The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2017 Update on Outcomes and Quality
The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2017 Update on Outcomes and Quality
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DOI：
10.1016/j.athoracsur.2017.01.004
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发表时间：
2017-03-01
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.
胸外科医生学会先天性心脏病手术数据库是世界上最大的先天性和儿科心脏外科临床数据登记。它是胸外科学会所有与分析结果和提高这一专业质量有关的活动的平台。这份报告总结了目前国家在先天性和儿科心脏手术方面的总体结果，并回顾了在质量测量、性能改进和透明度领域的相关活动。报告的总体国家结果数据以2012年1月至2015年12月进行的10项基准手术的分析为例。这项分析记录了以下手术组的总体手术死亡率(所有参与计划的四分位数范围)：非旁路缩窄修补术，1.3%(0.0%至1.8%)；室间隔缺损修补术，0.6%(0.0%至0.9%)；法洛四联症修补术，1.1%(0.0%至1.4%)；完全房室管修补术，3.0%(0.0%至4.7%)；动脉转换术，2.7%(0.0%至4.1%)；动脉转换术+室间隔缺损修补术5.3%(0.0%~6.7%)，Glenn/hemi-Fontan 2.5%(0.0%~4.5%)，Fontan术1.2%(0.0%~1.2%)，动脉干修补术9.4%(0.0%~16.7%)，Norwood术15.7%(8.9%~25.0%)。(C)2017年，由胸外科医生学会主办
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 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 operations performed from January 2012 to December 2015. This analysis documents the overall aggregate operative mortality (interquartile range among all participating programs) for the following procedural groups: off-bypass coarctation repair, 1.3% (0.0% to 1.8%); ventricular septal defect repair, 0.6% (0.0% to 0.9%); tetralogy of Fallot repair, 1.1% (0.0% to 1.4%); complete atrioventricular canal repair, 3.0% (0.0% to 4.7%); arterial switch operation, 2.7% (0.0% to 4.1%); arterial switch operation and ventricular septal defect repair, 5.3% (0.0% to 6.7%); Glenn/hemi-Fontan, 2.5% (0.0% to 4.5%); Fontan operation, 1.2% (0.0% to 1.2%); truncus arteriosus repair, 9.4% (0.0% to 16.7%); and Norwood procedure, 15.7% (8.9% to 25.0%). (C) 2017 by The Society of Thoracic Surgeons