Performance Report

Your safety is our priority

Home > Performance Report

PERFORMANCE REPORT

Clinical Outcomes

[qode_accordion][qode_accordion_tab title=”Overview 2022″][qode_advanced_image_gallery type=”grid” enable_image_shadow=”no” number_of_columns=”three” space_between_items=”large” images=”1312,1311,1310″ image_size=”full”][qode_advanced_image_gallery type=”grid” enable_image_shadow=”no” number_of_columns=”three” space_between_items=”large” images=”1309,1308,1307″ image_size=”full”]
[/qode_accordion_tab][qode_accordion_tab title=”Cardiothoracic Surgeries”]
Coronary Artery Bypass Grafting (CABG) 1,489
Valve Surgery 398
Valve + CABG (Combined) 178
Aortic Surgery (Vascular surgery) 418
Congenital Heart Surgery Simple & Complex 716
Thoracic Surgery 204
Specialty Cases + Others 1,044
[/qode_accordion_tab][qode_accordion_tab title=”General Cardiology Procedures”]
Diagnostic Procedures 9,962
Interventional Procedures 4,249
Electrophysiology 1,536
Implant Procedures 842
[/qode_accordion_tab][/qode_accordion]

Surgical Overview

[qode_accordion][qode_accordion_tab title=”Total Volume Of Cardiothoracic Surgeries 2020 (N=4,161), 2021 (N=3,991) & 2022 (N=4,447)”]

In 2022, IJN surgeons performed a total of 4,447 cardiothoracic surgeries including:

  • Coronary Artery Bypass Grafting (CABG)
  • Congenital Heart Surgery
  • Heart valve repair and replacement
[/qode_accordion_tab][qode_accordion_tab title=”Open And Closed Heart Surgeries”]

In 2022, IJN surgeons performed 2,886 open heart surgeries and 1,241 closed heart surgeries:

  • Open Heart: CABG, Congenital Heart surgery, Heart valve repair and replacement, Aortic root surgery
  • Closed Heart: Thoracic surgery, Vascular surgery, Patent Ductus Arteriosus (PDA) ligation, Blalock Taussig (BT) Shunt, Coarctation repair
[/qode_accordion_tab][qode_accordion_tab title=”Cardiothoracic Surgeries By Category”]

[/qode_accordion_tab][qode_accordion_tab title=”Risk Factors For Cardiac Surgeries (N = 6,105), 2020 – 2022″]

Patients with a complex medical background present greater challenges for cardiac surgery. Almost half the patients had diabetes mellitus at time of surgery, and more than two thirds had hypertension and hypercholesterolemia.

 

In 2022, patients who have had cardiac surgeries had more complex backgrounds than patients at comparable hospitals as evidenced by higher EuroSCORE – Parsonnet average risk scores.

[/qode_accordion_tab][qode_accordion_tab title=”Actual And Predicted Survival Rates For All Types Of Open Heart Surgeries”]

All operations

The survival rate for all open heart surgery was 94.4 % in 2022, which is better than the predicted survival rate estimated by the Parsonnet scoring system.

 

Isolated Coronary Artery Bypass Grafting (CABG)

The survival rate for isolated CABG surgery was 96.1% in 2022, which is within the range of the predicted survival rate estimated by the EuroSCORE scoring system.

[qode_advanced_image_gallery type=”grid” enable_image_shadow=”no” number_of_columns=”two” space_between_items=”large” images=”1317,1318″ image_size=”full”]
[/qode_accordion_tab][qode_accordion_tab title=”Mortality Rate For Isolated Mitral Valve Repair, 2020 -2022 (Total No. Of Isolated Mitral Valve Repair Patient, N = 136)”]

Mitral Valve Repair is preferred over valve replacement whenever suitable. We report that there was no death (mortality) for patients undergoing mitral valve repair from 2020 to 2022.

