The society of thoracic surgeons congenital heart surgery database: 2016 update on outcomes and quality

Jeffrey P. Jacobs, John E. Mayer, Constantine Mavroudis, Sean M. O'Brien, Erle H. Austin, Sara K. Pasquali, Kevin D. Hill, Xia He, David M. Overman, James D. St. Louis, Tara Karamlou, Christian Pizarro, Jennifer C. Hirsch-Romano, Donna McDonald, Jane M. Han, Rachel S. Dokholyan, Christo I. Tchervenkov, Francois Lacour-Gayet, Carl L. Backer, Charles D. FraserJames S. Tweddell, Martin J. Elliott, Hal Walters, Richard A. Jonas, Richard L. Prager, David M. Shahian, Marshall L. Jacobs

Research output: Contribution to journalArticlepeer-review

48 Scopus citations

Abstract

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%).

Original languageEnglish (US)
Pages (from-to)850-862
Number of pages13
JournalAnnals of Thoracic Surgery
Volume101
Issue number3
DOIs
StatePublished - Mar 1 2016
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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