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Status of cardiovascular surgery in Japan: A report based on the Japan Cardiovascular Surgery Database 2017-2018. 1.

Yasutaka Hirata1, Norimichi Hirahara2, Arata Murakami3

  • 1Department of Cardiac Surgery, The University of Tokyo School of Medicine, Tokyo, Japan.

Asian Cardiovascular & Thoracic Annals
|December 30, 2020
PubMed

Insights

Mortality rates for congenital heart surgery in Japan (2017-2018) show low risk for simple repairs and higher risk for complex procedures. These findings provide a benchmark for national and international comparisons.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Public Health

Background:

  • Congenital heart disease (CHD) necessitates surgical intervention, with outcomes varying by procedure complexity.
  • Establishing national benchmarks for surgical mortality and morbidity is crucial for quality improvement.

Purpose of the Study:

  • To analyze mortality and morbidity associated with congenital heart surgery in Japan between 2017 and 2018.
  • To compare outcomes across different surgical procedures and risk categories.

Main Methods:

  • Utilized data from the Japan Cardiovascular Surgery Database (2017-2018).
  • Focused on the 20 most frequent congenital heart surgeries.
  • Classified procedures using the Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery (STS-EACTS) congenital heart surgery mortality categories.

Main Results:

  • Mortality rates for simple repairs (e.g., atrial septal defect) were 0%.
  • Complex procedures showed mortality rates ranging from 2% to 15.7% (e.g., Norwood procedure).
  • Outcomes within STS-EACTS categories 1-5 were comparable to international benchmarks.

Conclusions:

  • Surgical outcomes for CHD in Japan demonstrate a spectrum of risk based on procedure complexity.
  • These data serve as a vital reference for evaluating national trends and international comparisons.
  • Continuous monitoring of mortality and morbidity is essential for advancing pediatric cardiac surgery.
Abstract

Keywords:
Cardiac surgical proceduresJapancongenitalheart defectshospital mortalitymortality

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