BACKGROUND: We evaluated outcomes for groups of risk-stratified operations in The Society of Thoracic Surgeons Congenital Heart Surgery Database to provide contemporary benchmarks and examine variation between centers. METHODS: Patients undergoing surgery from 2005 to 2009 were included. Centers with more than 10% missing data were excluded. Discharge mortality and postoperative length of stay (PLOS) among patients discharged alive were calculated for groups of risk-stratified operations using the five Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery Congenital Heart Surgery mortality categories (STAT Mortality Categories). Power for analyzing between-center differences in outcome was determined for each STAT Mortality Category. Variation was evaluated using funnel plots and Bayesian hierarchical modeling. RESULTS: In this analysis of risk-stratified operations, 58,506 index operations at 73 centers were included. Overall discharge mortality (interquartile range among programs with more than 10 cases) was as follows: STAT Category 1=0.55% (0% to 1.0%), STAT Category 2=1.7% (1.0% to 2.2%), STAT Category 3=2.6% (1.1% to 4.4%), STAT Category 4=8.0% (6.3% to 11.1%), and STAT Category 5=18.4% (13.9% to 27.9%). Funnel plots with 95% prediction limits revealed the number of centers characterized as outliers by STAT Mortality Categories was as follows: Category 1=3 (4.1%), Category 2=1 (1.4%), Category 3=7 (9.7%), Category 4=13 (17.8%), and Category 5=13 (18.6%). Between-center variation in PLOS was analyzed for all STAT Categories and was greatest for STAT Category 5 operations. CONCLUSIONS: This analysis documents contemporary benchmarks for risk-stratified pediatric cardiac surgical operations grouped by STAT Mortality Categories and the range of outcomes among centers. Variation was greatest for the more complex operations. These data may aid in the design and planning of quality assessment and quality improvement initiatives.
BACKGROUND: We evaluated outcomes for groups of risk-stratified operations in The Society of Thoracic Surgeons Congenital Heart Surgery Database to provide contemporary benchmarks and examine variation between centers. METHODS:Patients undergoing surgery from 2005 to 2009 were included. Centers with more than 10% missing data were excluded. Discharge mortality and postoperative length of stay (PLOS) among patients discharged alive were calculated for groups of risk-stratified operations using the five Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery Congenital Heart Surgery mortality categories (STAT Mortality Categories). Power for analyzing between-center differences in outcome was determined for each STAT Mortality Category. Variation was evaluated using funnel plots and Bayesian hierarchical modeling. RESULTS: In this analysis of risk-stratified operations, 58,506 index operations at 73 centers were included. Overall discharge mortality (interquartile range among programs with more than 10 cases) was as follows: STAT Category 1=0.55% (0% to 1.0%), STAT Category 2=1.7% (1.0% to 2.2%), STAT Category 3=2.6% (1.1% to 4.4%), STAT Category 4=8.0% (6.3% to 11.1%), and STAT Category 5=18.4% (13.9% to 27.9%). Funnel plots with 95% prediction limits revealed the number of centers characterized as outliers by STAT Mortality Categories was as follows: Category 1=3 (4.1%), Category 2=1 (1.4%), Category 3=7 (9.7%), Category 4=13 (17.8%), and Category 5=13 (18.6%). Between-center variation in PLOS was analyzed for all STAT Categories and was greatest for STAT Category 5 operations. CONCLUSIONS: This analysis documents contemporary benchmarks for risk-stratified pediatric cardiac surgical operations grouped by STAT Mortality Categories and the range of outcomes among centers. Variation was greatest for the more complex operations. These data may aid in the design and planning of quality assessment and quality improvement initiatives.
