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The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2018 Update on Research
Marshall L Jacobs1, Jeffrey P Jacobs2, Kevin D Hill3
1Johns Hopkins University School of Medicine, Baltimore, Maryland.
Insights
The Society of Thoracic Surgeons Congenital Heart Surgery Database (STS CHSD) supports quality improvement and research in pediatric cardiac surgery. It analyzes data from 125 centers to assess care variations and improve patient outcomes.
Area of Science:
- Cardiology
- Pediatric Surgery
- Health Services Research
Background:
- The Society of Thoracic Surgeons Congenital Heart Surgery Database (STS CHSD) is the world's largest clinical data registry for congenital and pediatric cardiac surgery.
- It includes data from 125 hospitals across the US and Canada, representing most centers performing these operations.
Purpose of the Study:
- To review published outcomes research and quality improvement projects utilizing STS CHSD data from the past year.
- To describe ongoing research focused on quality measurement and innovation in congenital heart surgery.
Main Methods:
- Analysis of data submitted to the STS CHSD.
- Review of published research and ongoing projects related to quality improvement and outcomes measurement.
- Development of new or refined metrics for quality assessment.
Main Results:
- Past year analyses examined variations in care practices and patient characteristics across centers and their impact on outcomes.
- Ongoing projects focus on developing refined quality metrics and reporting center-level performance.
Conclusions:
- The STS CHSD is a vital resource for clinical research, quality improvement, and innovation in congenital heart surgery.
- Multiple pathways exist for investigators to conduct outcomes research using STS CHSD data, fostering advancements in care.
Abstract:
The Society of Thoracic Surgeons Congenital Heart Surgery Database (STS CHSD) is the largest congenital and pediatric cardiac surgical clinical data registry in the world. The most recent biannual feedback report to participants includes analysis of data submitted from 125 hospitals, representing nearly all centers performing pediatric and congenital heart operations in the United States and Canada. In addition to serving as a platform for reporting of outcomes and for quality improvement, the database continues to be a primary data source for clinical research and for innovations related to quality measurement. Over the past year, several investigative teams reported analyses of data in the STS CHSD pertaining to various processes of care, including assessment of variation in specific practices and patient characteristics across centers participating in the STS CHSD, and their associations with outcomes. Additional ongoing projects involve the development of new or refined metrics for quality measurement and reporting of outcomes and center level performance. To meet the needs of investigators, the STS Research Center and Workforce on Research Development has created multiple pathways through which investigators may propose and, ultimately, perform outcomes research projects based on STS CHSD data. This article reviews published outcomes research and quality improvement projects from the past year and describes ongoing research related to quality measurement.
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