Heart Surgery 2005 – 2006
Geir Grotte - Clinical Director, Cardiothoracic Surgeon

End of Year Results Presented by G J Grötte and Suzanne Chaisty

Current Slide Number


Heart Surgery 2005 – 2006 End of Year Results

Consultant Surgeons

 

G J Grotte
D J M Keenan
N J Odom
R I R Hasan
B Prendergast
K E McLaughlin

Introduction

 

Last year was disappointing as far as volume was concerned. You will see later that many operating slots were lost due to blocked CSITU beds.

Our patients are sicker, have more co- morbidities and stay longer in hospital, especially in CSITU.

 

CSITU - Cardiac Surgery Intensive Care Unit

 

Introduction Continued

Presently we have 8 CSITU beds.
In Dec 2006, we will have an additional 5 beds.

Furthermore these beds will be complemented by a 3rd Cardiac Theatre. This is a very important development, considering the 18 week wait (from referral to treatment) to be implemented in 2008.

 

CSITU - Cardiac Surgery Intensive Care Unit

Heart Surgery 2005-2006

 

NHS 802
Private 0
Total 802
Target 1000  

 

Total Number of Cases
per Consultant per year

Comment: KEM, BP & RIRH have 4 operating sessions/week.
The rest 3

Operation Priority All Cases

Comment: Perhaps a reduction in Non Elective work due to more
Non Elective PCI (Percutaneous Coronary Intervention)

 
Elective
Non Elective
2003 - 2004
70%
30%
2004 - 2005
70%
30%
2005 - 2006
74%
26%

Operation Priority All Cases

Operation Priority All Cases

 

 

Operation Priority 1st Time CABG

 
Elective
Non Elective
2003 - 2004
71%
29%
2004 - 2005
66%
34%
2005 - 2006
70%
30%

 

Operation Priority 1st Time
CABG

operation priority 1 st time CABG

As you will see later non-elective CABG carries a much higher mortality than elective CABG.
We should therefore try to aim for roughly equal share of non elective surgery

 

Sex Distribution

 

 
Female
Male
2003-2004
29%
71%
2004-2005
31%
69%
2005-2006
29%
71%

Validation of the EuroSCORE

 

In-house Monthly validation exercises are
carried out by all 6 surgeons.

The casenotes are checked against the
information entered on our database

EuroSCORE
(European System for Cardiac Operative Risk Evaluation)

EuroSCORE is a simple, objective and up-to-date system for assessing the
risk of heart surgery, based on one of the largest, most complete and accurate
databases in European cardiac surgical history.

The logistic EuroSCORE is a reasonable overall predictor for contemporary cardiac surgery, but over-estimates observed mortality. There is variation in its accuracy at predicting risk in different surgical subgroups. The logistic EuroSCORE should be recalibrated before it is used to gain reassurance about outcomes, and caution should be exercised when using it to compare hospitals or surgeons with different operative casemix.

Bridgewater B, Grötte G, Bhatti F, Grayson A, Fabri B, Au J, Jones M 2006,
http://heart.bmjjournals.com/cgi/content/abstract/hrt.2005.083204

Risk Stratification Average
Logistic EuroSCORE 1st CABG

Comment: Tendency for Euroscore to increase

Risk Stratification
Average Logistic EuroSCORE All Cases

Comment: See previous slide


Pure CABG vs Total number of
Procedures

 

2003-4
660/1029
= 64%
2004-5
546/922
= 59%
2005-6
438/802
= 55%

Comment: There has been a descrease in Pure CABG, hopefully this will level out.
Interestingly during the first 5 months of this financial year the figure is 58% (Good news for the Surgeons)

** CABG - Coronary Artery Bypass Graft.

Pure Coronary Artery Bypass Grafts 438 (540) pts
Total No Grafts 1462 (1817) = Grafts per patient 3.34 (3.36)
() = Previous Year

Number of Grafts Per Patient
 
Year

 

 


Pure Coronary Artery Bypass Grafts 438 pts
Comment: Important changes are highlighted in yellow
 
#
%
 
Average previous years

MIDCAB (ant/lat)
4
0.9%
 
(0.4%)
OFF PUMP STERNOTOMY CABG
114
26%
 
(28%)
ON PUMP
324
74%
 
(71%)
MALE CABG
352
80%
 
(79%)
FEMALE CABG
86
20%
 
(21%)
First time CABG
429
98%
 
(96%)
Redo CABG
8
}
2.1%
(4%)
Reredo CABG
1
Non Elective CABG
131/438
30%
 
(33%)
Non Elective CABG Females
27/230
12%
 
(18%)
Non Elective CABG Males
104/572
18%
 
(20%)
Average number grafts per Patient

 

