Original articleCardiovascularCurrent Status of the European Association for Cardio-Thoracic Surgery and The Society of Thoracic Surgeons Congenital Heart Surgery Database
Section snippets
Material and Methods
The STS Congenital Heart Surgery Database has now undergone four data harvests [1, 2, 10, 11, 12, 13, 14]. The STS data utilized in this manuscript were generated from the most recent three STS data harvests [11, 13, 14], all conducted by the STS Congenital Heart Surgery Database Taskforce and Duke Clinical Research Institute (DCRI). These data come from 24 centers submitting data and represent surgical procedures performed between 1998 and 2003 inclusive. Mortality is reported according to
Results
This combined STS and EACTS analysis includes all harvested cases in either database reported with the nomenclature and minimum dataset of the EACTS-STS International Nomenclature and Database [3]. These cases represent all harvested data in either database from 1998 until the time of submission of this abstract to the 2005 STS meeting. Patients are only eligible for analysis if their discharge status (alive or dead) is known. This report includes 18,928 eligible patients from the STS (3,988
Comment
This analysis of the EACTS-STS multi-institutional outcomes database confirms that in both Europe and North America, both case complexity and mortality are highest among neonates, then infants, and then children. Regional differences in practice patterns are demonstrated and the complex nature of the relationship between annual program volume and outcome is demonstrated. Inferences can be made about the benefits of transcontinental collaboration and cross-fertilization of knowledge.
This
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