Cirugía cardiovascular en España en el año 2018. Registro de intervenciones de la Sociedad Española de Cirugía Torácica-Cardiovascular

Cuerpo, Gregorio; Carnero, Manuel; Sos, Fernando Hornero; López, Luz Polo; Hernández, Tomasa Centella; Gascón, Pilar; Pedraz, Álvaro; Cuenca, José; Silva, Jacobo; Menéndez, José López

doi:10.1016/j.circv.2019.10.002

Cited by 5 publications

(3 citation statements)

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“…The National Registry of Interventions of the Spanish Society of Cardiovascular and Endovascular Surgery (SECCE) summarizes the annual activity and outcomes in Spain in the public and private spheres and reflects the state of the art of the specialty in our country. The latest publication corresponds to the year 2018 (20), with 34,318 procedures performed in 62 centers, of which 23,141 were major cardiac operations (20,717 with extracorporeal circulation). Among major acquired diseases (21,082 procedures), isolated valve surgery predominates, followed by coronary artery bypass surgery.…”

Section: Cardiac Surgery In Spain: An Overviewmentioning

confidence: 99%

COVID 19 - The Spanish Perspective

Sota¹,

Piñón²,

Quintana³

et al. 2020

Preprint

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COVID-19 hit hard worldwide. There has been an impact on global activity of cardiac surgery. Spain has been one of the hardest hit countries with one of the highest per population incidences and death. Cardiac surgical activity has suffered a negative impact all over the country. The following is an overview of the epidemiology and impact on resources, the caseload and surgical societal implemented recommendations, the description of the ECMO activity and nosocomial transmission among healthcare workers.

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Section: Cardiac Surgery In Spain: An Overviewmentioning

confidence: 99%

COVID 19 - The Spanish Perspective

Sota¹,

Piñón²,

Quintana³

et al. 2020

Preprint

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show abstract

“…The Spanish Society of Thoracic and Cardiovascular Surgery and the Spanish Society of Cardiology annually report the national volumes and outcomes of CABG and PCI. 7 8 However, these reports are based on voluntary, aggregated and unaudited information submitted by hospitals. On the other hand, the healthcare centres of the Spanish NHS have to report the administrative information of all admitted patients to a mandatory nationwide registry: The minimum basic data set (MBDS) from the Department of Health.…”

Section: Introductionmentioning

confidence: 99%

Retrospective cohort analysis of Spanish national trends of coronary artery bypass grafting and percutaneous coronary intervention from 1998 to 2017

et al. 2021

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IntroductionSpain is one of the countries with the lowest rates of revascularisation and highest ratio of percutaneous coronary intervention (PCI) to coronary artery bypass grafting (CABG).ObjectivesTo investigate the changes and trends in the two revascularisation procedures between 1998 and 2017 in Spain.DesignRetrospective cohort study. Analysis of in-hospital outcomes.SettingMinimum basic data set from the Spanish National Department of Health: mandatory database collecting information of patients who are attended in the Spanish public National Health System.Participants603 976 patients who underwent isolated CABG or PCI in the Spanish National Health System. The study period was divided in four 5-year intervals. Patients with acute myocardial infarction on admission were excluded.Primary and secondary outcomesWe investigated the volume of procedures nationwide, the changes of the risk profile of patients and in-hospital mortality of both techniques.ResultsWe observed a 2.2-fold increase in the rate of any type of myocardial revascularisation per million inhabitants-year: 357 (1998) to 776 (2017). 93 682 (15.5%) had a coronary surgery. PCI to CABG ratio rose from 2.2 (1998–2002) to 8.1 (2013–2017). Charlson’s index increased by 0.8 for CABG and 1 for PCI. The median annual volume of PCI/hospital augmented from 136 to 232, while the volume of CABG was reduced from 137 to 74. In the two decades, we detected a significant reduction of CABG in-hospital mortality (6.5% vs 2.6%, p<0.001) and a small increase in PCI (1.2% vs 1.5%, p<0.001). Risk adjusted mortality rate was reduced for both CABG (1.51 vs 0.48, p<0.001), and PCI (1.42 vs 1.05, p<0.001).ConclusionWe detected a significant increase in the volume of revascularisations (particularly PCI) in Spain. Risk-adjusted in-hospital mortality was significantly reduced.

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“…Durante el año 2018 se realizaron en España más de 70.000 revascularizaciones percutáneas 3 por unas 5.000 revascularizaciones quirúrgicas 4 . Los resultados de ambas técnicas a corto y largo plazo en términos de mortalidad, estado funcional, síntomas de angina, fracción de eyección ventricular, necesidad de revascularización posterior, etc., fueron a veces controvertidos y enfrentados 5 dependiendo en gran medida de la adecuación del tipo de revascularización óptimo a la indicación en cada caso 2 .…”

Section: Introductionunclassified