Opcab

2.9
(2.9)
On pump
3.5
(3.6)
Pure Coronary Artery Bypass Operations (CABG) 438
Comment: radial artery has been virtually abandoned due to concern about long term patency

 

 
#
%
 
Average previous years
Radial Artery
8
1.8%
 
(4%)
Internal mammary/thoracic
399
91%
 
(93%)
Arterial Grafts
X1
378
86%
 
(84%)
 
X2
30
7%
 
(9%)
 
X3
5
1.1%
 
(0.7%)
 
X4
3
   
(1)
Saphenous Veins only  
5%
 
(6%)
         
95% of pts had at least one arterial anastomosis (94%)

Conversions
Comment: Conversion rate <1%

On pump Sternotomy
322
(384)
Off pump Sternotomy

112
(153)
Conversion to pump
1
(5)
Deaths
0
(0)

 

 

Other than Pure CABG

Comment: Steady increase in Pure Valve patients

CABG & Other

 
#
Average previous years
CABG & LV Aneurysm
10
(2)
CABG & CAROTID
1
(5)
CABG & Radio freq Ablation
5
(4)
CABG & Atrial Septal Defect
4
(2)
CABG & Others
6
(5)
TOTAL
26
20

 









 

Number of Valves used
Valve insertion rate 0.33% (0.33%)

Comment: Steady increase in Valve repair

Pure Valve
Single Valve Surgery 144 (137)

 
#
%
Average previous year
 
Aortic Valve Replacement       100
Male
58
58%
(49%)
 
Female
42
42%
(51%)
 
Mechanical Valve Replacement
42
42%
(40%)
 
Emergency/Urgent
23
23%
(23%)
 
Age 70 or over
43
43%
(40%)
 
Mitral Valve Replacement       15
Male
3
14%
(44%)
 
Female
12
86%
(56%)
 
Mitral Valve Repair       27 (31)
Tricuspid Valve Replacement       1 (0)
Tricuspid Repair       1
Pulmonary Valve Replacement       0 (0)

 

Multiple Valve Surgery 17 (17)

 
#
Average previous year
 
DOUBLE VALVE REPLACEMENT     17 (16)
AVR/MVR
8
(13)
 
Mitral & Tricuspid Repair/Replace
7
(2)
 
AVReplace & Tricuspid Repair
1
(1)
 
Tricus repair & Pulm Replace
1
   
TRIPLE VALVE REPLACEMENT/ REPAIR     0 (1)

 

Valve & Other excluding CABG 49 (21)

VALVE & other Non Congenital
42 (16)
VALVE & other Congenital
7 (5)

Valve & CABG +/- other
130 16% (15%)

  # Prev year
AVR & CABG 76 9% (10%)
MV Repair & CABG 29 3.5% (3%)
MVR & CABG
6    

CABG & VALVE & LVA

3   (4)
CABG & VALVE & Radio freq ablation 3   (3)
AVR & CABG & Endarterectomy of asc aorta
2   (2)
OTHER VALVE COMBINATIONS & CABG 9   (3)

Miscellaneous operations

 
#
Previous year
Congenital    
ASD
2
(5)
MISC Adult
5
(4)
Acquired    
Closure of Fistula (prev root)
1
 
Pericardiectomy
1
 
Removal Pacing
1
 
Epi pacemaker
1
 
Valve Thrombectomy
2
 
Radio freq ablation
1
 
ROSS
3
(5)

Pure Aortic Surgery

Acquired
#
Previous #
Root Replacement
16
(9)
Root &Hemiarch
0
(1)
Ascending Aorta
3
(9)
Asc Hemi
0
(1)
Comment: This slide unfortunately is not correct as some of the Aortic
procedures have been captured in previous slides with combined procedures.
This will be rectified for 2006-07

Operations Performed by SpR with
Consultant Assistance (no of months at MRI)

Our aim is for year 5-6 SpR's to perform over 80 cardiac operations per year.
It should be noted that in another well known UK Cardiac unit during 04-05 only 15% of operations were done by Trainees.
The SpR mortality rate of 1% is very acceptable.
This dispels the myth that Consultants should do the operations themselves, rather than SpR’s, in order
to “protect their figures”


