@article{e792c4f8a90849f2ab721527a46a3d83,
title = "The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2018 Update on Outcomes and Quality",
abstract = "The Society of Thoracic Surgeons Congenital Heart Surgery Database is a comprehensive registry of clinical outcomes that captures almost all pediatric cardiac surgical operations in the United States. 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 article 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 operation groups performed from January 2013 through December 2016. 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 1.4%%); ventricular septal defect repair, 0.6% (0.0% to 0.9%); tetralogy of Fallot repair, 1.1% (0.0% to 2.0%); complete atrioventricular canal repair, 2.7% (0.0% to 4.4%); arterial switch operation, 2.2% (0.0% to 2.9%); arterial switch operation and ventricular septal defect repair, 5.1% (0.0% to 8.3%); Glenn/HemiFontan, 2.1% (0.0% to 3.1%); Fontan operation, 1.1% (0.0% to 0.0%); truncus arteriosus repair, 10.1% (0.0% to 15.4%); and Norwood procedure, 15.8% (9.0% to 25.0%).",
author = "Jacobs, {Jeffrey P.} and Mayer, {John E.} and Pasquali, {Sara K.} and Hill, {Kevin D.} and Overman, {David M.} and {St. Louis}, {James D.} and Kumar, {S. Ram} and Backer, {Carl L.} and Fraser, {Charles D.} and Tweddell, {James S.} and Jacobs, {Marshall L.}",
note = "Funding Information: In the monthly STS National Database series on outcomes analysis, quality improvement, and patient safety, this report is the third annual article that focuses specifically on outcomes and quality in STS CHSD [13] . This article, the STS CHSD 2018 Update on Outcomes and Quality, provides a summary of current national aggregate outcomes of congenital and pediatric cardiac surgery. As part of this monthly series, The Annals of Thoracic Surgery will publish another article derived from STS CHSD 6 months after the publication of this article, with this additional article summarizing all research-related reports published from STS CHSD during the past 12 months, along with an update on funded research grants and grant proposals from STS CHSD [28, 29] . All participants in STS CHSD can access data from STS CHSD for research or quality improvement initiatives. A detailed description of how to access data from STS National Database has been previously published [18] and is available at http://www.sts.org/registries-research-center/sts-research-center/access-publications . With information about nearly all pediatric cardiac operations performed in the United States, STS CHSD contains a highly representative sample of national aggregate data that is useful for multiple purposes. The data that are collected by STS CHSD and the analytical methods used by STS CHSD, including risk adjustment, are constantly reevaluated to ensure that they are statistically accurate and clinically meaningful. The current national aggregate congenital and pediatric cardiac surgical outcomes from STS CHSD and described in this report can serve as a platform for benchmarking performance and improving quality. These activities of outcomes analysis and quality improvement will ultimately allow congenital and pediatric cardiac surgeons to provide better care for our patients [30] . Publisher Copyright: {\textcopyright} 2018 The Society of Thoracic Surgeons",
year = "2018",
month = mar,
doi = "10.1016/j.athoracsur.2018.01.001",
language = "English (US)",
volume = "105",
pages = "680--689",
journal = "Annals of Thoracic Surgery",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "3",
}