Cardiac Surgery in Germany during 2010: A Report on Behalf of the German Society for Thoracic and Cardiovascular Surgery

Abstract

All cardiac surgical procedures performed in 79 German cardiac surgical units throughout the year 2010 are presented in this report, based on a voluntary registry which is organized by the German Society for Thoracic and Cardiovascular Surgery. In 2010 a total of 95 734 cardiac surgical procedures (ICD and pacemaker procedures excluded) have been collected in this registry. More than 12.4 % of the patients were older than 80 years compared to 11.8 % in 2009. Hospital mortality in 42 804 isolated CABG procedures (14.2 % off-pump procedures) was 2.8 %. In 25 127 isolated valve procedures (including 3660 transcatheter-valve implantations) a mortality of 4.9 % has been observed. This voluntary registry of the German Society for Thoracic and Cardiovascular Surgery will continue to be an important tool enabling quality control and illustrating the development of cardiac surgery in Germany.

Key words

aortic valve - coronary artery bypass grafts surgery - CABG - mitral valve surgery - circulatory assist devices (IABP - LVAD - RVAD - BVAD - TAH) - congenital heart disease - CHD - registry

References

• 1 Clark R E. The development of The Society of Thoracic Surgeons voluntary national database system: genesis, issues, growth, and status.  Best Pract Benchmarking Healthc. 1996;  1 (2) 62-69
• 2 Hannan E L, Kilburn Jr H, O'Donnell J F, Lukacik G, Shields E P. Adult open heart surgery in New York State. An analysis of risk factors and hospital mortality rates.  JAMA. 1990;  264 (21) 2768-2774
• 3 Hannan E L, Kumar D, Racz M, Siu A L, Chassin M R. New York State's Cardiac Surgery Reporting System: four years later.  Ann Thorac Surg. 1994;  58 (6) 1852-1857
• 4 Aren C. [Quality projects of the Swedish registry on heart surgery. To study other clinics is to learn, not to judge].  Lakartidningen. 1999;  96 (20) 2498-2502
• 5 Evenson K R, Rosamond W D, Luepker R V. Predictors of outpatient cardiac rehabilitation utilization: the Minnesota Heart Surgery Registry.  J Cardiopulm Rehabil. 1998;  18 (3) 192-198
• 6 Pirk J, Kocandrle V, Firt P, Skibova J. [Heart surgery in Czechoslovakia].  Cas Lek Cesk. 1991;  130 (24–25) 680-682
• 7 Kalmar P, Irrgang E. Cardiac surgery in the Federal Republic of Germany during 1989. A report by the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 1990;  38 (3) 198-200
• 8 Kalmar P, Irrgang E. Cardiac surgery in the Federal Republic of Germany during 1990. A report by the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 1991;  39 (3) 167-169
• 9 Kalmar P, Irrgang E. Cardiac surgery in Germany during 1991. A report by the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 1992;  40 (3) 163-165
• 10 Kalmar P, Irrgang E. Cardiac surgery in Germany during 1992. A report by the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 1993;  41 (3) 202-204
• 11 Kalmar P, Irrgang E. Cardiac surgery in Germany during 1993. A report by the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 1994;  42 (3) 194-196
• 12 Kalmar P, Irrgang E. Cardiac surgery in Germany during 1994. A report by the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 1995;  43 (3) 181-183
• 13 Kalmar P, Irrgang E. Cardiac surgery in Germany during 1995. A report by the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 1996;  44 (3) 161-164
• 14 Kalmar P, Irrgang E. Cardiac surgery in Germany during 1996. A report by the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 1997;  45 (3) 134-137
• 15 Kalmar P, Irrgang E. Cardiac surgery in Germany during 1997. A report by the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 1998;  46 (5) 307-310
• 16 Kalmar P, Irrgang E. Cardiac surgery in Germany during 1998. A report by the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 1999;  47 (4) 260-263
• 17 Kalmar P, Irrgang E. Cardiac surgery in Germany during 1999.  Thorac Cardiovasc Surg. 2000;  48 (4) XXVII-XXX
• 18 Kalmar P, Irrgang E. Cardiac surgery in Germany during 2001: a report by the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 2002;  50 (6) 30-35
• 19 Kalmar P, Irrgang E. Cardiac surgery in Germany during 2002: a report by German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 2003;  51 (5) 25-29
• 20 Kalmar P, Irrgang E. Cardiac surgery in Germany during 2003: a report by the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 2004;  52 (5) 312-317
• 21 Gummert J F, Funkat A, Krian A. Cardiac surgery in Germany during 2004: a report on behalf of the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 2005;  53 (6) 391-399
• 22 Gummert J F, Funkat A, Beckmann A, Hekmat K, Ernst M, Krian A. Cardiac surgery in Germany during 2005: a report on behalf of the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 2006;  54 (5) 362-371
• 23 Gummert J F, Funkat A, Beckmann A et al. Cardiac surgery in Germany during 2006: a report on behalf of the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 2007;  55 (6) 343-350
• 24 Gummert J F, Funkat A, Beckmann A et al. Cardiac surgery in Germany during 2007: a report on behalf of the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 2008;  56 (6) 328-336
• 25 Gummert J F, Funkat A, Beckmann A et al. Cardiac surgery in Germany during 2008. A report on behalf of the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 2009;  57 (6) 315-323
• 26 Gummert J F, Funkat A, Beckmann A et al. Cardiac surgery in Germany during 2009. A report on behalf of the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 2010;  58 (7) 379-386
• 27 Gammie J S, Zhao Y, Peterson E D, O'Brien S M, Rankin J S, Griffith B P. J. Maxwell Chamberlain Memorial Paper for adult cardiac surgery. Less-invasive mitral valve operations: trends and outcomes from the Society of Thoracic Surgeons Adult Cardiac Surgery Database.  Ann Thorac Surg. 2010;  90 (5) 1401-1408 1410
• 28 Herbert M A, Prince S L, Williams J L, Magee M J, Mack M J. Are unaudited records from an outcomes registry database accurate?.  Ann Thorac Surg. 2004;  77 (6) 1960-1964