TY - JOUR
T1 - The Society of Thoracic Surgeons Congenital Heart Surgery Database
T2 - 2019 Update on Outcomes and Quality
AU - Jacobs, Jeffrey P.
AU - Mayer, John E.
AU - Pasquali, Sara K.
AU - Hill, Kevin D.
AU - Overman, David M.
AU - St. Louis, James D.
AU - Kumar, S. Ram
AU - Backer, Carl L.
AU - Tweddell, James S.
AU - Dearani, Joseph A.
AU - Jacobs, Marshall L.
N1 - Funding Information:
In the monthly STS National Database series on outcomes analysis, quality improvement, and patient safety, this report is the fourth annual article that focuses specifically on outcomes and quality in STS CHSD [15–17] . This report, the STS CHSD 2019 Update on Outcomes and Quality, provides a summary of current national aggregate outcomes of congenital and pediatric cardiac surgery as well as related quality initiatives. Six months after the publication of this article, as part of this monthly series, The Annals of Thoracic Surgery will publish another article derived from STS CHSD, with this additional article summarizing all research-related reports published from STS CHSD over the past 12 months, along with an update on funded research grants and grant proposals from STS CHSD [33–35] . All participants in STS CHSD can access data from STS CHSD for research or quality improvement initiatives. A detailed description of how to access data from STS National Database is available at https://www.sts.org/registries-research-center/sts-research-center . With information about nearly all pediatric cardiac operations performed in the United States, STS CHSD contains a highly representative sample of national aggregate data that is useful for multiple purposes. The data that are collected by STS CHSD and the analytical methods used by STS CHSD, including risk adjustment, are constantly reevaluated to ensure that they are statistically accurate and clinically meaningful. The current national aggregate congenital and pediatric cardiac surgical outcomes from STS CHSD described in this report can serve as a platform for benchmarking performance and improving quality. These activities of outcomes analysis and quality improvement will ultimately allow congenital and pediatric cardiac surgeons to provide better care for our patients [36] .
Publisher Copyright:
© 2019 The Society of Thoracic Surgeons
PY - 2019/3
Y1 - 2019/3
N2 - The Society of Thoracic Surgeons Congenital Heart Surgery Database is a comprehensive clinical outcomes registry that captures almost all pediatric cardiac surgical operations in the United States. 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 operation groups performed from January 2014 to December 2017. This analysis documents the overall aggregate Operative Mortality for operations performed at North American participants in The Society of Thoracic Surgeons Congenital Heart Surgery Database and the interquartile range (IQR) for participant-specific rates of Operative Mortality for the following procedural groups: off-bypass coarctation repair, 1.5% (IQR, 0.0% to 1.4%); ventricular septal defect repair, 0.5% (IQR, 0.0% to 0.5%); tetralogy of Fallot repair, 1.3% (IQR, 0.0% to 2.0%); complete atrioventricular canal repair, 2.5% (IQR, 0.0% to 4.1%); arterial switch operation, 2.2% (IQR, 0.0% to 3.0%); arterial switch operation and ventricular septal defect repair, 4.6% (IQR, 0.0% to 7.1%); Glenn/hemiFontan, 1.8% (IQR, 0.0% to 2.7%); Fontan operation, 1.0% (IQR, 0.0% to 0.4%); truncus arteriosus repair, 9.5% (IQR, 0.0% to 15.4%); and Norwood (stage 1) operation, 15.0% (IQR, 8.3% to 25.0%).
AB - The Society of Thoracic Surgeons Congenital Heart Surgery Database is a comprehensive clinical outcomes registry that captures almost all pediatric cardiac surgical operations in the United States. 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 operation groups performed from January 2014 to December 2017. This analysis documents the overall aggregate Operative Mortality for operations performed at North American participants in The Society of Thoracic Surgeons Congenital Heart Surgery Database and the interquartile range (IQR) for participant-specific rates of Operative Mortality for the following procedural groups: off-bypass coarctation repair, 1.5% (IQR, 0.0% to 1.4%); ventricular septal defect repair, 0.5% (IQR, 0.0% to 0.5%); tetralogy of Fallot repair, 1.3% (IQR, 0.0% to 2.0%); complete atrioventricular canal repair, 2.5% (IQR, 0.0% to 4.1%); arterial switch operation, 2.2% (IQR, 0.0% to 3.0%); arterial switch operation and ventricular septal defect repair, 4.6% (IQR, 0.0% to 7.1%); Glenn/hemiFontan, 1.8% (IQR, 0.0% to 2.7%); Fontan operation, 1.0% (IQR, 0.0% to 0.4%); truncus arteriosus repair, 9.5% (IQR, 0.0% to 15.4%); and Norwood (stage 1) operation, 15.0% (IQR, 8.3% to 25.0%).
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U2 - 10.1016/j.athoracsur.2018.12.016
DO - 10.1016/j.athoracsur.2018.12.016
M3 - Article
C2 - 30641069
AN - SCOPUS:85061012929
SN - 0003-4975
VL - 107
SP - 691
EP - 704
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 3
ER -