HealthDay News — Children’s hospitals participating in the Pediatric Cardiac Critical Care Consortium (PC4) have improved cardiac surgery outcomes, including a 24% reduction in in-hospital mortality, according to a study published in the Journal of the American College of Cardiology.

Michael Gaies, MD, MPH, from the University of Michigan Medical School in Ann Arbor, and colleagues analyzed 19,600 hospitalizations in the PC4 clinical registry that included cardiovascular surgery from August 2014 to June 2018 to examine whether outcomes improved over time.

The researchers observed no evidence of improvement during the baseline period. Compared with baseline, there was significant improvement in the postexposure period for postoperative intensive care unit mortality (2.1 versus 2.7%; 22% relative reduction), in-hospital mortality (2.5 versus 3.3%; 24% relative reduction), major complications (10.1 versus 11.5%; 12% relative reduction), intensive care unit length of stay (7.3 versus 7.7 days; 5% relative reduction), and duration of ventilation (61.3 versus 70.6 hours; 13% relative reduction). No significant improvement was seen in mortality, complications, or length of hospital stay in non-PC4 hospitals.


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“We demonstrated aggregate improvement in the quality of care for patients undergoing cardiac surgery at children’s hospitals participating in PC4, which is likely a result of our commitment to transparent data sharing and collaboration,” the authors write.

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