title: The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2017 Update on Outcomes and Quality.
abstract: The Society of Thoracic Surgeons Congenital Heart Surgery Database is the largest congenital and pediatric cardiac surgical clinical data registry in the world. It is the platform for all activities of The Society of Thoracic Surgeons related to the analysis of outcomes and the improvement of quality in this subspecialty. This report summarizes current aggregate national outcomes in congenital and pediatric cardiac surgery and reviews related activities in the areas of quality measurement, performance improvement, and transparency. The reported data about aggregate national outcomes are exemplified by an analysis of 10 benchmark operations performed from January 2012 to December 2015. This analysis documents the overall aggregate operative mortality (interquartile range among all participating programs) for the following procedural groups: off-bypass coarctation repair, 1.3% (0.0% to 1.8%); ventricular septal defect repair, 0.6% (0.0% to 0.9%); tetralogy of Fallot repair, 1.1% (0.0% to 1.4%); complete atrioventricular canal repair, 3.0% (0.0% to 4.7%); arterial switch operation, 2.7% (0.0% to 4.1%); arterial switch operation and ventricular septal defect repair, 5.3% (0.0% to 6.7%); Glenn/hemi-Fontan, 2.5% (0.0% to 4.5%); Fontan operation, 1.2% (0.0% to 1.2%); truncus arteriosus repair, 9.4% (0.0% to 16.7%); and Norwood procedure, 15.7% (8.9% to 25.0%).
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland; Division of Cardiovascular Surgery, Department of Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins All Children's Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, and Orlando, Florida. Electronic address: jeffjacobs@jhmi.edu.
authors.forename: Jeffrey P
authors.initials: JP
authors.lastname: Jacobs
authors.affiliation: Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts.
authors.forename: John E
authors.initials: JE
authors.lastname: Mayer
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland; Division of Cardiovascular Surgery, Department of Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins All Children's Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, and Orlando, Florida.
authors.forename: Constantine
authors.initials: C
authors.lastname: Mavroudis
authors.affiliation: Duke University, Durham, North Carolina.
authors.forename: Sean M
authors.initials: SM
authors.lastname: O'Brien
authors.affiliation: Norton Children's Hospital, University of Louisville, Louisville, Kentucky.
authors.forename: Erle H
authors.initials: EH
authors.lastname: Austin
authors.affiliation: C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan.
authors.forename: Sara K
authors.initials: SK
authors.lastname: Pasquali
authors.affiliation: Duke University, Durham, North Carolina.
authors.forename: Kevin D
authors.initials: KD
authors.lastname: Hill
authors.affiliation: The Children's Heart Clinic at Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota.
authors.forename: David M
authors.initials: DM
authors.lastname: Overman
authors.affiliation: Department of Surgery, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.
authors.forename: James D
authors.initials: JD
authors.lastname: St Louis
authors.affiliation: Division of Pediatric Cardiac Surgery, Phoenix Children's Hospital, Phoenix, Arizona.
authors.forename: Tara
authors.initials: T
authors.lastname: Karamlou
authors.affiliation: Nemours/Alfred I. duPont Hospital, Wilmington, Delaware.
authors.forename: Christian
authors.initials: C
authors.lastname: Pizarro
authors.affiliation: C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan.
authors.forename: Jennifer C
authors.initials: JC
authors.lastname: Hirsch-Romano
authors.affiliation: The Society of Thoracic Surgeons, Chicago, Illinois.
authors.forename: Donna
authors.initials: D
authors.lastname: McDonald
authors.affiliation: The Society of Thoracic Surgeons, Chicago, Illinois.
authors.forename: Jane M
authors.initials: JM
authors.lastname: Han
authors.affiliation: The Society of Thoracic Surgeons, Chicago, Illinois.
authors.forename: Susan
authors.initials: S
authors.lastname: Becker
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, McGill University, Montreal Children's Hospital, Montreal, Quebec, Canada.
authors.forename: Christo I
authors.initials: CI
authors.lastname: Tchervenkov
authors.affiliation: Royal Hospital, Muscat, Oman.
authors.forename: Francois
authors.initials: F
authors.lastname: Lacour-Gayet
authors.affiliation: Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
authors.forename: Carl L
authors.initials: CL
authors.lastname: Backer
authors.affiliation: Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
authors.forename: Charles D
authors.initials: CD
authors.lastname: Fraser
authors.affiliation: Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
authors.forename: James S
authors.initials: JS
authors.lastname: Tweddell
authors.affiliation: The Great Ormond Street Hospital, London, England, United Kingdom.
authors.forename: Martin J
authors.initials: MJ
authors.lastname: Elliott
authors.affiliation: Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, Michigan.
authors.forename: Hal
authors.initials: H
authors.lastname: Walters
authors.affiliation: Children's National Medical Center, Washington, DC.
authors.forename: Richard A
authors.initials: RA
authors.lastname: Jonas
authors.affiliation: University of Michigan, Ann Arbor, Michigan.
authors.forename: Richard L
authors.initials: RL
authors.lastname: Prager
authors.affiliation: Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
authors.forename: David M
authors.initials: DM
authors.lastname: Shahian
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland; Division of Cardiovascular Surgery, Department of Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins All Children's Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, and Orlando, Florida.
authors.forename: Marshall L
authors.initials: ML
authors.lastname: Jacobs
mesh_terms: D006348:Cardiac Surgical Procedures / Q000706:statistics & numerical data*; D016208:Databases, Factual; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D011787:Quality of Health Care; D016896:Treatment Outcome; D014481:United States