# Cases
 
Registrar (Number Months at Manchester Royal Infirmary)

 

Percentage of All Cases
done by Trainees 37% (35%)

Comment: Virtually all Operations with Consultant Assistance

Cases

 

Percentage of 1st time CABG done by Trainees-2005-06 Average 52% (50%)

Comment: It is said that a Trainer is one who delegates >= 30%
Virtually all Operations preformed with Consultant assistance

Cases

 

Lost Theatre slots 170 (40)

#
Previous year
No CSITU/PCU bed
107
(23) (may be incorrect)
No Anaesthetist
3
(2)
No Surgeon
0
No CSITU staff
5
(0)
Preceding Case ran over
4
(4)
Patient Medically unfit
9
(6)
Theatre ran out of time
6
 
CSITU closed (D & V. ? Norovirus)
17
 
Theatre closed (various reasons)
11
 
Others
8
(3)

Comment: As explained in the Introduction no CSITU/PCU bed major reason for lost slots

Cardiac Surgery Unit Stay

Out in 24 hours

70% (73%)
Out in 48 hours 83% (85%)
Readmissions to CSITU from PCU/Ward3 5% (3%)

Complications

Comment: Mediastinitis rate quadrupled but still in line with average National figure. We carried out an Audit last calendar year. Predisposing factors for Mediastinitis, Include:- Older Patients, Poor Ejection Fraction, High Euroscore, Renal Impairment/Dialysis, IABP, Chest Reop, Tracheostomy, Length of time to Extubation

#
%
Previous year

Full Tracheostomy
32
(4%)
(2.5%)
Sternal Rewiring
3
(0.4%)
(0.4%)
Mediastinitis req stern debridement
16
(2.0%)
(0.5%)
Pulmonary Embolism
1
(0.1%)
(0.1%)
Atrial Fibrillation
215
(27%)
(26%)

 

GI Complications

#
%
Previous year
Ileus
3
0.4%
(0.5%)
Mesenteric Infarct (4 Died)
6
0.8%
(0.7%)
Gastro Intestinal Bleed
7
0.9%
(0.7%)
Pseudo Obstruction
1
0.1%
(0.1%)

Comment: Mesenteric Infarction rate gratifyingly low, but a deadly complication

 

Complications Stroke


   
Previous year
CVA
11
1.4%
(0.7%)
 
Previous TIA
2
(1)
 
Pevious CVA
2
(0)
TIA
9
1.1%
(1.0%)
Post op Incidence of Permanent stroke in 1st time CABG only
0.7%
(0.2%)

 

 

Aortic Balloon Pump (IABP)

 
#
%
Previous Year
TOTAL
30
3.7%
(3.5%)
MORTALITY
4
13%
(38%)
       
IABP POST OP
11
1.4%
(2.0%)
MORTALITY
2
18%
(38%)
       
IABP PRE OP
19
1.5%
(1.5%)
MORTALITY
2
11%
(36%)


Comment: A dramatic improvement in Mortality

 

 

Renal Failure


   
Previous year
Mild/Moderate (Creatinine >200)
30
3.7%
(3%)
No Pre op Renal Problems
 
27
(29)
1st time CABG  
2.1%
(2.1%)

Renal Failure (Req Dialysis/filtration)
24
3%
(3%)
Preoperative Renal Problems(1 func trans)
 
2
(2)
No Pre op Renal Problems
 
22
(27)
1st time CABG  
0.8%
(1.4%)

 

 

Reopen Bleeding/Tamponade
All Cases 4.7% (5.5%)

 

 

Elderly Patients Aged 70 or over
       
TOTAL
298/802
40%
(38%)
Female
 112
38%
(37%)
Male  
186
62%
(63%)
Non Elective
 69
23%
(33%)
PURE CABG  
145
49%
(51%)
Non Elective CABG
 46
15%
(20%)
AVR
46
15%
(10%)
AVR&CABG
50
17%
(18%)
AVR,CABG or Both  
230
77%
(80%)
Age 80 or over
53
6.6%
(7.8%)
Average Log Euroscore
11
10.8
(10.6)

 

Elderly Patients Aged 70 or over ctd.

