loading page

Coronary artery bypass graft surgery in Brazil from 2008 to 2017
  • +9
  • Kalil Khalil,
  • Michel Sá,
  • Dominique Vervoort,
  • Leonardo Roever,
  • Marcos Alfredo Pires,
  • Jaqueline Maria Lima,
  • Felipe Salles,
  • Giovana Khalil,
  • Pedro Felipe Nicz,
  • Omar Asdrúbal Mejía,
  • Arnaldo Okino,
  • Ricardo Lima
Kalil Khalil
Hospital Norte Paranaense
Author Profile
Michel Sá
Pronto Socorro Cardiológico of Pernambuco
Author Profile
Dominique Vervoort
Johns Hopkins University Bloomberg School of Public Health
Author Profile
Leonardo Roever
University of São Paulo and Federal University of Uberlândia
Author Profile
Marcos Alfredo Pires
Author Profile
Jaqueline Maria Lima
Author Profile
Felipe Salles
Author Profile
Giovana Khalil
Author Profile
Pedro Felipe Nicz
Author Profile
Omar Asdrúbal Mejía
Author Profile
Arnaldo Okino
Author Profile
Ricardo Lima
Faculdade de Ciências Médicas / UPE
Author Profile

Abstract

Background: Brazil is an upper-middle-income country in South America with the world’s sixth largest population. 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 in the public health system in 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. Chi-square test was used to compare death rates. A p-value of <0.05 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.

Peer review status:ACCEPTED

29 Nov 2020Submitted to Journal of Cardiac Surgery
01 Dec 2020Assigned to Editor
01 Dec 2020Submission Checks Completed
01 Dec 2020Reviewer(s) Assigned
03 Dec 2020Review(s) Completed, Editorial Evaluation Pending
03 Dec 2020Editorial Decision: Accept