The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2016 Update on Outcomes and Quality
The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2016 Update on Outcomes and Quality
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DOI：
10.1016/j.athoracsur.2016.01.057
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发表时间：
2016-03-01
影响因子：
4.6
通讯作者：
Jacobs, Marshall L.
中科院分区：
文献类型：
--
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世界上最大的先天性和小儿心脏手术临床数据登记中心。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。本文总结了当前先天性和小儿心脏手术的国家总体结果，并回顾了质量测量、绩效改进和透明度方面的相关活动。报告的关于国家总体结果的数据通过对2011年1月至2014年12月进行的10次基准手术的分析以及记录总体出院死亡率来举例说明（超过9例病例的程序的四分位距）：非旁路缩窄，1.0%（0.0%至0.9%）;室间隔缺损修复术，0.7%（0.0%至1.1%）;法洛四联症修复术，1.0%（0.0%-1.7%）;房室管完全修复，3.2%（0.0%至6.5%）;动脉调转术，2.7%（0.0%-5.6%）;动脉调转术+室间隔缺损，5.3%（0.0%至6.7%）; Glenn/hemiFontan，2.1% Fontan手术，1.4%动脉干修补术9.6%（0.0%~ 11.8%）;诺伍德手术15.6%（10.0%~ 21.4%）。(C)2016胸外科医师协会
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