Indagine trasversale sull'attività dei centri di cardiochirurgia nell'ambito del "Progetto BPAC" (esiti a breve termine di interventi di bypass aortocoronarico nelle cardiochirurgie italiane)

Translated title of the contribution: Cross-sectional investigation on the activities of cardiac surgery centers within the "BPAC project" (short-term outcomes of aortic coronary bypass interventions in Italian cardiac surgery)

Fulvia Seccareccia, Paola Capriani, Stefano Diemoz, Emanuela Taioli, Maria Elena Tosti, Jean Grandjean, Mario Chiavarelli, Temistocle Ragni, Giuseppe Di Eusanio, Mario Staibano, Benedetto Marino, Francesco Musumeci, Luigi Chiariello, Gian Federico Possati, Michele Toscano, Alessandro Mazzola, Renato Gregorini, Antonio Maria Calafiore, Patrizio De Vivo, Nicola SpampinatoMaurizio Cotrufo, Roberto Lino, Tommaso Lonobile, Giuseppe Di Benedetto, Michele Portoghese, Luigi De Luca Tupputi Schinosa, Giampiero Esposito, Carmine Curcio, Sergio Caparrotti, Massimo Villani, Michele Roesler, Carmine Minale, Antonietta R. Marchese, Fabrizio Follis, Renato Albiero, Valerio Mazzei, Mauro Abbate, Giuseppe Laudani, Giuseppe Gula, Alessandro Ricchi, Valentino Martelli

Research output: Contribution to journalArticlepeer-review

Abstract

Background. Italian cardiac surgery units have changed in their characteristics over time. These changes have to be monitored. At the moment, there are no regular monitoring systems that could be used to support the processes of evaluation of performance. The Italian Institute of Health has recently started a national prospective study on the short-term outcomes (within 30 days mortality) of coronary artery bypass graft procedures. This study has been preceded by a cross-sectional investigation on the general activities of the Italian cardiac surgery centers. Methods. A complete Italian cardiac surgery center directory has been assembled. A questionnaire on hospital characteristics, number of beds, number of yearly coronary artery bypass graft procedures, department computer systems and methods for surgery risk assessment has been sent to the person responsible for each cardiac surgery center. Results. In Italy there are 86 non-pediatric cardiac surgery centers (65% public centers, 31% accountable private and 4% not yet accountable private). Sixty-eight centers answered the questionnaire. Each cardiac surgery center has, on the average, availability of 26 beds and carries out about 400 coronary artery bypass graft procedures per year; 81% of cardiac surgery centers follow their patients until day 30 after the intervention, but only 64% of them report the cause of death when the patient dies; 75% of cardiac surgery centers regularly use surgery risk assessment systems. Conclusions. These data indicate that a project on cardiac surgery outcome assessment can be conducted in Italy. This project will help defining standardized methodologies that will represent essential instruments for each cardiac surgery center and for regional offices in order to improve and optimize their activity.

Translated title of the contributionCross-sectional investigation on the activities of cardiac surgery centers within the "BPAC project" (short-term outcomes of aortic coronary bypass interventions in Italian cardiac surgery)
Original languageItalian
Pages (from-to)32-38
Number of pages7
JournalItalian Heart Journal Supplement
Volume4
Issue number1
Publication statusPublished - 2003

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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