Coronary Artery Bypass Grafting (CABG) Outcomes
One of Lexington Medical Center’s (LMC) goals for many years has been to be able to provide a full range of cardiac care to the community. LMC is now this region’s only Heart Center that is affiliated with Duke Heart Center, ranked in the top 10 programs nationally for cardiovascular care.
The LMC Cardiovascular Committee, an interdisciplinary committee, in collaboration with Duke Heart Center developed the program for the care of the cardiovascular surgery patient at LMC. In preparation for the program, the Duke Heart Center provided quality hands-on education for our nurses, clinical specialists, the cardiovascular OR team, and other disciplines on the care of the cardiovascular patient and their families.
On March 28, 2012, the Lexington Medical Heart Center performed its first open heart surgery. Now, four years later, our surgical team has performed over 1100 cardiovascular procedures. Through the Cardiovascular Committee, the Center for Best Practice department at LMC and Duke Heart Center, there is continual process improvement. We monitor 100% of the cardiac surgery patients, benchmarking ourselves nationally and identifying any opportunities for improvement. There is also continual education for staff from LMC and from Duke Heart Center, not only for cardiac surgery, but for all cardiac care.
Lexington Medical Center participates in the Society for Thoracic Surgery (STS) Registry which, as shown below, continues to validate Lexington Medical Center’s excellent patient outcomes compared to other programs in the nation.
Perioperative bleeding requiring the need for blood transfusion is common during cardiac operations, especially those that require cardiopulmonary bypass . Interventions aimed at decreasing the need for blood products improves patient’s short and long-term outcomes. LMC has consistently maintained lower than average usage of blood products.
After a coronary artery bypass graft procedure (CABG), many patients across the nation need to be discharged to a transitional care/rehab facility or a nursing home for additional care. At LMC, the majority of our patients are able to be discharged to their home.