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

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• 作者：Jeffrey P. Jacobs ; MD^a ; ^b ; ^{jeffjacobs@msn.com" class="auth_mail" title="E-mail the corresponding author} ; John E. Mayer Jr. ; MD^c ; Constantine Mavroudis ; MD^a ; ^b ; Sean M. O&rsquo ; Brien ; PhD^d ; Erle H. Austin III ; MD^e ; Sara K. Pasquali ; MD ; MHS^f ; Kevin D. Hill ; MD^d ; Xia He ; MS^d ; David M. Overman ; MD^g ; James D. St. Louis ; MD^h ; Tara Karamlou ; MDⁱ ; Christian Pizarro ; MD^j ; Jennifer C. Hirsch-Romano ; MD ; MS^f ; Donna McDonald ; RN ; MPH^k ; Jane M. Han ; MSW^k ; Rachel S. Dokholyan ; MPH^d ; Christo I. Tchervenkov ; MD^l ; Francois Lacour-Gayet ; MD^m ; Carl L. Backer ; MDⁿ ; Charles D. Fraser ; MD^o ; James S. Tweddell ; MD^p ; Martin J. Elliott ; MD^q ; Hal Walters III ; MD^r ; Richard A. Jonas ; MD^s ; Richard L. Prager ; MD^t ; David M. Shahian ; MD^u ; Marshall L. Jacobs ; MD^a ; ^b
• 关键词：AMR ; adjusted mortality rate ; CI ; confidence interval ; CHSD ; Congenital Heart Surgery Database ; DCRI ; Duke Clinical Research Institute ; EACTS ; European Association for Cardio-Thoracic Surgery ; ECHSA ; European Congenital Heart Surgeons Association ; IPCCC ; International Pediatric and Congenital Cardiac Code ; NQF ; National Quality Forum ; O/E ; observed-to-expected ratio ; RACHS ; Risk Adjustment in Congenital Heart Surgery ; STS ; The Society of Thoracic Surgeons
• 刊名：The Annals of Thoracic Surgery
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：101
• 期：3
• 页码：850-862
• 全文大小：288 K

文摘

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%).