Cardiac Surgery in Germany during 2013: A Report on Behalf of the German Society for Thoracic and Cardiovascular Surgery

Abstract

On the basis of a voluntary registry of the German Society for Thoracic and Cardiovascular Surgery (GSTCVS), data of all cardiac surgical procedures performed in 79 German cardiac surgical units during the year 2013 are presented. In 2013, a total of 99,128 cardiac surgical procedures (implantable cardioverter defibrillator [ICD] and pacemaker procedures excluded) were submitted to the registry. More than 13.8% of the patients were older than 80 years, which remains equal in comparison to the previous year. In-hospital mortality in 40,410 isolated coronary artery bypass grafting procedures (84.5% on-pump and 15.5% off-pump) was 2.9%. In 29,672 isolated valve procedures (including 7,722 catheter-based procedures), an in-hospital mortality of 4.7% was observed. This long-lasting registry of the GSTCVS will continue to be an important tool for quality control and voluntary public reporting by illustrating current facts and developments of cardiac surgery in Germany.

Keywords

cardiac surgery - outcome - registry - congenital heart disease - aortic surgery - organ transplantation

• References

• 1 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
• 2 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
• 3 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
• 4 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
• 5 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
• 6 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
• 7 Kalmár 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
• 8 Kalmár 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
• 9 Kalmár 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
• 10 Kalmàr 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
• 11 Kalmár P, Irrgang E. Cardiac surgery in Germany during 1999. Thorac Cardiovasc Surg 2000; 48 (4) XXVII-XXX
• 12 Kalmar P, Irrgang E. Cardiac surgery in Germany during 2000. Thorac Cardiovasc Surg 2001; 49 (5) 33-38
• 13 Kalmár 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
• 14 Kalmár P, Irrgang E ; German Society for Thoracic and Cardiovascular Surgery. Cardiac surgery in Germany during 2002: a report by German Society for Thoracic and Cardiovascular Surgery. Thorac Cardiovasc Surg 2003; 51 (5) 25-29
• 15 Kalmár P, Irrgang E ; German Society for Thoracic and Cardiovascular Surgery. 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
• 16 Gummert JF, 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
• 17 Gummert JF, 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
• 18 Gummert JF, 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
• 19 Gummert JF, Funkat A, Beckmann A , et al; German Society for Thoracic and Cardiovascular Surgery. 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
• 20 Gummert JF, 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
• 21 Gummert JF, 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
• 22 Gummert JF, Funkat AK, Beckmann A , et al. Cardiac surgery in Germany during 2010: a report on behalf of the German Society for Thoracic and Cardiovascular Surgery. Thorac Cardiovasc Surg 2011; 59 (5) 259-267
• 23 Funkat AK, Beckmann A, Lewandowski J , et al. Cardiac surgery in Germany during 2011: a report on behalf of the German Society for Thoracic and Cardiovascular Surgery. Thorac Cardiovasc Surg 2012; 60 (6) 371-382
• 24 Beckmann A, Funkat AK, Lewandowski J , et al. Cardiac surgery in Germany during 2012: a report on behalf of the German Society for Thoracic and Cardiovascular Surgery. Thorac Cardiovasc Surg 2014; 62 (1) 5-17
• 25 Gammie JS, Zhao Y, Peterson ED, O'Brien SM, Rankin JS, Griffith BPJ. 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 , e1, discussion 1408–1410
• 26 Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC); European Association for Cardio-Thoracic Surgery (EACTS), Vahanian A, Alfieri O, Andreotti F, Antunes MJ. , et al. Guidelines on the management of valvular heart disease (version 2012). EurHeart J 2012; 33 (19) 2451-2496
• 27 Beckmann A, Hamm C, Figulla HR , et al; GARY Executive Board. The German Aortic Valve Registry (GARY): a nationwide registry for patients undergoing invasive therapy for severe aortic valve stenosis. Thorac Cardiovasc Surg 2012; 60 (5) 319-325
• 28 Hamm CW, Möllmann H, Holzhey D , et al; for the GARY-Executive Board. The German Aortic Valve Registry (GARY): in-hospital outcome. Eur Heart J 2013;
• 29 Herbert MA, Prince SL, Williams JL, Magee MJ, Mack MJ. Are unaudited records from an outcomes registry database accurate?. Ann Thorac Surg 2004; 77 (6) 1960-1964 , discussion 1964–1965