[qode_advanced_image_gallery type=”grid” enable_image_shadow=”no” number_of_columns=”three” space_between_items=”large” images=”1321,1320,1319″ image_size=”full”]
[/qode_accordion_tab][qode_accordion_tab title=”Mortality Rate For Ventricular Septal Defect (VSD) and Related Procedures, 2020 – 2022″]

VSD Closure is the commonest surgery for acyanotic congenital heart defects. The death (mortality) rate for simple VSD closure is 0% in 2022..

 

Total Number of Procedure:

No.
 Procedure
 2020
 2021
 2022
1. VSD Closure 230 229 249
[/qode_accordion_tab][qode_accordion_tab title=”Mortality Rate For Tetralogy Of Fallot (TOF) Correction And Related Procedures, 2020 – 2022″]

TOF correction is the most common surgery performed for cyanotic congenital heart defects. The death (mortality) rate for simple TOF correction is 1.1% in 2022.

 

Total Number of Procedure:

No.
 Procedure
 2020
 2021
 2022
1. TOF Correction (Pulmonary Valve Preserved) 91 39 31
2. TOF Correction ± Transannular Patch + Monocusp Valve 25 44 59
Total
 116
 83
 90
[/qode_accordion_tab][/qode_accordion]

Ischemic Heart Disease – Interventional Treatment

IJN is the regional and national referral centre for percutaneous coronary intervention (PCI). A total of 15,231 cardiac catheterization procedures were performed in 2021 to treat patients with simple and complex ischemic heart disease.

[qode_accordion][qode_accordion_tab title=”Use Of Appropriate Process Measures: Medications (N = 4,747), 2020 – 2022″]

One of the key performance measures is the use of appropriate medications before and after PCI.

 

From year 2020 to 2022, IJN achieved 98% use for all medication categories, which is comparable with ACC-National Cardiovascular Data Registry (NCDR).

[/qode_accordion_tab][qode_accordion_tab title=”PCI Procedure, In-Hospital Mortality (PCI Procedure N = 3,702) 2022″]

The rate of in-hospital mortality among patients who had PCI procedures at IJN in 2022 is lower compared with ACC- National Cardiovascular Data Registry (NCDR).

[/qode_accordion_tab][qode_accordion_tab title=”Door-To-Balloon Time (N=1,574) 2018-2022″]

IJN continues to improve door-to-balloon time to reduce the risk of mortality and morbidity, well below the target of 90 minutes for emergency treatment of Acute Myocardial Infarction or heart attacks. (American College of Cardiology/American Heart Association (ACC/AHA) guidelines for PCI inflation).

 

IJN median door-to-balloon time was 50 minutes in 2022.

[/qode_accordion_tab][qode_accordion_tab title=”Cardiac Catheterization Procedures – Use Of Radial Access (N= 19,608), 2020 – 2022″]

In 2022, IJN performed more cardiac catheterization procedures using radial access than other comparable hospitals (n= 7550)..

 

The use of radial access is associated with reduction in bleeding complications, readmission rates, infection, and recovery time compared with PCI procedures done using a femoral approach.

[/qode_accordion_tab][/qode_accordion]

Congenital Heart Disease

[qode_accordion][qode_accordion_tab title=”Total Volume Of Transcatheter (Non-Surgical) Procedures (N=2060), 2020 To 2022″]

A total of 802 patients had transcatheter (non-surgical) procedures at IJN in 2022

[/qode_accordion_tab][qode_accordion_tab title=”Total Volume Of Interventional Procedures (N=980), 2020 To 2022″]

In 2022, IJN performed 328 interventional procedures for paediatric and adult congenital heart disease patients. The top 6 interventional procedures are; ASD Occlusion, PDA Occlusion, PDA Stenting, Percutaneous Transluminal Balloon Valvuloplasty (PTBV), VSD Occlusion, and Right Ventricular Outflow Tract (RVOT) Stenting.

 

No.
 Procedure
 Year
2020
 2021
 2022
1. ASD Occlusion 61 63 60
2. PDA Occlusion 45 53 36
3. PDA Stenting 46 40 25
4. Percutaneous Transluminal Balloon Valvuloplasty (PTBV) 19 28 28
5. VSD Occlusion 17 20 15
6. Right Ventricular Outflow Tract (RVOT) Stenting 6 8 6
Total
 194
 212
 170
[/qode_accordion_tab][qode_accordion_tab title=”Paediatric Cardiology Heart Surgery (N=3,744), 2020 – 2022″]

In 2022, IJN surgeons performed 1,251 paediatric cardiac surgeries.

