The current trends of mortality following congenital heart surgery: the Japan Congenital Cardiovascular Surgery Database

The current trends of mortality following congenital heart surgery: the Japan Congenital Cardiovascular Surgery Database
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DOI:
10.1093/icvts/ivv109
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发表时间:
2015-08-01
影响因子:
--
通讯作者:
Takamoto, Shinichi
Takamoto, Shinichi
中科院分区:
医学4区
文献类型:
--
作者:
Hoashi, Takaya;Miyata, Hiroaki;Takamoto, Shinichi

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目的:尽管先天性心脏病手术的手术结果在过去二十年中有所改善,但该领域仍存在可测量的术后死亡率。本研究旨在评估先天性心脏病手术后死亡率的现状。方法:对2008年至2012年期间日本先天性心血管手术数据库(JCCVSD)中所有注册的28810例患者的数据进行分析,但退行性心肌病患者除外,包括扩张型、限制型和肥厚型心肌病,以及病理或组织学恶性心脏肿瘤。登记的病例数每年都在增加,2012年达到9000例。手术时的中位年龄为0.8岁(范围,0-82岁)。接受手术的患者中有一半以上(54%)是
OBJECTIVES: Whereas surgical outcomes of congenital heart surgery have improved during the past two decades, there are still measurable postoperative mortalities in this field. This study is aimed at evaluating the current situation of mortality following congenital heart surgery.METHODS: Data on all registered 28 810 patients in The Japan Congenital Cardiovascular Surgery Database (JCCVSD) between 2008 and 2012 were analysed, except for patients with degenerative cardiomyopathy including dilated, restrictive and hypertrophic cardiomyopathy, and pathologically or histologically malignant cardiac tumours. The number of registered cases increased every year, and reached similar to 9000 cases in 2012. The median age at surgery was 0.8 years (range, 0-82). More than half of the patients (54%) who underwent surgery were