What question did this study set out to answer?

To evaluate national clinical trends, procedure volumes, and in-hospital outcomes for cardiac, thoracic, and vascular surgeries performed across Germany in 2017.

November 1, 2018The Thoracic and Cardiovascular SurgeonOpen Access

German Heart Surgery Report 2017: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery

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To evaluate national clinical trends, procedure volumes, and in-hospital outcomes for cardiac, thoracic, and vascular surgeries performed across Germany in 2017.
Analyzed voluntary registry data from 78 German heart surgery departments encompassing 179,337 total surgical submissions.
Evaluated 101,728 specific cardiac operations, recording patient age profiles, procedural categories, and unadjusted in-hospital survival rates.
Patients aged 80 years or older accounted for 16.8% of cardiac surgical cases, reflecting a 1.1% increase compared with 2016.
Among 36,273 isolated coronary artery bypass grafting procedures (on-pump to off-pump ratio of 4.2:1), the unadjusted in-hospital survival rate was 97.3%.
For 34,394 isolated heart valve procedures (including 12,965 transcatheter interventions), the unadjusted in-hospital survival rate was 96.0%.

Structured PICO

Population

Patients undergoing cardiac, thoracic, and vascular surgery procedures in 78 German heart surgery departments during the year 2017 (n=179,337 total procedures; 101,728 heart surgery procedures in the narrower sense).

Intervention

Cardiac, thoracic, and vascular surgery procedures (including isolated coronary artery bypass grafting and heart valve procedures).

Outcome

Unadjusted in-hospital survival ratehard clinical

The 2017 German Heart Surgery Report demonstrates high in-hospital survival rates for CABG and heart valve procedures, reflecting appropriate and nationwide provision of cardiac surgery.

Discussion

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Implication

Supports high-quality cardiac surgical care; extends national registry data but leaves open generalizability and causal inferences.

Cite This Study

Meyer et al. (2018) studied this question.

synapsesocial.com/papers/6a0a577afdd00ab7863dc99d https://doi.org/10.1055/s-0038-1676131

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German Heart Surgery Report 2017: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery

Key Points

Structured PICO

Discussion

Implication

Cite This Study

German Heart Surgery Report 2017: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery

Key Points

Structured PICO

Discussion

Implication

Cite This Study

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