 

VSD : Ventricular Septal Defect

TOF : Tetralogy of Fallot

ASD : Atrial Septal Defect

AVSD: Atrioventricular Septal Defect

 

Closed Heart:

  • Patent Ductus Arteriosus (PDA) Ligation
  • Blalock Taussig (BT) Shunt
  • Coarctation of the Aorta (CoA) Repair
  • Pulmonary Artery (PA) Banding
  • Permanent Pacemaker (PPM) Implantation
[/qode_accordion_tab][qode_accordion_tab title=”Average Length Of Stay For Surgical Procedures Of ASD, TOF And VSD, 2020 To 2022″]

The hospital length of stay for ASD, TOF and VSD were divided into 3 categories:

  • a) Pre-op stay
  • b) ICU stay
  • c) Post-op stay
[/qode_accordion_tab][/qode_accordion]

Length Of Stay

[qode_accordion][qode_accordion_tab title=”Average Length Of Stay For Surgical Procedures Of ASD, TOF And VSD, 2020 To 2022″]

We at IJN would like our patients to get back on their feet and resume normal life as soon as possible. Therefore, it is our priority to rehabilitate patients and reduce the length of stay.

  • CABG – Coronary Artery Bypass Graftin
  • VSD – Ventricular Septal Defect
  • CRTP/D – Cardiac Resynchronization Therapy Pacemaker/ Defibrillator
  • PPM – Permanent Pacemaker
  • PCI – Percutaneous Coronary Intervention
  • ICD – Implantable Cardioverter Defibrillator
[/qode_accordion_tab][/qode_accordion]

Patient Experience

Your experience at IJN is highly important to us and we continually strive to meet your needs and expectations. Your valuable feedback on our Patient Experience Surveys will help us further improve our services. We identified the results of our Patient Experience Survey based on the response from patients and family members who rated their overall experience in IJN as ‘Excellent’, ‘Very Good’ & ‘Good’.

Infection Prevention & Control

IJN’s Infection Prevention Program is designed to improve the quality of care through the management of infection prevention, education and research. The Infection Control team collects data on hospital acquired infections and analyses the data to identify patterns and trends.

Hand Hygiene Compliance Rate

 

The graph shows compliance rate by healthcare worker category that includes doctors, nurses and allied health personnel. The annual overall rate has shown a gradual improvement exceeding the Ministry of Health target of ≥75% compliance.

 

IJN is committed to promoting hand hygiene practice at the point of care amongst our staff.

Methicillin Resistant Staphylococcus Aureus (MRSA)

 

MRSA is a type of bacteria that is resistant to several antibiotics and if left untreated, infections can become severe.

 

In IJN, the MRSA incidence rate is 0.1% in year 2022.

Catheter-related bloodstream infection (CRBSI)

 

CRBSI is caused by bacteria originating from an intravenous catheter and is the most common cause of a hospital-acquired infection. A dedicated team educates staff and promotes best practices to reduce CRBSI.

 

We calculate the total number of CRBSI cases against 1000 line-days. In 2022, the CRBSI rate was 4.0 per 1000 line-days.

Ventilator Associated Pneumonia (VAP)

 

VAP is defined as a hospital acquired pneumonia in a patient on mechanical ventilatory support (by endotracheal tube or tracheostomy).

 

We calculate the VAP rate as total number of VAP cases against 1000 ventilator-days. In IJN, the VAP rate is 1.2 per 1000 ventilator-days in year 2022.

 

NB: There is no minimum period of time that the ventilator must be in place in order for the pneumonia to be considered ventilator- associated.

Wound surveillance for Isolated CABG

 

We monitor the rate of surgical site infection for isolated CABG based on the total number of cases with wound infection against the total number of patients who undergo CABG

 

From January to September 2022, the average rate of surgical site infection was at 3.5%.