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世界小儿心脏外科学会:2024 年小儿与先天性心脏病外科学世界数据库更新。

The World Society for Pediatric and Congenital Heart Surgery: 2024 Update of the World Database for Pediatric and Congenital Heart Surgery.

机构信息

Department of Surgery, Augusta University, Augusta, GA, USA.

Kirklin Solutions Inc., Birmingham, AL, USA.

出版信息

World J Pediatr Congenit Heart Surg. 2024 Sep;15(5):551-561. doi: 10.1177/21501351241252432. Epub 2024 Sep 5.

Abstract

BACKGROUND

The World Database for Pediatric and Congenital Heart Surgery (WDPCHS), sponsored by the World Society for Pediatric and Congenital Heart Surgery (WSPCHS), provides complex congenital heart surgery outcomes analyses for member programs. This report represents the seven-year descriptive analysis of outcomes from active members of the WDPCHS.

METHODS

Individual institutions submit data based on the specific procedure via a password protected platform. The data are collected, stored, and analyzed at Kirklin Solutions Inc., based in Birmingham, Alabama. This report presents a descriptive analysis of these procedures submitted from January 1, 2017, to December 31, 2023.

RESULTS

A total of 50,174 procedures were submitted with an overall mortality of 4.6%. The majority of submissions were from Asian countries. The majority of cases submitted from these countries were of STAT mortality category I and II. Repair of a ventricular septal defect (with a mortality of 0.8%) and correction of tetralogy of Fallot (2.0% mortality) were the most common procedures submitted to the database.

CONCLUSIONS

The WSPCHS accomplished one of its missions in 2017 when the WDPCHS began accepting data from pediatric and congenital heart surgery programs across the globe. In doing so, it became one of the first organizations to create a platform for the exchange of knowledge and experience, regardless of the socioeconomic status of the particular program or country.

摘要

背景

世界儿科和先天性心脏病外科学会(WDPCHS)数据库由世界儿科和先天性心脏病外科学会(WSPCHS)赞助,为成员计划提供复杂先天性心脏病手术结果分析。本报告代表了 WDPCHS 活跃成员的七年结果描述性分析。

方法

各机构通过受密码保护的平台,根据特定手术提交数据。这些数据由位于阿拉巴马州伯明翰的 Kirklin Solutions Inc. 收集、存储和分析。本报告介绍了 2017 年 1 月 1 日至 2023 年 12 月 31 日期间从这些程序提交的描述性分析。

结果

共提交了 50174 例手术,总死亡率为 4.6%。大多数提交来自亚洲国家。这些国家提交的大多数病例属于 STAT 死亡率类别 I 和 II。室间隔缺损修复(死亡率为 0.8%)和法洛四联症矫正(死亡率为 2.0%)是向数据库提交的最常见手术。

结论

WSPCHS 于 2017 年实现了其使命之一,当时 WDPCHS 开始接受来自全球儿科和先天性心脏病外科学会计划的数据。通过这样做,它成为创建一个知识和经验交流平台的首批组织之一,无论特定计划或国家的社会经济地位如何。

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