Royal Infirmary Edinburgh

Introduction

Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh

About the unit

The cardiothoracic unit at the Royal Infirmary of Edinburgh is a specialised supra-regional service which moved to its current, state of the art facility in 2003. It is a tertiary referral centre, dealing with patients from all over Scotland.

Services provided

Adult Cardiac Surgery
Thoracic Surgery

Rehabilitation and follow up

Follow-up is generally 6 to 8 weeks to the appropriate surgeon with a discharge back to the cardiologist or GP as required. Cardiac rehabilitation is provided locally for Edinburgh patients, or if from an adjacent area appropriate contact is made with the local hospital's rehabilitation team to ensure continuity of care.

Access

Cars are allowed to pull close to the main entrance for a drop off prior to being parked in adjacent car parks.

Visiting hours

No fixed hours

Location

Department of Cardiothoracic Surgery,
Royal Infirmary of Edinburgh,
Little France Crescent,
Edinburgh,
EH16 4SU

Tel: 0131 536 1000

Trust website: http://www.nhslothian.scot.nhs.uk/GoingToHospital/Locations/RIE/Pages/default.aspx

Cardiac Outcomes

Number and type of operations performed

This graph shows the number and percentage of each type of heart surgery done by this consultant surgeon. The number of operations is shown in the line going up the left hand side. The percentage (%) underneath each coloured bar shows how much of this consultant's heart surgery is made up each procedure type.

The 'key' underneath the graph shows what procedure(s) each coloured bar shows. The abbreviations used are explained below:

  • Isolated: This procedure has been carried out on its own. No other procedures were done during the same operation.
  • CABG: Coronary artery bypass grafting
  • AVR: Aortic valve replacement
  • MV: Mitral valve procedure

You can find out more about these procedures in the 'About cardiothoracic surgery' section. If you or someone you know if having heart surgery, it may be helpful to know whether the consultant does lots of that procedure. If you have questions or concerns about the number of procedures being done at your hospital, you should speak to your heart surgeon.

Click here for help understanding this graph

In-hospital survival rate (risk adjusted)

This graph shows the percentage of patients who survived their operation and left hospital alive. This is the 'In-hospital survival rate'. Some patients are more unwell than others and some need more complex operations. Hence, hospitals and consultants perform a range of cardiac operations and the type of patients they operate on can differ. So that we can make fair comparisons between them, the survival rates have been 'risk adjusted' to take into account the illness of the patient and the complexity of the operation. The dot on the graph shows the risk-adjusted survival for the unit/surgeon you have selected and the number of operations performed over the last 3 year period. The blue line indicates the predicted survival and the red dotted lines the range of results expected, worked out by complex statistics.

For more information on understanding mortality rates, look at the Understanding the graphs page

Click here for help understanding this graph

Average patient risk profile

Some risk factors like age, gender, and other medical problems can affect the outcome of heart surgery.

Each of the graphs below shows what percentage of this consultant's patients have each risk factor (light blue bar on the left) next to the average for the whole of the UK (dark blue bar on the right). This can tell you whether the consultant operates on high risk patients in general, and whether they specialise in doing particular types of complicated surgery, like operations on the thoracic aorta.

You can find out more about the risk factors in the 'About cardiothoracic surgery' section.

Click here for help understanding this graph

Risk adjusted in-hospital survival for all units

This graph shows the percentage of patients who survived their operation and left hospital alive. This is the 'In-hospital survival rate'. Some patients are more unwell than others and some need more complex operations. Hence, hospitals and consultants perform a range of cardiac operations and the type of patients they operate on can differ. So that we can make fair comparisons between them, the survival rates have been 'risk adjusted' to take into account the illness of the patient and the complexity of the operation. The dot on the graph shows the risk-adjusted survival for the unit/surgeon you have selected in comparison with the other units and surgeons in GB&I.

Thoracic Outcomes

Thoracic surgery units undertake surgery for lung cancer, and other cancers within the chest such as thymoma or mesothelioma, collapsed lungs known as pneumothorax, major infections and to biopsy suspicious areas, among other surgery. The SCTS collects data on these other operations in the thoracic registry. Some data for this hospital from the 2015-16 audit year is given below:

Cases Performed
Primary lung cancer resections all primary lung cancer resections 183
Total thoracic surgery excluding endoscopy all case (excluding endoscopy) 879
Did this hospital perform radical surgery for mesothelioma in 2015-16? yes
Did this hospital perform chest wall deformity (pectus) surgery in 2015-16? yes

Consultant Cardiac Surgeons 2013 - 2016: 6

Consultant Congenital Cardiothoracic Surgeons: 0

Consultant Thoracic Surgeons 2014: 5