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 4.2 1.9 1.4     6.5
procedures showing insignificant heart disease low 35.8 39.5 41.6      
patients with vascular complications low 0.7 0.2 1.0      
 Desired PerformanceNorton Audubon Norton HospitalNorton SuburbanKosair Children's KentuckyU.S.
PCIs (angioplasties) - percent of
heart attack / PCI patients treated w/in 90 minutes high 64.4 #        
patients with vascular complications low 1.3 2.3        
lesions treated successfully with PCI stent high 99.1 99.2        
procedures that are successful high 95.0 93.4        
PCI stented patients given anti-platelets at discharge high 98.7 98.1        
patients who die (ACC risk-adjusted) low 0.8 1.3        
patients who die (AHRQ risk-adjusted) low 1.23 0.93        
 Desired PerformanceNorton Audubon Norton HospitalNorton SuburbanKosair Children's KentuckyU.S.
PCIs (angioplasties) volume
number of PCIs (AHRQ) high 631 263 0     200
 Desired PerformanceNorton Audubon Norton HospitalNorton SuburbanKosair Children's KentuckyU.S.
Heart bypass (only) surgeries - percent of patients
given preoperative beta blocker high 73 72        
given preoperative antibiotic on time high 95 94     80 83
given recommended preoperative antibiotic high 100Quality Ribbon 100Quality Ribbon     87 90
with antibiotic discontinued on time high 73 86     75 80
whose surgery used internal mammary artery high 94 97        
intubated more than 24 hours (STS risk-adj.) low 24.9 15.3        
with surgical re-exploration (STS risk-adj.) low 6.1 6.6        
with deep sternal wound infection (STS risk-adj.) low 0.20 0.48        
with stroke/CVA (STS risk-adj.) low 0.51 1.26        
with post-op. renal insufficiency (STS risk-adj.) low 5.2 5.4        
given anti-platelets at discharge high 92 97        
given beta blocker at discharge high 94 93        
given anti-lipid medication at discharge high 84 84        
with inpatient death low 3.6 0.7        
with operative death (STS risk-adj.) low 2.9 0.7        
who die (AHRQ risk-adj.) low 2.6 1.0        
 Desired PerformanceNorton Audubon Norton HospitalNorton SuburbanKosair Children's KentuckyU.S.
Cardiovascular procedures volumes - number of
heart bypass (only) surgical procedures per year high 303 136        
heart valve (only) surgical procedures per year high 19 14        
heart bypass (total) surgical procedures per year high 350 184       450
combined heart bypass + valve surgical procedures high 23 25        
coronary artery bypass grafts (CABGs; AHRQ defn.) high 345 205       100
carotid endarterectomy surgical proceds. (AHRQ defn.) high 74 34 41     50
abdominal aortic aneurysm repairs (AHRQ defn.) high 7 20 28     10
 Desired PerformanceNorton Audubon Norton HospitalNorton SuburbanKosair Children's KentuckyU.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 2.19 0Quality Ribbon 0Quality Ribbon      
during or after AAA repair (AHRQ risk-adj) low # # 0Quality Ribbon      
 Desired PerformanceNorton Audubon Norton HospitalNorton SuburbanKosair Children's KentuckyU.S.
Miscellaneous
Is the hospital in a national cardiac surgery database? high yes yes   yes    

Quality Ribbon We show a quality ribbon if a hospital has the best score possible.

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