SciELO - Scientific Electronic Library Online

vol.20 suppl.2Evaluating quality of care in an AIDS program: health services research issues in BrazilComprehensive health care and integrated health services: challenges for evaluating the implementation of a "system without walls" author indexsubject indexarticles search
Home Page  

Services on Demand




Related links


Cadernos de Saúde Pública

On-line version ISSN 1678-4464Print version ISSN 0102-311X


NORONHA, José Carvalho de et al. Use of hospital mortality rates following coronary artery bypass graft surgery to monitor hospital care. Cad. Saúde Pública [online]. 2004, vol.20, suppl.2, pp.S322-S330. ISSN 1678-4464.

Brazilian hospitals performing coronary artery by-pass graft surgery (CABG) from 1996 to 1998 and covered by the Ministry of Health were ranked according to their risk-adjusted hospital mortality rates. Seventy-six hospitals that performed more than 150 CABGs (total of 38,962 surgical interventions) were classified as low or high outliers according to the ratio between observed and expected hospital mortality rates. Overall hospital mortality rate was 7.20%. The rate was 3.48% among patients treated in the low outliers and 13.96% among the high outliers. The methodology was useful for discriminating Brazilian hospitals according to their post-CABG mortality rates and may be a useful tool for identifying hospitals with possible quality-of-care problems.

Keywords : Health Services; Myocardial Revascularization; Hospital Mortality; Surgery.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )