Brazilian System for Cardiac Operative Risk Evaluation CABG

Summary

Grouping relevant demographic and clinical information at specific stratified levels, and in correlation with the required resource sets, represents the possibility to adapt, improve, and innovate in cardiac surgery programs. In this path, the pursuit of implementing large databases for continuous improvement cycles becomes the foundation of the entire process. In Brazil, where structural and socioeconomic differences are significant, the standardization and sustainability of a large database become a major challenge. Projects like REPLICCAR (São Paulo Cardiovascular Surgery Registry) and BYPASS Registry, which were created to identify improvement opportunities, were temporary. The absence of a continuous multicenter registry makes it difficult to understand risk-adjusted patient outcomes and to implement cost-effective quality initiatives. For example, in 2022, the Ministry of Health launched the QualiSUS Cardio program, which began to consider hospital reimbursement not only in terms of surgical volume but also in relation to mortality, length of stay, and readmission rates after cardiac surgery. Changes like this already occur in various scenarios where payers, whether public or private, seek reimbursement through value-based models. However, for this to happen, the results need to be adjusted to patient risk. Otherwise, hospitals treating more severe patients would be at a disadvantage. This study aims to develop CABG-BraSCORE, a risk score to stratify patients referred for CABG surgery, adjusting outcomes to patient risk, and seeking continuous improvement for cardiac surgery programs in Brazil.

Conditions

• CABG-patients

Sponsors & Collaborators

• Instituto Nacional de Cardiologia de Laranjeiras

  collaborator OTHER

• Beneficência Portuguesa de São Paulo

  collaborator OTHER

• Santa Casa de Misericórdia de Marília

  collaborator UNKNOWN

• Professor Fernando Figueira Integral Medicine Institute

  collaborator OTHER

• Hospital do Coração de Messejana Dr. Carlos Alberto Studart

  collaborator UNKNOWN

• Instituto de Cardiologia do Rio Grande do Sul

  collaborator OTHER

• Irmandade da Santa Casa de Misericordia de Curitiba

  collaborator OTHER

• Hospital Universitário do Maranhão - MA

  collaborator UNKNOWN

• Hospital do Coração Alagoano Prof. Adib Jatene

  collaborator UNKNOWN

• Irmandade da Santa Casa de Misericordia de Sao Paulo

  collaborator OTHER

• Hospital São Francisco de Assis na Providência de Deus - RJ

  collaborator UNKNOWN

• Hospital Universitario Pedro Ernesto

  collaborator OTHER

• Cardiac Emergency Hospital of Pernambuco

  collaborator UNKNOWN

• Hospital Geral de Cuiabá

  collaborator UNKNOWN

• Hospital Beneficente Portuguesa de Belém

  collaborator UNKNOWN

• Pronto-Socorro Cardiológico Universitário de Pernambuco

  collaborator UNKNOWN

• Hospital Alberto Urquiza Wanderley de João Pessoa

  collaborator UNKNOWN

• Hospital e Maternidade Marieta Konder Bornhausen

  collaborator UNKNOWN

• Hospital Arquidiocesano Consul Carlos Renaux

  collaborator UNKNOWN

• Hospital Universitário São Francisco na Providência de Deus (HUSF)

  collaborator UNKNOWN

• Hospital Regional de Jundiaí

  collaborator UNKNOWN

• Hospital Ruy Azeredo

  collaborator UNKNOWN

• Hospital de Base São José do Rio Preto

  collaborator UNKNOWN

• Hospital São Vicente de Paulo

  collaborator UNKNOWN

• Hospital das Clínicas da UFMG

  collaborator UNKNOWN

• Hospital de Cirurgia

  collaborator UNKNOWN

• Hospital Universitário (USP Riberão Preto)

  collaborator UNKNOWN

• Fundação Hospital do Coração Francisca Mendes

  collaborator UNKNOWN

• Hospital Dom Helder Câmara

  collaborator UNKNOWN

• Hospital Santa Casa de Curitiba

  collaborator UNKNOWN

• Hospital São Vicente de Paulo - Jundiai

  collaborator UNKNOWN

• University of Sao Paulo General Hospital

  lead OTHER

Principal Investigators

• BIANCA MARIA MAGLIA ORLANDI, Post doctoral resercher

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-04-01

Primary Completion

2026-05-01

Completion

2026-07-30

Countries

• Brazil

Study Locations