The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2017 Update on Outcomes and Quality

被引：69

作者：

Jacobs, Jeffrey P. ^{[1
,2
]}

Mayer, John E., Jr. ^{[3
]}

Mavroudis, Constantine ^{[1
,2
]}

O'Brien, Sean M. ^{[4
]}

Austin, Erle H. ^{[5
]}

Pasquali, Sara K. ^{[6
]}

Hill, Kevin D. ^{[4
]}

Overman, David M. ^{[7
,8
]}

St Louis, James D.

Karamlou, Tara ^{[10
]}

Pizarro, Christian ^{[11
]}

Hirsch-Romano, Jennifer C. ^{[6
]}

McDonald, Donna ^{[12
]}

Han, Jane M. ^{[12
]}

Becker, Susan ^{[12
,13
]}

Tchervenkov, Christo I.

Lacour-Gayet, Francois

Backer, Carl L. ^{[14
]}

Fraser, Charles D. ^{[15
]}

Tweddell, James S. ^{[9
,16
]}

Elliott, Martin J. ^{[1
,17
]}

Walters, Hal, III ^{[18
]}

Jonas, Richard A.

Prager, Richard L. ^{[19
,20
]}

Shahian, David M. ^{[21
]}

Jacobs, Marshall L.

机构：

[1] Johns Hopkins Univ, Sch Med, Dept Surg, Div Cardiac Surg, Baltimore, MD 21205 USA

[2] Johns Hopkins All Childrens Hosp, Johns Hopkins All Childrens Heart Inst, Dept Surg, Div Cardiovasc Surg, Tampa, FL USA

[3] Harvard Med Sch, Childrens Hosp Boston, Boston, MA USA

[4] Duke Univ, Durham, NC USA

[5] Univ Louisville, Norton Childrens Hosp, Louisville, KY USA

[6] Univ Michigan, CS Mott Childrens Hosp, Ann Arbor, MI USA

[7] Childrens Hosp, Childrens Heart Clin, Minneapolis, MN USA

[8] Clin Minnesota, Minneapolis, MN USA

[9] Univ Missouri, Dept Surg, Sch Med, Kansas City, MO USA

[10] Phoenix Childrens Hosp, Div Pediat Cardiac Surg, Phoenix, AZ USA

[11] Nemours Alfred I duPont Hosp, Wilmington, DE USA

[12] Soc Thorac Surg, Chicago, IL USA

[13] McGill Univ, Montreal Childrens Hosp, Dept Surg, Div Cardiothorac Surg, Montreal, PQ, Canada

[14] Northwestern Univ Feinberg Sch Med, Ann Robert H Lurie Childrens Hosp Chicago, Chicago, IL USA

[15] Baylor Coll Med, Texas Childrens Hosp, Houston, TX USA

[16] Cincinnati Childrens Hosp Med Ctr, Inst Heart, Cincinnati, OH 45229 USA

[17] Great Ormond St Hosp Sick Children, London, England

[18] Wayne State Univ, Sch Med, Childrens Hosp Michigan, Detroit, MI USA

[19] Childrens Natl Med Ctr, Washington, DC 20010 USA

[20] Univ Michigan, Ann Arbor, MI 48109 USA

[21] Massachusetts Gen Hosp, Harvard Med Sch, Boston, MA 02114 USA

来源：

ANNALS OF THORACIC SURGERY | 2017年 / 103卷 / 03期

关键词：

SURGICAL REGISTRY DATABASE; PEDIATRIC CARDIAC-SURGERY; EMPIRICALLY BASED TOOL; HEALTH-CARE; MORTALITY; OPERATIONS; DISEASE; TRANSPARENCY; NOMENCLATURE; METHODOLOGY;

D O I：

10.1016/j.athoracsur.2017.01.004

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The Society of Thoracic Surgeons Congenital Heart Surgery Database is the largest congenital and pediatric cardiac surgical clinical data registry in the world. It is the platform for all activities of The Society of Thoracic Surgeons related to the analysis of outcomes and the improvement of quality in this subspecialty. This report summarizes current aggregate national outcomes in congenital and pediatric cardiac surgery and reviews related activities in the areas of quality measurement, performance improvement, and transparency. The reported data about aggregate national outcomes are exemplified by an analysis of 10 benchmark operations performed from January 2012 to December 2015. This analysis documents the overall aggregate operative mortality (interquartile range among all participating programs) for the following procedural groups: off-bypass coarctation repair, 1.3% (0.0% to 1.8%); ventricular septal defect repair, 0.6% (0.0% to 0.9%); tetralogy of Fallot repair, 1.1% (0.0% to 1.4%); complete atrioventricular canal repair, 3.0% (0.0% to 4.7%); arterial switch operation, 2.7% (0.0% to 4.1%); arterial switch operation and ventricular septal defect repair, 5.3% (0.0% to 6.7%); Glenn/hemi-Fontan, 2.5% (0.0% to 4.5%); Fontan operation, 1.2% (0.0% to 1.2%); truncus arteriosus repair, 9.4% (0.0% to 16.7%); and Norwood procedure, 15.7% (8.9% to 25.0%). (C) 2017 by The Society of Thoracic Surgeons

引用

页码：699 / 709

页数：11

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