Download Pediatric and Congenital Heart Surgery Outcomes

BEST
Penn State Hershey Children’s Heart Group
CHILDREN’S
HOSPITALS
Pediatric Cardiac Surgery
John L. Myers, M.D., Chief
J. Brian Clark, M.D.
CARDIOLOGY &
HEART SURGERY
Pediatric Cardiology
Thomas Chin, M.D., Chief
Beth Adams, D.O.
Vincent P.R. Aluquin, M.D.
Dennis Chang, M.D.
Mark H. Cohen, M.D.
Stephen E. Cyran, M.D.
Thomas Dispenza, M.D.
Jason Imundo, M.D.
Michele P. Monaco, M.D.
Linda B. Pauliks, M.D.
Nishant Shah, M.D.
Robert Tunks, M.D.
Howard Weber, M.D.
L. Timothy Wolfe, M.D.
Penn State Hershey Children’s Hospital is a valued resource throughout
the Commonwealth of Pennsylvania, and looks forward to the opportunity
to work with you to provide the most thorough assessment, diagnosis,
and collaborative care for your patients. Thank you for your continued
trust and support. Together, we can provide the best care for the families
of our region.
For more information, or to schedule an appointment, please call our
MD Network at 1-800-233-4082 or directly to our Penn State Hershey
Pediatric Cardiac Surgery office 717-531-2050.
The pediatric heart surgery program at Penn State Hershey Children’s
Heart Group is ranked among the best in the nation as listed in U.S. News
& World Report’s 2014-2015 edition of Best Children’s Hospitals.
PennStateHershey.org/childrens
U.Ed. MED 15-6370 CHI
CHILDREN’S
HEART
GROUP
2014-15
Pediatric and Congenital
Heart Surgery Program Outcomes
Pediatric and Congenital Heart Surgery Outcomes
at Penn State Hershey Children’s Hospital.
Mortality and Length of Stay by Heart Defect and Operation
The most recent report (fall 2014) from the Society of Thoracic
Surgeons (STS) National Congenital Heart Surgery Database ranks
the pediatric heart surgery program at Penn State Hershey Children’s
Hospital among the Top 15 in the country in survival following
pediatric heart operations. These results have been achieved utilizing
a multi-disciplinary team of pediatric specialists including heart
surgeons, cardiologists, anesthesiologists, critical care physicians,
neonatologists, nursing staff, and technologists in heart-lung bypass
and respiratory care.
Heart Defect/Operation
STS National Average Mortality
Penn State Hershey
Mortality
STS National Median Length of Stay (days)
Penn State Hershey
Median Length of Stay (days)
Atrial septal defect. . . . . . . . . . . . . . . . . . . . . . . . . 0.3%. . . . . . . . . . . . . . . . . . . . . . . . . . . 0.0%. . . . . . . . . . . . . . . . . . . . . . . . . 3.0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.0
Ventricular septal defect. . . . . . . . . . . . . . . . . . . . . 1.5%. . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.7% . . . . . . . . . . . . . . . . . . . . . . . . . . 8.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.0
Coarctation of the aorta. . . . . . . . . . . . . . . . . . . . 0.8%. . . . . . . . . . . . . . . . . . . . . . . . . . . 0.0%. . . . . . . . . . . . . . . . . . . . . . . . . . 11.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.0
Tetralogy of fallot. . . . . . . . . . . . . . . . . . . . . . . . . . . 1.0% . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.0%. . . . . . . . . . . . . . . . . . . . . . . . . 10.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.0
Atrioventricular canal defect. . . . . . . . . . . . . . . . . 2.7% . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.0%. . . . . . . . . . . . . . . . . . . . . . . . . 14.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.0
Aortic stenosis/insufficiency. . . . . . . . . . . . . . . . . 1.0% . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.0%. . . . . . . . . . . . . . . . . . . . . . . . . 4.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.0
Penn State Hershey Children’s Hospital
Heart Surgery program
• Two pediatric and congenital heart surgeons who are both
board-certified in cardiothoracic and congenital heart surgery,
with a total of thirty-nine years of experience.
• Dedicated pediatric cardiac operating room and four pediatric
cardiac anesthesiologists
• Intraoperative transesophogeal echocardiography and
neuromonitoring for all cases.
• A dedicated pediatric cardiac care unit staffed by eight pediatric
critical care physicians, 24/7. All rooms are private and have
facilities for a family member to stay throughout the hospital stay.
• Fourteen pediatric cardiologists including specialists in
diagnostic and interventional cardiac catheterization, arrhythmia,
echocardiography, cardiac MRI, CT scan, obesity, hypertension,
exercise testing, cardiovascular wellness, and general cardiology.
Transposition of the great arteries/. . . . . . . . . . 2.4%. . . . . . . . . . . . . . . . . . . . . . . . . . . 0.0%. . . . . . . . . . . . . . . . . . . . . . . . . 15.9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.0
arterial switch operation
Hypoplastic left heart syndrome/. . . . . . . . . . . . 15.2%. . . . . . . . . . . . . . . . . . . . . . . . . . . 14.3%. . . . . . . . . . . . . . . . . . . . . . . . . 39.7. . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Norwood operation
Hemi-Fontan/Glenn operations. . . . . . . . . . . . . . . 1.8% . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.0%. . . . . . . . . . . . . . . . . . . . . . . . . . 12.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.0
Fontan operation . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.3%. . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.0%. . . . . . . . . . . . . . . . . . . . . . . . . 13.7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.0
*Data from the Society of Thoracic Surgeons Congenital Heart Surgery Database, July 2010-June 2014; includes 113 children’s hospitals.
Hospital Mortality*
n STS National Average
n Penn State Hershey
n STS National Average
n Penn State Hershey
9.7%
16.5%
5.4%
4.7%
• A dedicated pediatric cardiac catheterization laboratory adjacent
to operating room (hybrid room) for diagnostic, interventional, and
electrophysiology procedures.
• Extracorporeal membrane oxygenator (ECMO) for emergency life
support available 24/7.
Hospital Mortality by Risk Category
13.6%
3.4%
3.4%
0.6% 1.2%
Neonates
Infants
7.0%
4.7%
2.0%
All
Patients
Risk
Category 1
(Lowest Risk)
*Patient death occurring during hospitalization or within thirty days of operation.
1.5%
2.6%
0.5%
Risk
Category 2
0.0%
Risk
Category 3
Risk
Category 4
Risk
Category 5
(Highest Risk)