Jacobs Jeffrey P, Mayer John E, Mavroudis Constantine, O'Brien Sean M, Austin Erle H, Pasquali Sara K, Hill Kevin D, Overman David M, St Louis James D, Karamlou Tara, Pizarro Christian, Hirsch-Romano Jennifer C, McDonald Donna, Han Jane M, Becker Susan, Tchervenkov Christo I, Lacour-Gayet Francois, Backer Carl L, Fraser Charles D, Tweddell James S, Elliott Martin J, Walters Hal, Jonas Richard A, Prager Richard L, Shahian David M, Jacobs Marshall L
Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland; Division of Cardiovascular Surgery, Department of Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins All Children's Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, and Orlando, Florida.
Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts.
Ann Thorac Surg. 2017 Mar;103(3):699-709. doi: 10.1016/j.athoracsur.2017.01.004.
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%).
胸外科医师协会先天性心脏病手术数据库是世界上最大的先天性和小儿心脏外科临床数据登记处。它是胸外科医师协会在这一亚专业领域开展所有与结果分析和质量改进相关活动的平台。本报告总结了目前全国先天性和小儿心脏外科手术的总体结果，并回顾了质量测量、绩效改进和透明度方面的相关活动。报告的全国总体结果数据以对2012年1月至2015年12月期间进行的10项基准手术的分析为例。该分析记录了以下手术组的总体手术死亡率（所有参与项目的四分位间距）：非体外循环下主动脉缩窄修复术，1.3%（0.0%至1.8%）；室间隔缺损修复术，0.6%（0.0%至0.9%）；法洛四联症修复术，1.1%（0.0%至1.4%）；完全性房室通道修复术，3.0%（0.0%至4.7%）；动脉调转术，2.7%（0.0%至4.1%）；动脉调转术和室间隔缺损修复术，5.3%（0.0%至6.7%）；格林/半Fontan手术，2.5%（0.0%至4.5%）；Fontan手术，1.2%（0.0%至1.2%）；共同动脉干修复术，9.4%（0.0%至16.7%）；以及诺伍德手术，15.7%（8.9%至25.0%）。
