The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2017 Update on Outcomes and Quality

摘要

Overview of the ACSDNational Outcomes in Adult Cardiac SurgeryQuality MeasurementRisk ModelsComposite Performance Measures for Mitral Valve Repair and Replacement, With or Without CABGFailure to RescueQuality InitiativesNQF Measure SubmissionsSTS Quality WebinarsData Manager Regional GroupsFuture InitiativesSummaryReferencesEstablished in 1989, The Society of Thoracic Surgeons Adult Cardiac Surgery Database is one of the most comprehensive clinical data registries in health care. It is widely regarded as the gold standard for benchmarking risk-adjusted outcomes in cardiac surgery and is the foundation for all quality measurement and improvement activities of The Society of Thoracic Surgeons. This is the second in a series of annual reports that summarizes current aggregate national outcomes in cardiac surgery and reviews database-related activities in the areas of quality measurement and performance improvement during the past year.Abbreviations and Acronyms: ACSD (Adult Cardiac Surgery Database), AF (atrial fibrillation), AVR (aortic valve replacement), CABG (coronary artery bypass grafting), CVA (cerebrovascular accident), DSWI (deep sternal wound infection), FTR (failure to rescue), LOS (length of stay), MV (mitral valve), MVR (mitral valve replacement), MVRR (mitral valve repair or replacement), NQF (National Quality Forum), QMTF (Quality Measurement Task Force), STS (The Society of Thoracic Surgeons), TQI (Task Force on Quality Initiatives)The Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database (ACSD) was established in response to the publication of minimally adjusted coronary artery bypass grafting (CABG) operative mortality data by the federal government in 1986 and the recognition by STS leaders that these results did not adjust for differences in the inherent risk of patients [