© Cleveland Clinic 2019
For more data like this, visit clevelandclinic.org/hvioutcomes
HEART & VASCULAR
Volumes and outcomes from a sampling of centers in Cleveland Clinic’s Miller Family Heart & Vascular Institute
Vitals
and clevelandclinic.org/e15.
2018 (N = 852)
0.7%
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
1 of 3
Cleveland Clinic is 1 of only 3 STS Adult Cardiac Surgery Database participants out of more than 1,000 across the U.S. to achieve a 3-star (highest) rating in all 5 categories assessed
*For 7/1/16-6/30/19 for all categories but CABG, which is for 7/1/18-6/30/19.
STS = Society of Thoracic Surgeons; CABG = coronary artery bypass grafting; AVR = aortic valve replacement; MVRR = mitral valve repair/replacement
Ischemic Heart Disease — Surgical Treatment
1,476
CABG (coronary artery bypass graft surgery) volume in 2018
› 852 isolated CABG | 624 CABG + other
› 159 (10.8%) were reoperations
In-Hospital Mortality, Isolated CABG
2017 (N = 834)
0.8%
1.6%
2018 (N = 624)
3.4%
6.7%
2017 (N = 671)
3.9%
5.8%
Year
Cleveland Clinic Observed
STS Expected
In-Hospital Mortality, CABG + Other
STS = Society of Thoracic Surgeons; UHC = University HealthSystem Consortium. Sources: (1) STS Adult Cardiac Surgery Database. (2) Vizient Clinical Data Base/Resource Manager™. Used by permission of Vizient. All rights reserved.
Vascular Disease
In-Hospital Mortality for Various Vascular Surgery Procedures
0.6% vs. 5.2% Observed vs. expected in-hospital mortality for elective open abdominal aortic aneurysm repairs, 2014-2018 (N =357)
Procedure
Mortality
Time Frame/Sample
Iliac stenting
2016-2018 (N = 380)
0%
Lower-extremity percutaneous interventions
0.5%
2016-2018 (N = 1,135)
2015-2018 (N = 157)
Femoral endarterectomy with stenting
0.6%
2015-2018 (N = 329)
Lower-extremity bypass*
0.6%
2014-2018 (N = 198)
Carotid stenting**
1.5%
2014-2018 (N =575)
Carotid endarterectomy**
0.3%
*Rate for lower-extremity bypass is 30-day mortality, not in-hospital mortality. **2018 mortality for these procedures was 0%.
Comparative Mortality Rates*
0.50 Observed-to-expected ratio for risk-adjusted mortality for 1,096 vascular surgery cases for “recent year” through Q3 2018
(among like-size academic centers)
*Source for expected rates: Vizient Clinical Data Base/Resource Manager™, used by permission of Vizient. All rights reserved.
7,368 Vascular surgery procedures performed in 2018 in greater Cleveland region
Volume Snapshots
48,895 Noninvasive vascular lab ultrasound studies performed in 2018 in greater Cleveland region