Surgical Quality Improvement

Neurosurgery Outcomes

January 1, 2023 – December 31, 2023

The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) objectively measures and reports risk-adjusted surgical outcomes based on a defined sampling and abstraction methodology. These outcomes data reflect Cleveland Clinic’s overall neurosurgery ACS NSQIP performance benchmarked against 338 participating sites.

Neurosurgery (338 Sites)NObservedExpected
30 Day Mortality3102.58%2.28%
30 Day Morbidity31012.58%9.20%
Cardiac3100.00%0.58%
Pneumonia3102.26%1.88%
Unplanned Intubation3092.59%1.73%
Ventilator > 48 Hours3083.57%1.43%
Deep Vein Thrombosis (DVT) / Pulmonary Embolusᵃ3106.77%2.86%
Renal Failure3100.97%0.41%
Urinary Tract Infection (UTI)3101.29%1.50%
Surgical Site Infection (SSI)3103.23%1.98%
Sepsis3102.58%1.40%
C.diff Colitis3100.32%0.09%
Unplanned Reoperation3104.19%4.69%
Unplanned Readmission31012.58%10.22%

American College of Surgeons National Surgical Quality Improvement Program, 2024.
ACS NSQIP® Semiannual Report July 8, 2024, Chicago: American College of Surgeons.

ᵃIdentified as a statistical outlier (higher than expected) by the ACS NSQIP hierarchical model.