UAB Cardiothoracic Surgery Annual Report 2015-16 UAB Medicine Cardiothoracic Surgery 2015/16 Annual | Page 7

ISCHEMIC HEART DISEASE ADULT CARDIAC SURGERY UAB Cardiothoracic Surgery continues to enjoy a stable, high annual volume of procedures for the treatment of ischemic heart disease. UAB surgeons perform a variety of procedures, including coronary revascularization, ventricular aneurysm resection, complete arterial revascularization, off-pump revascularization, and myocardial revascularization in advanced heart failure with poor ventricular function. UAB also offers total arterial revascularization with utilization of bilateral internal thoracic arteries and radial arteries. In addition, a 3-star rating for Isolated CABG was awarded for the last two calendar year reporting periods. This was achieved through the diligent efforts of the entire staff and faculty working together to achieve patientcentric care and excellent outcomes. Various multidisciplinary subcommittees meet regularly to review quality metrics, develop strategic methods to improve care, monitor results, and report quarterly to the Cardiovascular Leadership Executive Committee. HIGHLIGHTS • We have achieved and maintained a 3-star STS CABG Overall Composite Quality Rating (mortality, morbidity, IMA use, and medications) for the last five Harvest reporting periods, from July 2012 through June 2015. • More than 950 coronary artery bypass procedures were performed in combination with cardiac surgical procedures. • UAB’s overall isolated CABG mortality rate for 2013-2015 of 1.32% is below the STS benchmark of 2.2%. OUTCOMES CABG Volumes: 2009 – 2015 500 479 445 319 308 455 438 429 275 294 427 400 307 333 270 0 2009 2010 2011 n TOTAL CABG 2012 2013 2014 2015 n ISOLATED CABG UAB cardiac surgeons performed more than 3,000 coronary artery bypass graft surgeries from 2009 to 2015 – including some 2,100 isolated coronary artery bypass procedures – with an overall mortality rate of 1.8% for isolated CABG. www.uabmedicine.org 5