The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2018 Update on Outcomes and Quality

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Jeffrey P Jacobs1, John E Mayer2, Sara K Pasquali3

  • 1Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland; Division of Cardiovascular Surgery, Department of Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins All Children's Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, and Orlando, Florida.

The Annals of Thoracic Surgery
|January 17, 2018
PubMed

Insights

The Society of Thoracic Surgeons Database reports national outcomes for pediatric cardiac surgery. It shows operative mortality rates for 10 benchmark procedures, highlighting variations in outcomes for complex congenital heart surgeries.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Health Outcomes Research

Background:

  • The Society of Thoracic Surgeons Congenital Heart Surgery Database collects data on nearly all US pediatric cardiac surgeries.
  • It serves as a platform for analyzing outcomes and improving quality in pediatric cardiac surgery.

Purpose of the Study:

  • To summarize aggregate national outcomes in congenital and pediatric cardiac surgery.
  • To review activities in quality measurement, performance improvement, and transparency within the subspecialty.

Main Methods:

  • Analysis of aggregate national outcomes from the Society of Thoracic Surgeons Congenital Heart Surgery Database.
  • Examination of 10 benchmark operation groups performed between January 2013 and December 2016.

Main Results:

  • Operative mortality rates for benchmark procedures varied, with examples including: coarctation repair (1.3%), tetralogy of Fallot repair (1.1%), and Norwood procedure (15.8%).
  • The Fontan operation demonstrated a 0.0% interquartile range for operative mortality, indicating consistent outcomes.

Conclusions:

  • The database provides valuable insights into national outcomes for pediatric cardiac surgery.
  • Continued analysis and quality improvement initiatives are essential for advancing care in this field.

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