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Ann Thorac Surg 1995;60:1651
© 1995 The Society of Thoracic Surgeons

Discussion

Discussion

The first 20% of the full text of this article appears below.

See also page 1640.

DR BRACK G. HATTLER, JR (Pittsburgh, PA): I enjoyed your paper, Dr Kay, and congratulate you on a well-designed and thoughtful presentation. After receiving the manuscript, which you supplied to us, we also analyzed our recent experience with isolated coronary artery bypass grafting and its relation to ejection fraction.

Our data corroborate what you have presented to us today and show that there is a breakoff point around an ejection fraction of less than 0.40. We, however, have not been as fortunate as you have in being able to obtain cost data from the administration. They hold these very close to their heart and are reluctant to part with them. As you say, they will give you charges, but they do not want you to know what their profit margin is, which you can figure out fairly easily if they give you cost. So we use length of stay as a measure of resource use. If you are going to operate on a large group of patients with ejection fractions less than 0.20, you are in for an increased mortality, significant morbidity, and a significant length of stay.

So, again, I congratulate you. I think this is the type of data that we are all going to be in need of as the government starts tracking us with its own programs.

DR IRVING L. KRON (Charlottesville, VA): We . . . [Full Text of this Article]


Related Article

Influence of Ejection Fraction on Hospital Mortality, Morbidity, and Costs for CABG Patients
Gregory L. Kay, Guo-Wen Sun, Atsushi Aoki, and Curtis A. Prejean, Jr
Ann. Thorac. Surg. 1995 60: 1640-1651. [Abstract] [Full Text]





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Copyright © 1995 by The Society of Thoracic Surgeons.