Mortality Elderly Group

12/298
4%
(5%)
Mortality Elderly Pure CABG
7/145
4.8%
(1.7%)
Mortality Elderly 80 and over
6/53
11%
(11%)

 

Mortality
Death within Base Hospital on that Admission for most common operations
(Numbers too small for other procedures)

Comment: The Mortality rate of Non Elective Operations is almost 4 times that of the Elective Operation
and the Mortality of Non Elective 1st CABG is over 4 times that of Elective 1st CABG
Almost 50% of Surgeon KEM’s 1st CABG were Non Elective

OVERALL

28/802
3.5%
(3.4%)

Elective operations

12/591
2.0%
(1.1%)

Non elective operations

16/211
7.6%
(8.7%)

First time CABG

9/429
2.1%
(1.4%)

Elective 1st time CABG

3/299
1%
(0.3%)

Non Elective 1st time CABG

6/130
4.6%
(3.4%)

Redo CABG

0/9
   
Mortality Opcab
3/114
2.6%
(0%)
Mortality Oncab
6/324
1.9%
(1.8%)
Mortality Males
17/572
3.0%
(2.2%)
Mortality Females

11/230
4.8%
(6%)
AVR
1/100
1%
(6%)
MVR
3/15
20%
(6%)
CABG & AVR
4/76
5.3%
(7%)
CABG & MVR
2/6
33%
(13%)
CABG & MV repair
0/29
0%
 

 

Cusum Curves

Cusum Curves are means of analysing a Unit’s or an individual Surgeon’s performance over time. We have used the Logistic Euroscore to construct these curves.

Essentially they show crude versus risk adjusted (predicted) Mortalities, using a
complex formula.

Y axis = Cumulative Deaths.
X axis = Cumulative No of operations.
The Yellow line represents cumulative predicted mortality
The Light Blue line represents cumulative observed mortality
The Pink and Dark Blue lines represent Upper and Lower 95% confidence limits
of observed mortality.

A Unit or a Surgeon is under performing if the yellow line drops below the dark blue line. Neither the Unit as a whole nor individual Surgeons are under performing.

Therefore on the following slide (see arrows) the first Cusum shows that 43 patients were predicted not to survive. As there were only 28 deaths we performed better than predicted. Remember! Surgeons can have both good, bad and indifferent years, and any Surgeon or Unit’s performance should be assessed over a period of no less than three years

 

 


 

 

 

 


Rates of survival following Heart Surgery in Great Britain This link will take you to a the Healthcare Commission Website which provides information about rates of survival from different Centres in Great Britain 3 years ending March 2005. http://heartsurgery.healthcarecommission.org.uk/Unit.aspx?ID=RW3MR&OT=2



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1..Title
2..Consultant Surgeons
3..Intrduction 1
4..Intrduction 2
5..Heart Surgery 05-06
6..Cases Per Consultant/year
7..Op Priortiy All Cases
8..Op Priority All (Chart)
9..Op Priority 1st Time CABG
10..Op Priority 1st Tm CABG(Chart)
11..Sex Distribution
12..Validation of Euroscore
13..Euroscore
14..Risk Strat Avg Euroscore 1st Time CABG
15..Risk Strat Avg Euroscore All Cases
16..Pure CABG vs Total # Procedures
17..Pure CABG Grafts
18..Pure CABG's
19..Pure CABG Ops
20..Avg # Grafts/Patient Opcab/Onpump
21..Conversions
22.Other than Pure CABG
23..CABG & Other
24..Number of valves
25..Pure Valve Surgery
26..Multiple Valve Surgery
27..Valve & Other
28..Valve & CABG
29..Miscellaneous Ops
30..Pure Aortic Surgery
31..Ops Performed by SpR
32..Trainee All Cases
33..Trainee CABG Cases
34..Lost Theatre Slots
35..Cardiac Surgery Unit Stay
36..Complications
37..GI Complications
38..Complications Stroke
39..Renal Failure
40..Intra Aortic Balloon Pump
41..Reopen Bleeding/Tamponade
42..Patients Aged 70+
43..Patients Aged 70+
44..Mortality
45..Cusum Curves
46..All Surgeons All/CABG 05-06
47..All Surgeons All/CABG 03-06
48..G Grotte - All/CABG
49..D Keenan - All/CABG
50..N Odom - All/CABG
51..R Hasan - All/CABG
52..B Prendergast - All/CABG
53..K McLaughlin - All/CABG
54..Surgery Staff
55..The End