The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2016 Update on Outcomes and Quality

被引：66

作者：

Jacobs, Jeffrey P. ^{[1
,2
,3
,4
,5
,6
]}

Mayer, John E., Jr. ^{[7
]}

Mavroudis, Constantine ^{[1
,2
,3
,4
,5
,6
]}

O'Brien, Sean M. ^{[8
]}

Austin, Erle H., III ^{[9
]}

Pasquali, Sara K. ^{[10
]}

Hill, Kevin D. ^{[8
]}

He, Xia ^{[8
]}

Overman, David M. ^{[11
]}

St Louis, James D. ^{[12
]}

Karamlou, Tara ^{[13
]}

Pizarro, Christian ^{[14
]}

Hirsch-Romano, Jennifer C. ^{[10
]}

McDonald, Donna ^{[15
]}

Han, Jane M. ^{[15
]}

Dokholyan, Rachel S. ^{[8
]}

Tchervenkov, Christo I. ^{[16
]}

Lacour-Gayet, Francois ^{[17
]}

Backer, Carl L. ^{[18
]}

Fraser, Charles D. ^{[19
]}

Tweddell, James S. ^{[20
]}

Elliott, Martin J. ^{[21
]}

Walters, Hal, III ^{[22
]}

Jonas, Richard A. ^{[23
]}

Prager, Richard L. ^{[24
]}

Shahian, David M. ^{[25
]}

Jacobs, Marshall L. ^{[1
,2
,3
,4
,5
,6
]}

机构：

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

[2] Univ S Florida, All Childrens Hosp, Dept Surg, Div Cardiovasc Surg, St Petersburg, FL 33701 USA

[3] Florida Hosp Children, St Petersburg, FL USA

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

[5] Florida Hosp Children, Tampa, FL USA

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

[7] Harvard Univ, Sch Med, Childrens Hosp Boston, Boston, MA USA

[8] Duke Univ, Durham, NC USA

[9] Univ Louisville, Kosair Childrens Hosp, Louisville, KY 40292 USA

[10] Univ Michigan, CS Mott Childrens Hosp, Ann Arbor, MI 48109 USA

[11] Childrens Hosp & Clin Minnesota, Childrens Heart Clin, Minneapolis, MN USA

[12] Univ Missouri, Sch Med, Dept Surg, Kansas City, MO 64108 USA

[13] Univ Calif San Francisco, Benioff Childrens Hosp, Div Pediat Cardiac Surg, San Francisco, CA 94143 USA

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

[15] Soc Thorac Surg, Chicago, IL USA

[16] McGill Univ, Montreal Childrens Hosp, Montreal, PQ H3H 1P3, Canada

[17] Royal Hosp, Muscat, Oman

[18] Northwestern Univ, Ann & Robert H Lurie Childrens Hosp Chicago, Feinberg Sch Med, Chicago, IL 60611 USA

[19] Texas Childrens Hosp, Baylor Coll Med, Houston, TX 77030 USA

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

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

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

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

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

[25] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Boston, MA USA

来源：

ANNALS OF THORACIC SURGERY | 2016年 / 101卷 / 03期

基金：

美国国家卫生研究院;

关键词：

DIFFERENTIAL CASE ASCERTAINMENT; EMPIRICALLY BASED TOOL; ADMINISTRATIVE DATA; CLINICAL REGISTRY; HEALTH-CARE; CASE-MIX; MORTALITY; TRANSPARENCY; OPERATIONS; IMPACT;

D O I：

10.1016/j.athoracsur.2016.01.057

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 article 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 2011 to December 2014 and documenting overall discharge mortality (interquartile range among programs with more than 9 cases): off-bypass coarctation, 1.0% (0.0% to 0.9%); ventricular septal defect repair, 0.7% (0.0% to 1.1%); tetralogy of Fallot repair, 1.0% (0.0% to 1.7%); complete atrioventricular canal repair, 3.2% (0.0% to 6.5%); arterial switch operation, 2.7% (0.0% to 5.6%); arterial switch operation plus ventricular septal defect, 5.3% (0.0% to 6.7%); Glenn/hemiFontan, 2.1% (0.0% to 3.8%); Fontan operation, 1.4% (0.0% to 2.4%); truncus arteriosus repair, 9.6% (0.0 % to 11.8%); and Norwood procedure, 15.6% (10.0% to 21.4%). (C) 2016 by The Society of Thoracic Surgeons

引用

页码：850 / 862

页数：13

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