Outcomes of Coronary Surgery at a Veterans Affairs Hospital Versus Other Hospitals 1

BackgroundThe aim of this study was to compare outcomes of coronary artery bypass grafting (CABG) operations at a VA hospital and non-VA hospitals.Materials and MethodsUsing the 2004 Nationwide Inpatient Sample database, we identified 48,669 discharge records of patients who underwent CABG in non-VA hospitals and compared these patients’ outcomes with those of 688 patients who underwent CABG at our VA hospital from 2002 to 2006. Student t- tests and χ2 tests were used to identify significant intergroup differences.ResultsThe VA patients were slightly younger than the non-VA patients (62 ± 8 versus 66 ± 11 y, P < 0.0001). The VA patients also had a higher prevalence of prior myocardial infarction (60.6% versus 34.6%), congestive heart failure (38.2% versus 22.1%), peripheral vascular disease (25.9% versus 7.2%), cerebral vascular disease (23.4% versus 5.9%), chronic obstructive pulmonary disease (32.3% versus 16.6%), and diabetes (41.7% versus 29.7%) (P < 0.0001 for all). Nonetheless, the in-hospital mortality rate was significantly lower in VA patients than in non-VA patients (1.6% versus 3.0%, P = 0.03).ConclusionsDespite the higher prevalence of comorbidities, patients who underwent CABG at a VA hospital had a significantly lower mortality rate than CABG patients in non-VA hospitals.