Ersin Erek1,2, Yusuf Kenan Yalçınbaş2,3, Nejat Sarıosmanoğlu4, Murat Özkan5, Okan Yıldız6, Işık Şenkaya7, Fatih Özdemir8, Mehmet Biçer9, A Bülent Sarıtaş10, Yüksel Atay11, Serkan Seçici12, Ali Kutsal13, Sertac Haydin6, Cagatay Bilen4, Ismihan Selen Onan6, Osman Nuri Tuncer11, Gorkem Citoglu7, Abdullah Doğan3, Riza Turkoz3, Bahar Temur1, Murat Koc13, C Tayyar Sarıoğlu1,2,3. 1. Acibadem Mehmet Ali Aydinlar University, School of Medicine, Atakent Hospital, Istanbul, Turkey. 2. Children Heart Foundation, Istanbul, Turkey. 3. Acibadem Bakirkoy Hospital, Istanbul, Turkey. 4. Health Sciences University, Dr. Behçet Uz Training and Research Hospital, Izmir. 5. Başkent University, Ankara Hospital, Ankara, Turkey. 6. Health Sciences University, Istanbul Mehmet Akif Ersoy Training and Research Hospital, Istanbul, Turkey. 7. 37523Uludağ University Hospital, Bursa, Turkey. 8. Health Sciences University, Diyarbakır Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey. 9. Health Sciences University, Erzurum Training and Research Hospital, Erzurum, Turkey. 10. Istanbul Aydin University, Istanbul, Turkey. 11. Ege University, Izmir, Turkey. 12. Bursa Training and Research Hospital, Bursa, Turkey. 13. Health Sciences University, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey.
Abstract
OBJECTIVES: A new congenital heart surgery database (CKCV) with real-time online reporting function was recently developed in Turkey. All standard international parameters were used, but Aristotle Comprehensive Complexity score was modified. In this study, the first analysis of the CKCV Database is reported. METHODS: The CKCV Database included 2307 procedures from 12 centers between January 2018 and March 2020. All parameters, including 10 real-time online reports, which represent the number of centers, number and mortality rates of all procedures, number of extracorporeal membrane oxygenation (ECMO) and results, details of postoperative complications, age-group statistics, analysis for priority status, mean intensive care and hospital stay durations of the procedures, results of Aristotle Basic, Modified Aristotle Comprehensive (MACC) and Society of Thoracic Surgeons-European Association (STAT) Score Categories, comparison of centers were analyzed. RESULTS: Most common 10 procedures were ventricular septal defect (VSD) repair (n = 273), tetralogy of Fallot (TOF) repair (n = 243), atrial septal defect (ASD) repair (n = 181), complete AVSD repair (n = 95), cavopulmonary anastomosis (n = 81), systemic to pulmonary shunt (n = 79), modified Fontan (n = 71), subaortic resection, (n = 66) PA banding (n = 66), and arterial switch operation (n = 66). Cardiopulmonary bypass was used in 84.6% of the procedures. Overall mortality rate was 6.0%. A total of 618 major and 570 minor complications were observed in 333 and 412 patients, respectively. According to six MACC categories, number of the patients and mortality rates were I (293; 0.3%); II (713; 1.4%); III (601; 3.3%); IV (607; 12%); V (84; 35.7%); and VI (9; 55.6%), respectively. Analysis of five STAT Categories showed 0.7, 3.8, 5.4, 14.9, and 54.7% mortality rates. CONCLUSIONS: CKCV Database has a great potential for nationwide quality improvement studies. Users could instantly analyze and compare their results to national and international aggregate data using a real-time online reporting function. This is the first multicenter congenital database study in Turkey.
OBJECTIVES: A new congenital heart surgery database (CKCV) with real-time online reporting function was recently developed in Turkey. All standard international parameters were used, but Aristotle Comprehensive Complexity score was modified. In this study, the first analysis of the CKCV Database is reported. METHODS: The CKCV Database included 2307 procedures from 12 centers between January 2018 and March 2020. All parameters, including 10 real-time online reports, which represent the number of centers, number and mortality rates of all procedures, number of extracorporeal membrane oxygenation (ECMO) and results, details of postoperative complications, age-group statistics, analysis for priority status, mean intensive care and hospital stay durations of the procedures, results of Aristotle Basic, Modified Aristotle Comprehensive (MACC) and Society of Thoracic Surgeons-European Association (STAT) Score Categories, comparison of centers were analyzed. RESULTS: Most common 10 procedures were ventricular septal defect (VSD) repair (n = 273), tetralogy of Fallot (TOF) repair (n = 243), atrial septal defect (ASD) repair (n = 181), complete AVSD repair (n = 95), cavopulmonary anastomosis (n = 81), systemic to pulmonary shunt (n = 79), modified Fontan (n = 71), subaortic resection, (n = 66) PA banding (n = 66), and arterial switch operation (n = 66). Cardiopulmonary bypass was used in 84.6% of the procedures. Overall mortality rate was 6.0%. A total of 618 major and 570 minor complications were observed in 333 and 412 patients, respectively. According to six MACC categories, number of the patients and mortality rates were I (293; 0.3%); II (713; 1.4%); III (601; 3.3%); IV (607; 12%); V (84; 35.7%); and VI (9; 55.6%), respectively. Analysis of five STAT Categories showed 0.7, 3.8, 5.4, 14.9, and 54.7% mortality rates. CONCLUSIONS:CKCV Database has a great potential for nationwide quality improvement studies. Users could instantly analyze and compare their results to national and international aggregate data using a real-time online reporting function. This is the first multicenter congenital database study in Turkey.
Authors: Fatih Özdemir; Oktay Korun; Mehmet Dedemoğlu; Murat Çiçek; Mehmet Biçer; Okan Yurdakök; Hüsnü Fırat Altın; Emine Hekim Yılmaz; Nurgül Yurtseven; Numan Ali Aydemir; Ahmet Şaşmazel Journal: Turk Gogus Kalp Damar Cerrahisi Derg Date: 2022-01-28 Impact factor: 0.332