Open heart surgery in private practice

Validation and quality measurements for STS, EuroSCORE II and a regional risk model in Brazilian patients

“…For instance, Brazil alone recorded 9211 deaths (8.0%) from 115021 cardiac surgery cases performed between 2000 and 2003. In addition, other studies report that high mortality rates resulting from cardiac surgery are influenced by factors other than socioeconomic status [ 19 – 21 ]. These risk factors include the type of health care funding and the management of hospital centers [ 19 , 20 ], initial level of illness severity, female gender [ 21 ], readmissions [ 22 ], and clinical and preoperative quality of life profiles [ 19 ].…”

“…In addition, other studies report that high mortality rates resulting from cardiac surgery are influenced by factors other than socioeconomic status [ 19 – 21 ]. These risk factors include the type of health care funding and the management of hospital centers [ 19 , 20 ], initial level of illness severity, female gender [ 21 ], readmissions [ 22 ], and clinical and preoperative quality of life profiles [ 19 ]. It is interesting to note that even an increase in the volume of the procedure is not necessarily associated with an increase in patient quality of care [ 23 ], thus pointing to a complex causal network that, ultimately, leads to suboptimal clinical outcomes, with one of the most important factors related to the case mix.…”

“…are influenced by factors other than socioeconomic status [19][20][21]. These risk factors include the type of health care funding and the management of hospital centers [19,20], initial level of illness severity, female gender [21], readmissions [22], and clinical and preoperative quality of life profiles [19].…”