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Multicenter Study
. 2021 Dec;69(S 03):e21-e31.
doi: 10.1055/s-0041-1722978. Epub 2021 Feb 26.

German Registry for Cardiac Operations and Interventions in Patients with Congenital Heart Disease: Report 2020-Comprehensive Data from 6 Years of Experience

Andreas Beckmann  1 , S Dittrich  2 , C Arenz  3 , O N Krogmann  4 , A Horke  5 , A Tengler  6 , R Meyer  7 , U M M Bauer  8 , M Hofbeck  9 ; German Quality Assurance / Competence Network for Congenital Heart Defects Investigators
Collaborators, Affiliations
Multicenter Study

German Registry for Cardiac Operations and Interventions in Patients with Congenital Heart Disease: Report 2020-Comprehensive Data from 6 Years of Experience

Andreas Beckmann et al. Thorac Cardiovasc Surg. 2021 Dec.

Abstract

Background: Based on a quality assurance initiative of the German Society for Thoracic and Cardiovascular Surgery (DGTHG) and the German Society for Pediatric Cardiology and Congenital Heart Defects (DGPK), a voluntary registry was founded for assessment of treatment and outcomes of patients with congenital heart disease in Germany. This evaluation by the German Registry for cardiac operations and interventions in patients with congenital heart disease reports the data and the outcome over a 6-year period in patients undergoing invasive treatment.

Methods: This real-world database collects clinical characteristics, in-hospital complications, and medium-term outcome of patients who underwent cardiac surgical and interventional procedures within the prospective, all-comers registry. Patients were followed-up for up to 90 days.

Results: In the period from 2013 to 2018, a total of 35,730 patients, 39,875 cases, respectively 46,700 procedures were included at up to 31 German institutions. The cases could be subcategorized according to the treatment intention into 21,027 (52.7%) isolated operations, 17,259 (43.3%) isolated interventions, and 1,589 (4.0%) with multiple procedures. Of these, 4,708 (11.8%) were performed in neonates, 10,047 (25.2%) in infants, 19,351 (48.5%) in children of 1 to 18 years, and 5,769 (14.5%) in adults. Also, 15,845 (33.9%) cases could be allocated to so-called index procedures which underwent a more detailed evaluation to enable meaningful comparability. The mean unadjusted in-hospital mortality of all cases in our registry ranged from 0.3% in patients with isolated interventions and 2.0% in patients with surgical procedures up to 9.1% in patients undergoing multiple procedures.

Conclusion: This annually updated registry of both scientific societies represents voluntary public reporting by accumulating actual information for surgical and interventional procedures in patients with congenital heart disease (CHD) in Germany. It describes advancements in cardiac medicine and is a basis for internal and external quality assurance for all participating institutions. In addition, the registry demonstrates that in Germany, both interventional and surgical procedures for treatment of CHD are offered with high medical quality.

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Conflict of interest statement

None declared.

Figures

Fig. 1
Fig. 1
Participating Institutions 2013 to 2018.
Fig. 2
Fig. 2
Patients, cases and procedures 2013 to 2018.
Fig. 3
Fig. 3
Categorization by case 2013 to 2018.
Fig. 4
Fig. 4
Age distribution of all cases 2013 to 2018.
Fig. 5
Fig. 5
( A ) Surgical cases: risk diversification according to STAT mortality score 2014 to 2018. ( B ) Interventional cases: risk diversification according to Bergersen's score 2014 to 2018.
Fig. 6
Fig. 6
Surgical cases: STAT mortality categories by age groups 2014 to 2018.
Fig. 7
Fig. 7
Interventional cases: Bergersen's score risk categories by age groups 2014 to 2018.
Fig. 8
Fig. 8
Cases without adverse events. Note: 2013 to 2014 cases with multiple procedures grouped among operations and interventions.
Fig. 9
Fig. 9
Process indicators among the different case categories. Note: patients without mechanical ventilation or ICU stay included. ICU, intensive care unit.
Fig. 10
Fig. 10
Surgical cases: association of STAT Mortality Category and in-hospital mortality.
Fig. 11
Fig. 11
( A ) Index procedures: interventions 2013 to 2018. ( B ) Index procedures: operations 2013 to 2018.
See this image and copyright information in PMC

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