. http://news.com.au/common/story_page/0,4057,4139986%255E3102,00.html
Heart surgery deaths 'outed'
Hedley Thomas and Nathan Scholz
16apr02
A GOLD Coast private hospital outed itself yesterday for having had Queensland's highest fatality rate among heart surgery patients.
But Allamanda Private Hospital chief executive Libby Shakespeare said a Queensland Health study released to all hospitals two months ago was "misleading and seriously skewed".
The confidential study showed the risk-adjusted rate for benchmark heart surgery procedure at the Allamanda was 3½ times the state average for public hospitals and twice the rate for private hospitals.
There were four deaths among 70 patients who had cardiac surgery in the year under review, before the Allamanda was sold by Mayne Health to the Health Corporation of Australia.
Ms Shakespeare said the fatality rate of 6 per cent was misleading because the hospital's cardiac surgeons had mostly operated on "very hard, very high-risk patients", including a Jehovah's Witness who refused blood products and a 91-year-old man.
"The report by Queensland Health itself admits there were insufficient cases for analysis," she said.
"We did not have many low-risk patients and we did not have a large volume over all, so the figures are misleading.
"In this financial year we have so far had one death in 89 patients.
"We also have full peer review for the doctors to discuss deaths and that has happened since the cardiac unit opened in February, 1999."
Queensland Health and Mater Townsville Hospital have scrambled to deflect criticism of mortality rates since Channel 9's Sunday program highlighted an alarming number of deaths.
Queensland Health's chief medical officer, Bryan Campbell, last night said the raw mortality figures "are an indicator only".
"They show us that there may be something wrong – not that there is something wrong," he said.
Mater Townsville board chairman Bob Jones said people expected a transparent investigation by the Royal Australasian College of Surgeons. The Mater Townsville's death rate for cardiac valve patients was four times the state average, but Mr Jones said he was not allowed to give the figures for individual surgeons.
Courier-Mail