Higher programmatic volume in paediatric heart surgery is associated with better early outcomes

Andrzej Kansy*, Tjark Ebels, Christian Schreiber, Jeffrey P. Jacobs, Zdzislaw Tobota, Bohdan Maruszewski

*Bijbehorende auteur voor dit werk

OnderzoeksoutputAcademicpeer review

9 Citaten (Scopus)

Samenvatting

Objective: Previous analyses have suggested an association between centre volume and in-hospital mortality, post-operative complications, and mortality in those patients who suffer from a complication. We sought to determine the nature of this association using a multicentre cohort. Methods: All the patients, aged 18 years or younger, undergoing heart surgery at centres participating in the European Congenital Heart Surgeons Database (2003-2013) were included. Programmes were grouped as follows: small 350. Multivariable logistic regression was used to identify the differences between groups with the adjusted in-hospital mortality, onset of any and/or major complication, and in-hospital mortality in those patients with any and/or major complication. The outcomes were adjusted for patient specific risk factors and surgical risk factors. Results: The data set consisted of 119,345 procedures performed in 99 centres. Overall, in-hospital mortality was 4.63%; complications occurred in 23.4% of the patients. In-hospital mortality in patients with complications was 13.82%. Multivariable logistic regression showed that the risk of in-hospital death was higher in low-and medium-volume centres (p

Originele taal-2English
Pagina's (van-tot)1572-1578
Aantal pagina's7
TijdschriftCardiology in the young
Volume25
Nummer van het tijdschrift8
DOI's
StatusPublished - dec-2015

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