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Coronary artery bypass graft surgery in Brazil from 2008 to 2017
Author(s) -
Hussein Khalil Kalil,
Sá Michel Pompeu B. O.,
Vervoort Dominique,
Roever Leonardo,
Andrade Pires Marcos Alfredo,
Oliveira Lima Jaqueline Maria,
Salles Felipe Borsu,
Munhoz Khalil Giovana,
Gomes Nicz Pedro Felipe,
Vilca Mejía Omar Asdrúbal,
Akio Okino Arnaldo,
Carvalho Lima Ricardo
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15328
Subject(s) - medicine , bypass grafting , christian ministry , public health , mortality rate , health care , population , artery , emergency medicine , surgery , demography , environmental health , nursing , philosophy , theology , sociology , economics , economic growth
Background Brazil is an upper middle‐income country in South America with the world's sixth largest population. Despite great advances in health‐care services and cardiac surgical care in both its public and private health systems, little is known on the volume, outcomes, and trends of coronary artery bypass grafting (CABG) in Brazil's public health system. Objective The aim of this study was to evaluate the outcome of CABG on the public health system from January 2008 to December 2017 through the database DATASUS. Methods This study is based on publicly available material obtained from DATASUS, the Brazilian Ministry of Health's data processing system, on numbers of surgical procedures, death rates, length of stay, and costs. Only isolated CABG procedures were included in our study. We used the TabNet software from the DATASUS website to generate reports. The χ 2 test was used to compare death rates. A p < .05 was considered statistically significant. Results We identified 226,697 CABG procedures performed from January 2008 to December 2017. The overall in‐hospital mortality over the 10‐year period was 5.7%. We observed statistically significant differences in death rates between the five Brazilian macro‐regions. Death rates by state ranged from 2.6% to 13.1%. The national average mortality rate remained stable over the course of time. Conclusion Over 10 years, a high volume of CABG was performed in the Brazilian Public Health System, with significant differences in mortality, number of procedures, and distribution of surgeries by region. Future databases involving all centers that perform CABG and carry out risk‐adjusted analysis will help improve Brazilian results and enable policymakers to adopt appropriate health‐care policies for greater transparency and accountability.