German Society for Thoracic and Cardiovascular Surgery, Langenbeck-Virchow-Haus, Berlin, Germany.
BQS Institute for Quality and Patient Safety, Hamburg, Germany.
Thorac Cardiovasc Surg. 2022 Aug;70(5):362-376. doi: 10.1055/s-0042-1754353. Epub 2022 Aug 10.
Based on a longtime voluntary registry, founded by the German Society for Thoracic and Cardiovascular Surgery (GSTCVS) in 1980, well-defined data of all cardiac, thoracic and vascular surgery procedures performed in 78 German heart surgery departments during the year 2021 are analyzed. Under more than extraordinary conditions of the further ongoing worldwide coronavirus disease 2019 (COVID-19) pandemic, a total of 161,261 procedures were submitted to the registry. In total, 92,838 of these operations are summarized as heart surgery procedures in a classical sense. The unadjusted in-hospital survival rate for the 27,947 isolated coronary artery bypass grafting procedures (relationship on-/off-pump 3.2:1) was 97.3%. For the 36,714 isolated heart valve procedures (19,242 transcatheter interventions included) it was 96.7 and 99.0% for the registered pacemaker and International Classification of Diseases (ICD) procedures (19,490), respectively. Concerning short- and long-term circulatory support, a total of 3,404 ECLS/ECMO implantations and 750 assist device implantations (L-/ R-/ BVAD, TAH), respectively were registered. In 2021 329 isolated heart transplantations, 254 isolated lung transplantations, and one combined heart-lung transplantations were performed.This annually updated registry of the GSTCVS represents voluntary public reporting by accumulating actual information for nearly all heart surgical procedures in Germany, constitutes advancements in heart medicine and represents a basis for quality management for all participating institutions. In addition, the registry demonstrates that the provision of cardiac surgery in Germany is up to date, appropriate, and nationwide patient treatment is guaranteed all the time.
基于德国胸心血管外科学会（GSTCVS）于 1980 年成立的长期自愿注册系统，对 2021 年德国 78 家心胸血管外科中心实施的所有心脏、胸部和血管手术程序的明确数据进行了分析。在全球持续的 2019 年冠状病毒病（COVID-19）大流行的特殊情况下，该注册系统共收到了 161261 例手术程序。其中，92838 例手术程序被总结为传统意义上的心脏手术。27947 例单纯冠状动脉旁路移植术（体外循环/非体外循环比例为 3.2:1）的院内未调整生存率为 97.3%。36714 例单纯心脏瓣膜手术（包括 19242 例经导管介入治疗）的生存率为 96.7%和 99.0%，分别为注册的起搏器和国际疾病分类（ICD）手术（19490 例）。关于短期和长期循环支持，共注册了 3404 例体外膜肺氧合（ECLS/ECMO）植入和 750 例辅助设备植入（左/右/双心室辅助装置、全人工心脏）。2021 年，共进行了 329 例单纯心脏移植、254 例单纯肺移植和 1 例心肺联合移植。该 GSTCVS 年度更新的注册系统代表了德国几乎所有心脏外科手术的自愿公开报告，代表了心脏医学的进步，是所有参与机构质量管理的基础。此外，该注册系统还表明，德国的心脏外科手术服务是最新的、适当的，并且始终保证全国范围内的患者治疗。
