Abstract 19043: Global Surgical Outcomes for Congenital Heart Disease: A Look at Databases

• DOI: 10.1161/circ.148.suppl_1.19043
• Publication Date: 2023-12-19T08:12:47Z
• Authors: Adriana M Modrego; Babar Hasan; Patricia Garcia-C...; Mishaal Ather; Corey Snyder; Kathy J Jenkins; Kimberlee Gauvreau; Ram Kumar Subrama...; Zdzislaw Tobota; Nestor Sandoval; Bistra Zheleva; Georgios Sarris; Joan Sanchez-De-T...; John E Mayer; Kenneth Shaffer; Devyani Chowdhury
• Keywords: National database

Introduction: Congenital heart diseases (CHDs) are the most common congenital anomalies, and almost one-third of patients require an intervention in neonatal period or first year life. Unlike low- middle-income countries (LMICs), survival with CHD high income is over 90%. The aim this study was to compare different surgery (CHS) outcomes databases analyze geographical variations. Methods: We analyzed STS-CHSD (North America), ECHSA, ECHSA (Only Europe), IQIC for (LMICs) between 2016 2019. All include aggregated data consisting 10-benchmark CHS grouped by mortality risk categories. For each database condition, we extracted number participants, operations, postoperative length stay (LOS), mortality, comparing regional findings. Results: Compared had more operations (32066 vs 14327) despite lower participant numbers. 50% surgeries LMIC were VSD closure, while STS reported largest complex interventions. Mortality lowest North America all operations. LMICs shortest LOS, longest LOS benchmark (Figure) However, relevance limited due lack on demographic findings like age at gestation. Conclusions: analysis these three databases, accounting limitations aggregate data, highlight differences among world regions, reflecting difference population. Furthermore, it emphasizes critical need develop collaborative improve global outcomes.