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Mexican registry of pediatric cardiac surgery. First report
Jorge Cervantes-Salazar1, Juan Calderón-Colmenero2, Samuel Ramírez-Marroquín1
1Instituto Nacional de Cardiología Dr. Ignacio Chávez, México, D.F., México.
Insights
This study presents a national database of pediatric cardiac surgeries in Mexico, revealing common conditions and a 7.5% mortality rate. Expanding the registry will offer a clearer picture of surgical practices for children.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Health Informatics
Background:
- Global trend towards health data digitization.
- Establishment of a pediatric cardiac surgery database in Mexico.
- Coordination by the Mexican Association of Specialists in Congenital Heart Diseases.
Purpose of the Study:
- To present results from a newly developed computerized database of pediatric cardiac surgeries.
- To characterize surgical practices for congenital heart diseases in Mexico's non-insured pediatric population.
Main Methods:
- Analysis of 943 pediatric cardiac surgeries from August 2011 to July 2012.
- Data collected from Health Ministry-dependent institutes and hospitals.
- Inclusion of all pediatric cardiopathy surgeries for the non-insured population.
Main Results:
- Seven institutions contributed data, registering 943 surgeries in 880 patients.
- Common conditions included patent ductus arteriosus and ventricular septal defect.
- Overall mortality was 7.5%, varying by RACHS-1 surgical risk score.
Conclusions:
- The database offers a representative view of pediatric cardiovascular surgical practices for the non-insured population.
- Inclusion of more institutions is recommended for a comprehensive national overview.
- Highlights the importance of national registries for understanding pediatric surgical care.
Background:
Currently, there is a spreading worldwide tendency to characterize health issues and to propose alternative solutions via the creation of computerized databases. The aim of this study was to present the results in a computerized database of pediatric cardiac surgeries developed under the auspices of the Mexican Association of Specialists in Congenital Heart Diseases (Asociación Mexicana de Especialistas en Cardiopatías Congénitas A.C) and coordinated by the collegiate group of Pediatric Cardiology and Surgery as petitioned by the National Institutes of Health and High Specialty Hospitals Coordinating Commission.
Methods:
We analyzed all cases registered in the database during a 1-year observation period (August 1, 2011 to July 31, 2012) by all major Health Ministry-dependent institutes and hospitals offering surgical services related to pediatric cardiopathies to the non-insured population.
Results:
Seven institutions participated voluntarily in completing the database. During the analyzed period, 943 surgeries in 880 patients with 7% reoperations (n=63) were registered. Thirty-eight percent of the surgeries were performed in children <1 year of age. The five most common cardiopathies were patent ductus arteriosus (n=96), ventricular septal defect (n=86), tetralogy of Fallot (n=72), atrial septal defect (n=68), and aortic coarctation (n=54). Ninety percent of surgeries were elective and extracorporeal circulation was used in 62% of surgeries. Global mortality rate was 7.5% with the following distribution in the RACHS-1 score categories: 1 (n=4, 2%), 2 (n=19, 6%), 3 (n=22, 8%), 4 (n=12, 19%), 5 (n=1, 25%), 6 (n=6, 44%), and non-classifiable (n=2, 9%).
Conclusions:
This analysis provides a representative view of the surgical practices in cardiovascular diseases in the pediatric population at the national non-insured population level. However, incorporating other health institutions to the national registry database will render a more accurate panorama of the national reality in surgical practices in the population <18 years of age.
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