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Coronary Artery Bypass Graft Surgery

What is Coronary Artery Bypass Graft Surgery?  Coronary Artery Bypass Graft Surgery, sometimes called CABG, is a special type of heart surgery.  During the surgery, a segment of a healthy blood vessel from another part of the body is used to make a detour around the blocked part of the coronary artery.  This “bypass” around the clogged artery improves flow which helps to restore oxygen delivery to the heart.  Baystate Medical Center has been performing CABG surgery since 1978 and performs about 800 surgeries a year.  Baystate Medical Center has consistently had the lowest death rate in the state for this surgery, and is a national leader in CABG surgeries and outcomes.

 

Since 2004, Baystate Medical Center has been publicly reporting Cardiac Surgery Bypass Grafting Surgery (CABG) care measures through the Hospital Quality Alliance (HQA).  This reporting helps to ensure that every patient who has heart bypass surgery at Baystate Medical Center receives all appropriate treatments to reduce sickness and death.  

 

CARDIAC SURGERY: CORONARY ARTERY BYPASS GRAFTING SURGERY (CABG) Care Measures

 

HIGHER IS BETTER   

Baystate Medical Center Best U.S. Hospitals*
October - December 2012
Prophylactic antibiotic received within 1 hour prior to surgical incision:When patients receive antibiotics within one hour before surgery, their risk of getting a wound infection is reduced. 100% 100%
Prophylactic antibiotic selection for surgical patients:  It is important to select the right antibiotic for surgical patients to help prevent a surgical wound infection.   100% 100%
Prophylactic antibiotics discontinued within 24 hours after surgery end time:  It is important to stop antibiotics within a specific amount of time after the surgery ends to decrease possible side effects and complications of taking an antibiotic too long. 100% 100%
Surgery patients on beta-blocker therapy who received beta-blocker during peri-operative period:  A beta-blocker is a type of medication that reduces blood pressure and helps blood vessels open up to improve blood flow.  Patients with heart disease who receive a beta-blocker prior to surgery have a reduced risk of death following surgery. 100% 100%
Surgical patients with appropriate hair removal: Patients undergoing surgery may need to have hair removed from the operative site or other areas of the body.  It is important to remove hair with electric clippers or hair removal cream to decrease the risk of infection.  Shaving with a razor may increase the risk of infection.   100% N/A
Urinary catheter removed on post-operative day 1 or post-operative day 2, with day of surgery being day 0: Patients who are having surgery may need to have a urinary catheter placed, which is a tube that goes into the bladder and drains urine out of the body into a bag which collects the urine.  It is important to remove the catheter within 2 days of surgery (for most patients) in order to help prevent infection. 100% N/A
Cardiac surgery patients with controlled 6 a.m. post-operative serum glucose:  It is important to control blood sugar levels after surgery to reduce in-hospital complications, including surgical site infections. 88.9% 100%
Composite Process Score: A summary score of how often we provide each of the above-listed recommended measures to patients based on their specific conditions. 98.1% 100%
Appropriate Care Score:  A score that summarizes whether patients received all of the appropriate treatments that they should have based on their specific conditions. 90.5% 100%

 

*Benchmark is HQID Top 10%

 

 

 

 

 

For more information on Baystate’s Heart and Vascular Program

For more information on Quality at Baystate Health

For more information on Baystate Medical Center

For more information on the Society of Thoracic Surgeons 

For more information on Baystate Hospitals HQA rates and death rates