© Cleveland Clinic 2021
2019 (N = 1,015)
0.5%
1.3%
Year
Cleveland Clinic Observed
STS Expected
Adult Cardiac Surgery
Cleveland Clinic’s Composite Quality Ratings in the STS Adult Cardiac Surgery Database
CABG
AVR
MVRR
AVR + CABG
MVRR + CABG
Key Data From First Half of 2020
STS = Society of Thoracic Surgeons; CABG = coronary artery bypass grafting; AVR = aortic valve replacement; MVRR = mitral valve repair/replacement;
MVR = mitral valve replacement
Ischemic Heart Disease: Surgical Treatment
1,732
CABG (coronary artery bypass graft surgery) volume in 2019
› 1,015 isolated CABG | 717 CABG + other
› 161 (9.3%) were reoperations
In-Hospital Mortality, Isolated CABG
2018 (N = 852)
0.7%
1.3%
2019 (N = 717)
2.2%
7.0%
2018 (N = 624)
3.4%
6.7%
Year
Cleveland Clinic Observed
UHC Expected
In-Hospital Mortality, CABG + Other
STS = Society of Thoracic Surgeons; UHC = University HealthSystem Consortium
Sources: STS Adult Cardiac Surgery Database and Vizient Clinical Data Base/Resource Manager™. Vizient data used by permission of Vizient. All rights reserved.
Ischemic Heart Disease: Percutaneous Coronary Intervention (PCI)
2,014 Coronary interventions performed in 2019
(Source: National Cardiovascular Data Registry, CathPCI Registry®, American College of Cardiology Foundation, for rolling four-quarter period through Q1 2020)
1.08% PCI risk-adjusted in-hospital mortality (all patients), 39% lower than similar hospitals (1.77%)
Volumes and outcomes from a sampling of centers in Cleveland Clinic’s Miller Family Heart, Vascular & Thoracic Institute
HEART, VASCULAR & THORACIC
Vitals
and clevelandclinic.org/e15.
For more data like this, visit clevelandclinic.org/hvtioutcomes
For period 1/1/17-12/31/19 for all categories but CABG, which is for 1/1/19-12/31/19.
2.99% PCI risk-adjusted in-hospital mortality for STEMI patients, 47% lower than similar hospitals (5.65%)
55 min Median time to PCI for STEMI patients in 2019 (vs. goal of < 90 min)
98% Proportion of STEMI patients receiving PCI within 90 minutes in 2019
99.6% Proportion of STEMI patients prescribed composite guideline-directed medical therapy (aspirin, P2Y12 inhibitor, statin) at discharge in 2019
Mortality Rates for Abdominal Aortic Aneurysm (AAA) Repair
1.3%
Elective open AAA repair, 2019 (N = 76)
16.7%
Emergency open AAA repair, 2019 (N = 18)
Volume Snapshots
7,451
Vascular surgery procedures performed in 2019
in greater Cleveland region
54,250
Noninvasive vascular lab ultrasound studies performed in 2019 in greater Cleveland region
4.3%
Emergency endovascular AAA repair, 2019 (N = 23)
0%
Elective endovascular AAA repair, 2019 (N = 131)
Vascular Disease
In-Hospital Mortality for Various Vascular Surgery Procedures
Procedure
Time Frame/Sample*
Mortality
Iliac stenting
2019 (N = 214)
2019 (N = 674)
0%
Lower-extremity percutaneous interventions
0.45%
2019 (N = 75)
Femoral endarterectomy with stenting
0%
2019 (N = 171)
Lower-extremity bypass
0%
2015-2019 (N = 411)**
Carotid stenting
1.0%
2015-2019
(N = 1,509)**
Carotid endarterectomy
0.4%
Isolated CABG
(N = 326)
0.6%
1.3%
0.0%
1.4%
Procedure/Volume
Cleveland Clinic Observed
STS Expected
In-Hospital Mortality (1/1/20-6/30/20)
Isolated AVR
(N = 155)
AVR + CABG
(N = 75)
0.0%
3.1%
Isolated MVR
(N = 76)
2.6%
5.0%
MVR + CABG
(N = 17)
0.0%
7.5%
Isolated MV repair (N = 253)
0.0%
0.7%
MV repair + CABG (N = 59)
1.7%
3.9%
AVR + MVR
(N = 35)
0.0%
----
*Volumes include Cleveland Clinic’s main campus and Northeast Ohio regional hospitals.**Includes all Cleveland Clinic services that perform these procedures at main campus and regional hospitals.