The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2023 Update on Outcomes and Research.

Creator(s)

S Ram Kumar
J William Gaynor
Hannah Heuerman
John E. Mayer
Meena Nathan
James E. O'Brien, Children's Mercy Kansas CityFollow
Christian Pizarro
Haris Subačius
Leslie Wacker
Chasity Wellnitz
Pirooz Eghtesady

Document Type

Article

Publication Date

5-2024

Identifier

DOI: 10.1016/j.athoracsur.2024.03.018

Abstract

The Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database (CHSD) continues to be the most comprehensive database of congenital and pediatric cardiothoracic surgical procedures in the world and contains information on 664,210 operations as of June 30, 2023. The 35th harvest of the STS CHSD data was undertaken in Spring 2023, spanning the 4-year period January 1, 2019, through December 31, 2022, and included 144,919 operations performed at 114 participating sites in North America. The harvest analysis was successfully executed by the STS Research and Analytic Center. The overall unadjusted mortality rate was 2.68% and has remained stable over the 4 years included in the current harvest window. Mortality is highest in neonates (7.4%) and lowest in children (1.1%). As in prior analyses, observed mortality and postoperative length of stay in the database increase with an increase in STS-European Association for Cardio-Thoracic Surgery (STAT) Congenital Heart Surgery Mortality Categories. This quality report summarizes contemporary outcomes, provides the odds ratios for the CHSD risk model variables based on this analysis, and describes on-going efforts to improve data collection and augment analytical approaches. Lastly, 5 research publications completed in the last year using data from the CHSD are also summarized.

Journal Title

The Annals of thoracic surgery

Volume

117

Issue

5

First Page

904

Last Page

914

MeSH Keywords

Humans; Heart Defects, Congenital; Societies, Medical; Databases, Factual; Thoracic Surgery; Cardiac Surgical Procedures; Infant; Infant, Newborn; Biomedical Research; Child; Child, Preschool

Keywords

Heart Defects, Congenital; Medical Societies; Factual Databases; Thoracic Surgery; Cardiac Surgical Procedures; Biomedical Research

Recommended Citation

Kumar SR, Gaynor JW, Heuerman H, et al. The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2023 Update on Outcomes and Research. Ann Thorac Surg. 2024;117(5):904-914. doi:10.1016/j.athoracsur.2024.03.018