The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2019 Update on Outcomes and Quality
The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2019 Update on Outcomes and Quality
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DOI：
10.1016/j.athoracsur.2018.12.016
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发表时间：
2019-03-01
影响因子：
4.6
通讯作者：
Jacobs, Marshall L.
中科院分区：
文献类型：
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作者：
Jacobs, Jeffrey P.;Mayer, John E., Jr.;Jacobs, Marshall L.
胸外科学会先天性心脏手术数据库是一个全面的临床结局登记系统，涵盖了美国几乎所有的儿科心脏手术。它是胸外科医师协会所有活动的平台，这些活动与该子专业的结局分析和质量改进有关。本报告总结了目前先天性和小儿心脏手术的总体国家成果，并回顾了质量测量、绩效改进和透明度领域的相关活动。报告的国家总体成果数据以2014年1月至2017年12月对10个基准手术组进行的分析为例。该分析记录了胸外科学会先天性心脏手术数据库中北美参与者进行手术的总体总手术死亡率，以及以下手术组参与者特定手术死亡率的四分位数范围（IQR）：非旁路缩窄修复术，1.5%（IQR，0.0%-1.4%）;室间隔缺损修复，0.5%（IQR，0.0%至0.5%）;法洛四联症修复术，1.3%（IQR，0.0%-2.0%）;房室管完全修复，2.5%（IQR，0.0%至4.1%）;动脉调转手术，2.2%（IQR，0.0%至3.0%）;动脉调转术和室间隔缺损修补术，4.6%（IQR，0.0%-7.1%）; Glenn/hemiFontan，1.8%（IQR，0.0%~ 2.7%）; Fontan手术，1.0%动脉干修补术9.5%（IQR，0.0%~ 15.4%）;诺伍德（I期）手术15.0%（IQR，8.3%~ 25.0%）。(C)2019年美国胸外科医师协会
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%). (C) 2019 by The Society of Thoracic Surgeons