The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2017 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, David M. Overman, James D. St. Louis, Tara Karamlou, Christian Pizarro, Jennifer C. Hirsch-Romano, Donna McDonald, Jane M. Han, Susan Becker, Christo I. Tchervenkov, Francois Lacour-Gayet, Carl L Backer, Charles D. Fraser, James S. TweddellMartin J. Elliott, Hal Walters, Richard A. Jonas, Richard L. Prager, David M. Shahian, Marshall L. Jacobs

*Corresponding author for this work

Research output: Contribution to journalArticle

43 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 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%).

Original languageEnglish (US)
Pages (from-to)699-709
Number of pages11
JournalAnnals of Thoracic Surgery
Volume103
Issue number3
DOIs
StatePublished - Mar 1 2017

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ASJC Scopus subject areas

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

Cite this

Jacobs, J. P., Mayer, J. E., Mavroudis, C., O'Brien, S. M., Austin, E. H., Pasquali, S. K., Hill, K. D., Overman, D. M., St. Louis, J. D., Karamlou, T., Pizarro, C., Hirsch-Romano, J. C., McDonald, D., Han, J. M., Becker, S., Tchervenkov, C. I., Lacour-Gayet, F., Backer, C. L., Fraser, C. D., ... Jacobs, M. L. (2017). The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2017 Update on Outcomes and Quality. Annals of Thoracic Surgery, 103(3), 699-709. https://doi.org/10.1016/j.athoracsur.2017.01.004