted) low 0.8 1.3        
patients who die (AHRQ risk-adjusted) low 0.94 1.43     1.05 1.21
  Desired Performance Norton Audubon Norton Hospital Norton Suburban Kosair Children's Kentucky U.S.
PCIs (angioplasties) volume
number of PCIs (AHRQ) high 638 279       200
  Desired Performance Norton Audubon Norton Hospital Norton Suburban Kosair Children's Kentucky U.S.
Heart bypass (only) surgeries - percent of patients
given preoperative beta blocker high 75 69        
given preoperative antibiotic on time high 98 91     79 82
given recommended preoperative antibiotic high 100Quality Ribbon 100Quality Ribbon     86 90
with antibiotic discontinued on time high 73 #     72 76
whose surgery used internal mammary artery high 94 94        
intubated more than 24 hours (STS risk-adj.) low 17.1 11.7        
with surgical re-exploration (STS risk-adj.) low 5.8 5.4        
with deep sternal wound infection (STS risk-adj.) low 0.41 0.83        
with stroke/CVA (STS risk-adj.) low 0.39 3.56        
with post-op. renal insufficiency (STS risk-adj.) low 6.3 4.0        
given anti-platelets at discharge high 93 95        
given beta blocker at discharge high 95 94        
given anti-lipid medication at discharge high 85 82        
with inpatient death low 2.8 0.7        
with operative death (STS risk-adj.) low 3.2 0.9        
who die (AHRQ risk-adj.) low 1.7 1.1     2.1 3.1
  Desired Performance Norton Audubon Norton Hospital Norton Suburban Kosair Children's Kentucky U.S.
Cardiovascular procedures volumes - number of
heart bypass (only) surgical procedures per year high 288 140        
heart valve (only) surgical procedures per year high 23 11        
heart bypass (total) surgical procedures per year high 336 181       450
combined heart bypass + valve surgical procedures high 40 30        
coronary artery bypass grafts (CABGs; AHRQ defn.) high 345 192       100
carotid endarterectomy surgical proceds. (AHRQ defn.) high 64 45 39     50
abdominal aortic aneurysm repairs (AHRQ defn.) high 17 21 27     10
  Desired Performance Norton Audubon Norton Hospital Norton Suburban Kosair Children's Kentucky U.S.
Cardiovascular surgery mortality - percent of patients who die
during aortic valve operation (STS adj) low # #        
during mitral valve operation (STS adj) low # #        
during heart bypass + aortic valve operation (STS adj) low # #        
during heart bypass + mitral valve operation (STS adj) low # #        
during or after carotid endarterectomy (AHRQ risk-adj) low 0Quality Ribbon 0.68 0Quality Ribbon   0.61 0.66
during or after AAA repair (AHRQ risk-adj) low # 4.5 0Quality Ribbon   5.6 6.2
  Desired Performance Norton Audubon Norton Hospital Norton Suburban Kosair Children's Kentucky U.S.
Miscellaneous
Is the hospital in a national cardiac surgery database? high yes yes   yes    

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For more information about Norton Healthcare's Quality Report please email us at quality@nortonhealthcare.org.
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