Cardiochirurgia pediatrica: interventi chirurgici eseguiti in un anno

Indice

• Descrizione indicatore
• Come si legge
• Fonte del dato
• Valutazione istituzionale
• Altre informazioni

Descrizione indicatore

L’indicatore ci consente di calcolare il numero di interventi di cardiochirurgia in età pediatrica eseguiti in un anno in una struttura ospedaliera.
Questo numero rappresenta il "volume" di interventi (indicatore di "volume").

Come si legge

L’indicatore si riferisce al grado di "competenza" delle cure prestate.

Più alto è il numero di interventi di cardiochirurgia in età pediatrica eseguiti in una struttura ospedaliera, maggiore è il grado di esperienza della struttura stessa.

Non costituisce un parametro di valutazione inerente l’esito delle cure prestate.

Fonte del dato

Programma Nazionale Esiti 2024.
Confronto tra strutture calcolato su dati 2023.

Nota bene: per tener conto di errori nell’attribuzione di condizioni/interventi a singoli ospedali, sono state escluse dalle analisi tutte le strutture con volumi di attività molto bassi in relazione alla condizione considerata (volume di attività minimo 5 casi/anno).

Valutazione istituzionale

Per questo indicatore non è presente un valore di riferimento istituzionale.
Consulta le strutture sanitarie che effettuano in un anno il maggior numero di interventi di cardiochirurgia pediatrica

Altre informazioni

Codici ICD-9-CM selezionati
Sono inclusi tutti i ricoveri, in regime ordinario, con interventi di cardiochirurgia pediatrica.
Si selezionano gli interventi cardiochirurgici individuati dai seguenti DRG: 103, 104, 105, 108 (esclusi ricoveri con codice di procedura 35.96), 110, 111, 479.
Si selezionano i ricoveri di pazienti di età fino a 18 anni (età <18 anni).
 
Il volume di ricoveri per interventi chirurgici è calcolato su base annuale, riferito all’anno di dimissione del ricovero.   
Fonti scientifiche

