Heart, Vascular & Thoracic
VITALS
Volumes and outcomes from a sampling of centers in Cleveland Clinic’s Miller Family Heart, Vascular & Thoracic Institute
ADULT CARDIAC SURGERY
Adult Cardiac Surgery Mortality Remains Low Even as Volume and Case Complexity Rise
Over the past 15 years, mortality has substantially trended downward even as case complexity increases and volumes rise. Recent data from Vizient reveal that Cleveland Clinic cares for patients with the highest case mix index among the 10 top-rated U.S. hospitals by U.S. News & World Report.
6K
4K
2K
0
1%
2%
3%
4%
5%
6%
'07
'08
'09
'10
'11
'12
'13
'14
'15
'16
'17
'18
'19
'20
'21
3-STAR PERFORMANCE
Cleveland Clinic received the highest Composite Quality Rating (3 stars) for these procedures in the latest STS Adult Cardiac Surgery Database report*:
CABG
AVR
MVRR
AVR + CABG
*For 3-year period ending June 2021.
STS = Society of Thoracic Surgeons; CABG = coronary artery bypass grafting; AVR = aortic valve replacement; MVRR = mitral valve repair/replacement
(01/01/21-
12/31/21)
Isolated CABG (N = 831)
Isolated AVR (N = 359)
AVR + CABG (N = 169)
Isolated MV replacement (N = 166)
MV replacement + CABG (N = 42)
Isolated MV repair (N = 452)
MV repair + CABG (N = 113)
2021 IN-HOSPITAL MORTALITY
0.6%
0.3%
1.2%
0.0%
4.8%
0.0%
0.9%
1.4%
1.5%
3.4%
4.1%
9.9%
0.6%
4.2%
Procedure/Volume
Cleveland Clinic
Observed
STS Expected
Number of cases
In-hospital mortality (%)
VALVE AND AORTA SURGERY
AORTIC VALVE REPLACEMENT (AVR)
operative mortality for surgical AVR + CABG in 2021 (N = 169)
(vs. 3.4% STS predicted mortality)
1.2%
procedural mortality for transcatheter AVR in 2021
(N = 652)
(no predicted rate available)
0.6%
operative mortality for isolated surgical AVR in 2021 (N = 359)
(vs. 1.5% STS predicted mortality)
0.3%
ISOLATED MITRAL VALVE REPAIR
operative mortality among 3,412 cases from 2014 through 2021
0%
ISOLATED MITRAL VALVE REPLACEMENT
operative mortality in 2021
(N = 166)
(vs. 4.1% STS predicted mortality)
0%
AORTA SURGERY*
operative mortality in 2021
(N = 1,052)
(no predicted rate available)
2.7%
(no predicted rate available)
*Aorta surgery data are from the STS Adult Cardiac Surgery Database and do not include vascular surgery cases.
STS = Society of Thoracic Surgeons;
CABG = coronary artery bypass grafting
operative mortality for elective cases in 2021
(N = 831)
1.4%
For more data like this, visit clevelandclinic.org/hvtioutcomes
and clevelandclinic.org/e15
3.3%
1.6%