Authors: Jeffrey Phillip Jacobs; Constantine Mavroudis; Marshall Lewis Jacobs; Bohdan Maruszewski; Christo I Tchervenkov; François G Lacour-Gayet; David Robinson Clarke; Thomas Yeh; Henry L Walters; Hiromi Kurosawa; Giovanni Stellin; Tjark Ebels; Martin J Elliott Journal: Ann Thorac Surg Date: 2006-05 Impact factor: 4.330
Authors: Rachel S Dokholyan; Lawrence H Muhlbaier; John M Falletta; Jeffrey P Jacobs; David Shahian; Constance K Haan; Eric D Peterson Journal: Am Heart J Date: 2009-06 Impact factor: 4.749
Authors: Jeffrey Phillip Jacobs; Marshall Lewis Jacobs; Erle H Austin; Constantine Mavroudis; Sara K Pasquali; Francois G Lacour-Gayet; Christo I Tchervenkov; Hal Walters; Emile A Bacha; Pedro J Del Nido; Charles D Fraser; J William Gaynor; Jennifer C Hirsch; David L S Morales; Kamal K Pourmoghadam; James S Tweddell; Richard L Prager; John E Mayer Journal: World J Pediatr Congenit Heart Surg Date: 2012-01-01
Authors: Jeffrey Phillip Jacobs; Sean M O'Brien; Sara K Pasquali; Marshall Lewis Jacobs; Francois G Lacour-Gayet; Christo I Tchervenkov; Erle H Austin; Christian Pizarro; Kamal K Pourmoghadam; Frank G Scholl; Karl F Welke; Constantine Mavroudis Journal: Ann Thorac Surg Date: 2011-12 Impact factor: 4.330
Authors: Jeffrey Phillip Jacobs; Bohdan Maruszewski; Hiromi Kurosawa; Marshall Lewis Jacobs; Constantine Mavroudis; Francois G Lacour-Gayet; Christo I Tchervenkov; Hal Walters; Giovanni Stellin; Tjark Ebels; Victor T Tsang; Martin J Elliott; Arata Murakami; Shunji Sano; John E Mayer; Fred H Edwards; James Anthony Quintessenza Journal: Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu Date: 2010
Authors: Sean M O'Brien; David R Clarke; Jeffrey P Jacobs; Marshall L Jacobs; Francois G Lacour-Gayet; Christian Pizarro; Karl F Welke; Bohdan Maruszewski; Zdzislaw Tobota; Weldon J Miller; Leslie Hamilton; Eric D Peterson; Constantine Mavroudis; Fred H Edwards Journal: J Thorac Cardiovasc Surg Date: 2009-11 Impact factor: 5.209
Authors: Marshall Lewis Jacobs; Jeffrey Phillip Jacobs; Rodney C G Franklin; Constantine Mavroudis; Francois Lacour-Gayet; Christo I Tchervenkov; Hal Walters; Emile A Bacha; David Robinson Clarke; J William Gaynor; Thomas L Spray; Giovanni Stellin; Tjark Ebels; Bohdan Maruszewski; Zdzislaw Tobota; Hiromi Kurosawa; Martin Elliott Journal: Cardiol Young Date: 2008-12 Impact factor: 1.093
Authors: Katherine E Bates; Nicolas L Madsen; Lara Khadr; Zhiqian Gao; Kari Crawford; Michael Gaies; Margaret Graupe; Samuel P Hanke; Anthony M Hlavacek; Evonne Morell; Sara K Pasquali; Jennifer L Russell; Susan K Schachtner; Ronn E Tanel; Adam L Ware; Alaina K Kipps Journal: Ann Thorac Surg Date: 2019-11-21 Impact factor: 4.330
Authors: Logan G Spector; Jeremiah S Menk; Jessica H Knight; Courtney McCracken; Amanda S Thomas; Jeffrey M Vinocur; Matthew E Oster; James D St Louis; James H Moller; Lazaros Kochilas Journal: J Am Coll Cardiol Date: 2018-05-29 Impact factor: 24.094
Authors: Jeffrey Phillip Jacobs; Sean M O'Brien; Sara K Pasquali; Sunghee Kim; J William Gaynor; Christo Ivanov Tchervenkov; Tara Karamlou; Karl F Welke; Francois Lacour-Gayet; Constantine Mavroudis; John E Mayer; Richard A Jonas; Fred H Edwards; Frederick L Grover; David M Shahian; Marshall Lewis Jacobs Journal: Ann Thorac Surg Date: 2014-09-26 Impact factor: 4.330
Authors: Sara K Pasquali; Marshall L Jacobs; Xia He; Samir S Shah; Eric D Peterson; Matthew Hall; J William Gaynor; Kevin D Hill; John E Mayer; Jeffrey P Jacobs; Jennifer S Li Journal: Pediatrics Date: 2014-02-24 Impact factor: 7.124
Authors: David M Overman; Jeffrey P Jacobs; Richard L Prager; Cameron D Wright; David R Clarke; Sara K Pasquali; Sean M O'Brien; Rachel S Dokholyan; Paul Meehan; Donna E McDonald; Marshall L Jacobs; Constantine Mavroudis; David M Shahian Journal: World J Pediatr Congenit Heart Surg Date: 2013-01
Authors: Sara K Pasquali; Michael G Gaies; Jeffrey P Jacobs; J William Gaynor; Marshall L Jacobs Journal: Cardiol Young Date: 2012-12 Impact factor: 1.093
Authors: Sara K Pasquali; Xia He; Marshall L Jacobs; Matthew Hall; J William Gaynor; Samir S Shah; Eric D Peterson; Kevin D Hill; Jennifer S Li; Jeffrey P Jacobs Journal: Ann Thorac Surg Date: 2013-06-28 Impact factor: 4.330
Authors: Michael Gaies; David S Cooper; Sarah Tabbutt; Steven M Schwartz; Nancy Ghanayem; Nikhil K Chanani; John M Costello; Ravi R Thiagarajan; Peter C Laussen; Lara S Shekerdemian; Janet E Donohue; Gina M Willis; J William Gaynor; Jeffrey P Jacobs; Richard G Ohye; John R Charpie; Sara K Pasquali; Mark A Scheurer Journal: Cardiol Young Date: 2014-08-28 Impact factor: 1.093