冠状动脉搭桥术治疗质量评价指标体系的建立

Establishment of treatment quality evaluation system for coronary artery bypass graft surgery

目的建立评价冠状动脉搭桥术治疗质量的指标体系，为提高治疗质量提供指导。方法通过PubMed检索相关文献并参阅“心血管病诊断指南解读（第3版）”，选出评价治疗质量的候选指标，应用德尔菲法筛选合适的评价指标。结果建立了冠状动脉搭桥术治疗质量的评价指标体系，该指标体系共有20个指标，其中2个结构指标，10个过程指标，8个结局指标。结论探索评价医院之间冠状动脉搭桥术治疗质量的多维方法，发现治疗中的不足，为提高医院冠状动脉搭桥术治疗质量，降低病死率提供科学指导。

Objective To establish quality evaluation system for coronary artery bypass graft surgery and thereby giving directions for the treatment improvement of CABG. Methods To have a preliminary selection by reviewing cardiovascular disease treatment guidelines and searching related documents with PubMed, from which choosing proper variables with Delphi method. Results Complete the establishment of treatment quality evaluation system for coronary artery bypass graft surgery, which consists of 20 variables in total, namely 8 outcome variables, 10 process of care variables, and 2 structure variables. Conclusion A multi-dimensional method has been？ found for the quality evaluation of CABG treatment among hospitals, and the treatment deficiency has been identified, both of which provide scientific reference for improve the treatment quality and reduce the mortality.