University Hospital of Wales

Introduction

Department of Cardiothoracic Surgery, University Hospital of Wales

About the unit

The cardiothoracic unit at the University Hospital of Wales is part of the Cardiff and Vale NHS Trust and was established in 1971 to provide specialised care for a population of 1.4 million in South Wales.

Services provided

Adult Cardiac Surgery
Thoracic Surgery

Rehabilitation and follow up

Follow up is with the appropriate consultant surgeon approximately 6 weeks after discharge from hospital. Thereafter patients are usually discharged back to their referring physician / cardiologist or General Practitioner. Cardiac rehabilitation is provided locally for catchment patients or if from an adjacent area the appropriate contact is made with the local hospital's rehabilitation team to ensure continuity of care.

Access

There is a drop-off zone next to the main hospital concourse entrance. Adjacent to the hospital there is a multi story car park, as well as designated parking for the disabled with wheelchair access to the hospital

Visiting hours

General Ward and High Dependancy Ward visiting hours are 15H00 – 20H00. There are no fixed hours for patients in the intensive care unit.

Location

Department of Cardiothoracic Surgery,
University Hospital of Wales,
Heath Park,
Cardiff,
CF14 4XW

Tel: 029 2074 3870

Trust Website: http://www.cardiffandvaleuhb.wales.nhs.uk/

 

Cardiac Outcomes

Risk adjusted in-hospital survival rate

This graph shows the “in hospital” survival rate of patients who are operated on by the individual surgeon/unit you have selected. “In hospital” means time the patient is in the hospital where they have had their operation. It does not include any time that patients may have spent in other hospitals, either before or after their heart operation.

The data has been through a complex methodology, including the variations in patient risk factors in order to give you a comparative base from which to work from. This means that the survival rates take into account the type and risk of patients being operated on for each surgeon/unit. This is known as risk adjusted survival.

The vertical axis shows the GMC number of the surgeon or the Hospital identifier. In brackets is the total number of patients operated on by the surgeon/unit and the percentage of patients for whom the survival is known. The horizontal axis is the percentage survival. The dashed vertical line shows the risk adjusted survival rate for the UK as a whole. The solid black horizontal line represents the surgeon/unit. What is important here is that the horizontal line crosses the vertical dashed line. If this occurs, it means that the surgeon/unit are within the expected outcomes given the case-mix and risk factors of the patients they operate on.

The icons that sit on the horizontal line should give you more information about your surgeon/team.

For example

The open square is the survival rate with no risk adjustments:
The X is the predicted survival with adjustments
The solid dot is the survival probability after the methodology has been applied.

  • If the solid dot is red it means survival is worse than expected
  • If the solid dot is black it means that it is within limits
  • If the solid dot is green it means that there is significantly higher survival than expected

There is a lot of information on these plots, but the takeaway message is that if the solid black line crosses the dashed vertical line then the survival rate for the surgeon/unit is within expectations and that there is no reason for any concern.

A more detailed explanation about these graphs and methodology can be found here: Graph Explanations


Data for period April 2015 – March 2018.
Risk Adjusted In-Hospital Survival Rate

Thoracic Outcomes

Thoracic surgery units also 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 2017-18 audit year* is given below;

Cases Performed
Primary lung cancer resections all primary lung cancer resections 287
Total thoracic surgery excluding endoscopy all case (excluding endoscopy) 566
Did this hospital perform radical surgery for mesothelioma in 2017-18? Yes
Did this hospital perform chest wall deformity (pectus) surgery in 2017-18? Yes

Consultant Cardiac Surgeons 2015 - 2018: 5

Consultant Congenital Cardiothoracic Surgeons: 0

Consultant Thoracic Surgeons 2017: 0