Considering that about 2.4 million Canadians are living with heart disease and that Canada’s population is increasingly at risk,1 it’s important to examine the quality of cardiac care in order to support improvements in care and ultimately in the health of Canadians.
CABG, along with percutaneous coronary intervention (PCI), is a well-established procedure to treat coronary artery stenosis. Recently, there has been a large increase in the number of PCIs being performed as another revascularization option to treat coronary artery stenosis; the focus of CABG surgery has shifted to patients with more advanced coronary disease and comorbid conditions such as diabetes.2 30-day readmission after CABG has been identified as a key quality indicator for cardiac surgery care by the Canadian Cardiovascular Society.3
Urgent readmissions to acute care facilities are increasingly being used to measure institutional or regional quality of care and care coordination. Readmission rates can be influenced by a variety of factors, including patient characteristics, the quality of inpatient and outpatient care (including potential complications of the intervention), the effectiveness of the care transition and coordination, and the availability and use of effective community-based disease management programs. Understanding the reasons for readmission and whether it was avoidable is an important metric by which to evaluate quality of care.
The indicator can provide direction for quality improvement and can help hospitals identify peers to facilitate knowledge sharing around best practices of care.