Shin Hong Ju, Park Young Hwan, Cho Bum Koo
Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
Division of Cardiovascular Surgery, Congenital Heart Disease Center, Severance Cardiovascular Hospital, Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea.
Korean Circ J. 2020 Aug;50(8):677-690. doi: 10.4070/kcj.2019.0364. Epub 2020 Mar 9.
This study presents an update of the surgical outcomes of congenital heart disease (CHD) according to Korea Heart Foundation (KHF) data.
We investigated the data of the 7,305 patients who were economically supported by KHF in 2000-2014. Of them, we analyzed surgical outcomes of the 6,599 patients who underwent CHD surgery.
The median patient age was 1.9 years (range, 0-71.5 years). Of the 6,599 patients, 5,616 (85.1%) underwent biventricular repair and 983 (14.9%) underwent palliative procedures. The mean Basic Aristotle Score was 6.6±2.2. A complex procedure (defined as Basic Aristotle Score above 6) was performed in 3,368 patients (51.0%). The early mortality rate was 3.8%, while the late mortality rate was 1.8%. Previous reports of the KHF (1984-1999) showed that the early surgical and late mortality rates were 8.6%, and 5.3%, respectively. There were 491 neonates (7.4%); among them, the early mortality rate was 12.2% and late mortality rate was 3.7%. There were 2,617 infants (40.0%); among them, the early mortality rate was 6.0% and the late mortality rate was 2.3%. A total of 591 patients from 30 countries were helped by the KHF.
More neonatal surgeries (491 vs. 74 patients) were performed than those in the past (1984-1999). The surgical outcomes were much better than before. Our surgical outcomes revealed that the Republic of Korea has been transformed from a country receiving help to a country that helps other low socioeconomic status countries.
本研究根据韩国心脏基金会（KHF）的数据，对先天性心脏病（CHD）的手术结果进行了更新。
我们调查了2000年至2014年期间由KHF提供经济支持的7305例患者的数据。其中，我们分析了6599例接受CHD手术患者的手术结果。
患者年龄中位数为1.9岁（范围为0至71.5岁）。在6599例患者中，5616例（85.1%）接受了双心室修复，983例（14.9%）接受了姑息性手术。平均基础亚里士多德评分是6.6±2.2。3368例患者（51.0%）接受了复杂手术（定义为基础亚里士多德评分高于6）。早期死亡率为3.8%，晚期死亡率为1.8%。KHF之前的报告（1984 - 1999年）显示，早期手术死亡率和晚期死亡率分别为8.6%和5.3%。有491例新生儿（7.4%）；其中，早期死亡率为12.2%，晚期死亡率为3.7%。有2617例婴儿（40.0%）；其中，早期死亡率为6.0%，晚期死亡率为2.3%。KHF共帮助了来自30个国家的591例患者。
与过去（1984 - 1999年）相比，进行了更多的新生儿手术（491例对74例）。手术结果比以前好得多。我们的手术结果表明，韩国已从一个接受帮助的国家转变为一个帮助其他社会经济地位较低国家的国家。
