The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2019 Update on Outcomes and Quality

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 ten benchmark operation groups performed from January 2014 – 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%-1.4%); ventricular septal defect (VSD) repair, 0.5% (IQR=0.0%-0.5%); tetralogy of Fallot (TOF) repair, 1.3% (IQR=0.0%-2.0%); complete atrioventricular canal repair (AVC), 2.5% (IQR=0.0%-4.1%); arterial switch operation (ASO), 2.2% (IQR=0.0%-3.0%); ASO + VSD repair, 4.6% (IQR=0.0%-7.1%); Glenn / HemiFontan, 1.8% (IQR=0.0%-2.7%); Fontan operation, 1.0% (IQR=0.0%-0.4%); truncus arteriosus repair, 9.5% (IQR=0.0%-15.4%); and Norwood (Stage 1) operation, 15.0% (IQR=8.3%-25.0%).
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research