• Preston L, Turner J, Booth A et al. Is there a relationship between surgical case volume and mortality in congenital heart disease services? A rapid evidence review. BMJ Open 2015;5(12):e009252. doi: 10.1136/bmjopen-2015-009252.
• Turner J, Preston L, Booth A et al. Health Services and Delivery Research. What evidence is there for a relationship between organisational features and patient outcomes in congenital heart disease services? A rapid review. SouthampON (UK): NIHR Journals Library Copyright^© Queens’s Printer and Controller of HMS0 2014. NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampon SO16 7 NS, UK; 2014.
• Pieper D, Mather T, Asfour B. A systematic review of the impact of volume of surgery and specialization in Norwood procedure. BMC Pediatr 2014;14:198. doi: 10.1186/1471-2431-14-198.                                               
• Gandjour A, Bannerberg A, Lauterbach KW. Thresold volumes associated with higher survival in health care. Med Care 2003;41(10):1129-41.
• Halm EA, Lee C, Chassin MR. Is volume related to outcome in healt care? A systematic review and methodologic critique of the literature. Ann Intern Med 2002:137(6):511-20.
• Dudley RA, Johansen KL, Brand R, Rennie DJ, Milstein A. Selective referrak to high-volume hospitals: estimating potentially avoidable deaths. JAMA 2000; 283(9):1159-66.
• AbuRahma AF, Robinson PA, Boland JP et al. Elective resection of 332 abdomin
• Arnaoutakis GJ, George TJ, Allen JG et al. Institutional volume and the effect of recipient risk on short-term mortality after orthotopic heart transplant. J Thorac Cardiovasc Surg 2012;143(1):157-67.
• Bazzani LG, Marcin JP. Case volume and mortality in pediatric cardiac surgery patients in California, 1998-2003. Circulation 2007;115(20):2652-59.
• Berry JG, Cowley CG, Hoff CJ, Srivastava R. In-hospital mortality for children with hypoplastic left heart syndrome after stage I surgical palliation: teaching versus nonteaching hospitals. Pediatrics 2006;117(4):1307-13.
• Berry JG, Lieu TA, Forbes PW, Goldmann DA. Hospital volumes for common pediatric specialty operations. Arch Pediatr Adolesc Med 2007;161(1):38-43. Burstein DS, Jacobs JP, Li JS et al. Care models and associated outcomes in con- genital heart surgery. Pediatrics 2011;127(6):e1482-49.
• Chang RK, Chen AY, Klitzner TS. Clinical management of infants with hypoplastic left heart syndrome in the United States, 1988-1997. Pediatrics 2002;110(2 Pt 1):292-98. Chang RK, Rodriguez S, Lee M, Klitzner TS. Risk factors for deaths occurring within 30 days and 1 year after hospital discharge for cardiac surgery among pe- diatric patients. Am Heart J 2006;152(2):386-93.
• Checchia PA, McCollegan J, Daher N, Kolovos N, Levy F, Markovitz B. The effect of surgical case volume on outcome after the Norwood procedure. J Thorac Cardio- vasc Surg 2005;129(4):754-59.
• Davies RR, Russo MJ, Hong KN et al. Increased short- and long-term mortality at low-volume pediatric heart transplant centers: should minimum standards be set? Retrospective data analysis. Ann Surg 2011;253(2):393-401.
• Gray DT, Louhimo I, Ahonen J, Emanuekssib B. Inter-institutional variation in risk-adjusted paediatric cardiac surgical outcomes. Prog Pediatr Cardiol 2003;1(1)8:33-42.
• Gutgesell HP, Gibson J. Management of hypoplastic left heart syndrome in the 1990s. Am J Cardiol 2002;89(7):842-46.
• Hannan EL, Racz M, Kavey RE, Quaegebeur JM, Williams R. Pediatric cardiac surgery: the effect of hospital and surgeon volume on in-hospital mortality. Pediatrics 1998;101(6):963-69.
• Hirsch JC, Gurney JG, Donohue JE, Gebremariam A, Bove EL, Ohye RG. Hospital mortality for Norwood and arterial switch operations as a function of institutional volume. Pediatr Cardiol 2008;29(4):713-17.
• Hornik CP, He X, Jacobs JP et al. Relative impact of surgeon and center volume on early mortality after the Norwood operation. Ann Thorac Surg 2012;93(6):1992-97.
• Jenkins KJ, Newburger JW, Lock JE, Davis RB, Coffman GA, Iezzoni LI. In-hospital mortality for surgical repair of congenital defects: preliminary observations of variations by hospital caseload. Pediatrics 1995;95(3):323-30.
• Karamlou T, Vafaeezadeh M, Parrish AM et al. Increased extracorporeal membraneoxygenation center case volume is associated with improved extracorporeal membrane oxygenation survival   among pediatric patients. J Thorac Cardiovasc Surg 2013;145(2):470-75.
• Karamlou T, McCrindle BW, Blackstone EH et al. Lesion-specific outcomes in neonates undergoing congenital heart surgery are related predominantly to patient and management factors rather than institution or surgeon experience: a Congenital Heart Surgeons Society Study. J Thorac Cardiovasc Surg 2010;139(3):569-77.e1.
• Kazui T, Osada H, Fujita H, Committee for Scientific Affairs. An attempt to analyze the relation between hospital surgical volume and clinical outcome. Gen Thorac Cardiovasc Surg 2007;55(12):483-92.
• McHugh KE, Hillman DG, Gurka MJ, Gutgesell HP. Three-stage palliation of hypoplastic left heart syndrome in the University HealthSystem Consortium. Congenital Heart Dis 2010;5(1):8-15.
• Pasquali SK, Jacobs JP, He X et al. The complex relationship between center volume and outcome in patients undergoing the Norwood operation. Ann Thorac Surg 2012;93(5):1556-62.
• Pasquali SK, Li JS, Burstein DS et al. Association of center volume with mortality and complications in pediatric heart surgery. Pediatrics 2012;129(2):e370-76.
• Sakata R, Kuwano H, Yokomise H. Hospital volume and outcomes of cardiothoracic surgery in Japan: 2005-2009 national survey. Gen Thorac Cardiovasc Surg 2012;60(10):625-38.
• Seifert HA, Howard DL, Silber JH, Jobes DR. Female gender increases the risk of death during hospitalization for pediatric cardiac surgery. J Thorac Cardiovasc Surg 2007;133(3):668-75.
• Sollano JA, Gelijns AC, Moskowitz AJ et al. Volume-outcome relationship in cardiovascular operations: New York State, 1990-1995. J Thorac Cardiovasc Surg 1999;117(3):419-28; discussion 428-30.
• Tabbutt S, Ghanayem N, Ravishankar C et al. Risk factors for hospital morbidity and mortality after the Norwood procedure: a report from the Pediatric Heart Network
• Single Ventricle Reconstruction trial. J Thorac Cardiovasc Surg 2012;144(4):882-95.
• Vinocur JM, Menk JS, Connett J, Moller JH, Kochilas LK. Surgical volume and center effects on early mortality after pediatric cardiac surgery: 25-year North American experience from a multi-institutional registry. Pediatr Cardiol 2013;34(5):1226-36.
• Welke KF, Diggs BS, Karamlou T, Ungerleider RM. The relationship between hospital surgical case volumes and mortality rates in pediatric cardiac surgery: a national sample, 1988-2005. Ann Thorac Surg 2008;86(3):889-96; discussion 889-96.
• Welke KF, O’Brien SM, Peterson ED, Ungerleider RM, Jacobs ML, Jacobs JP. The complex relationship between pediatric cardiac surgical case volumes and mortality rates in a national clinical database. J Thorac Cardiovasc Surg 2009;137(5):1133-40.