Yasutaka Hirata1,2, Norimichi Hirahara3,4, Arata Murakami3,5, Noboru Motomura3,6, Hiroaki Miyata3,4, Shinichi Takamoto3,7. 1. Japan Cardiovascular Surgery Database, 2-26-9 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. h-yasu@umin.ac.jp. 2. Department of Cardiac Surgery, The University of Tokyo School of Medicine, Tokyo, Japan. h-yasu@umin.ac.jp. 3. Japan Cardiovascular Surgery Database, 2-26-9 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. 4. Department of Health Policy and Management, Keio University, Tokyo, Japan. 5. Kanazawa Cardiovascular Hospital, Kanazawa, Japan. 6. Department of Cardiovascular Surgery, Toho University Sakura Medical Center, Tokyo, Japan. 7. Mitsui Memorial Hospital, Tokyo, Japan.
Abstract
OBJECTIVES: We analyzed the mortality and morbidity of congenital heart surgery in Japan using the Japan Cardiovascular Surgery Database (JCVSD). METHODS: Data regarding congenital heart surgery performed between January 2013 and December 2014 were obtained from JCVSD. The 20 most frequent procedures were selected and the mortality rates and major morbidities were analyzed. RESULTS: The mortality rates of atrial septal defect repair and ventricular septal defect repair were less than 1%, and the mortality rates of tetralogy of Fallot repair, complete atrioventricular septal defect repair, bidirectional Glenn, and total cavopulmonary connection were less than 2%. The mortality rates of the Norwood procedure and total anomalous pulmonary venous connection repair were more than 10%. The rates of unplanned reoperation, pacemaker implantation, chylothorax, deep sternal infection, phrenic nerve injury, and neurological deficit were shown for each procedure. CONCLUSION: Using JCVSD, the national data for congenital heart surgery, including postoperative complications, were analyzed. Further improvements of the database and feedback for clinical practice are required.
OBJECTIVES: We analyzed the mortality and morbidity of congenital heart surgery in Japan using the Japan Cardiovascular Surgery Database (JCVSD). METHODS: Data regarding congenital heart surgery performed between January 2013 and December 2014 were obtained from JCVSD. The 20 most frequent procedures were selected and the mortality rates and major morbidities were analyzed. RESULTS: The mortality rates of atrial septal defect repair and ventricular septal defect repair were less than 1%, and the mortality rates of tetralogy of Fallot repair, complete atrioventricular septal defect repair, bidirectional Glenn, and total cavopulmonary connection were less than 2%. The mortality rates of the Norwood procedure and total anomalous pulmonary venous connection repair were more than 10%. The rates of unplanned reoperation, pacemaker implantation, chylothorax, deep sternal infection, phrenic nerve injury, and neurological deficit were shown for each procedure. CONCLUSION: Using JCVSD, the national data for congenital heart surgery, including postoperative complications, were analyzed. Further improvements of the database and feedback for clinical practice are required.
Entities:
Keywords:
Congenital heart surgery; Japan Cardiovascular Surgery Database (JCVSD)
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