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Better Vascular Surgery By The Numbers: A Vizient Mortality Review
Sheila M. Coogan, MD, Thanh Dao, Son Hoang, Van T.T. Truong.
University Of Texas Medical School Houston, Houston, TX, USA.
We reviewed Vascular Service Line mortalities for fiscal year 2024. From September 2023 to September 2024, our hospital had seventeen Vizient vascular service line mortalities. Interventions on these patients were performed by vascular surgery (8), Cardiology (3), Interventional Radiology (4), Orthopedic Surgery 1, and two services performed interventions on two patients-Cardiology and Interventional Radiology. Cases were reviewed to determine missed opportunities in Vizient data. Conditions present on admission, conversion to hospice care, and correctness of diagnosis were reviewed.Only four patients of seventeen were admitted to the Vascular Surgery service.Nine of seventeen patients transitioned to comfort care but not hospice care which represents the greatest path to improvement in Vizient outcomes. Three patients were trauma admissions, but mortality was assigned to vascular surgery in Vizient. Two patients had advanced heart failure with ECMO, two patients had advanced liver disease with vascular procedures providing ancillary support in the overall management of advanced disease.Conclusions: Most Vascular service line deaths in Vizient are from vascular interventions performed as adjunctive care in the management of advanced or terminal diagnoses. Vascular service line outcomes do not reflect the quality of vascular surgery performed at an institution. Use of hospice or a virtual hospice status instead of designating a patient status - comfort measures only would reduce mortality significantly.
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