Volumes and Outcomes

At Children’s, the quality of our care is our highest priority. We monitor our overall cardiac surgical outcomes and volumes to provide the most accurate information to patient families. It also allows us to identify areas for improvement. Our mission is to continually improve and help our heart patients live their best lives.

We report our outcomes to several databases, including the Pediatric Cardiac Critical Care Consortium (PC4), C3PO/Impact, the National Pediatric Care Quality Improvement Collaborative (NPC-QIC) and the Society of Thoracic Surgeons (STS). The STS has the largest congenital heart surgery database in the nation. Data is captured in STS by 100 hospitals as a way to compare outcomes between cardiac programs throughout the country. 

Children's data showing the number of procedures performed from Jan. 2015- Dec. 2018.

Cardiothoracic surgery is any surgery related to or involving the organs in the chest, primarily the heart and the vessels that bring blood to and from the heart and lungs. Open heart surgeries refer to cardiac surgeries where cardiopulmonary bypass, or CBP, is used and a heart-lung machine maintains circulation of blood and oxygen while the surgeon repairs the heart. Closed heart surgeries are surgeries done without a heart-lung machine, or CBP.

STAT Category refers to a method of categorizing surgeries based on how risky or complex they are. STAT 1 surgeries refer to the least complex surgeries with the lowest risk of death, while STAT 5 surgeries refer to the most complex surgeries with the highest risk of death.

Children's data based on surgeries performed Jan 2017-Dec 2018; STS data based on surgeries performed Jul 2017-Jun 2018, as reported in the Fall 2018 Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database Report

A heart catheterization is a non-surgical procedure used to find out what kind of heart defect your child may have, its location in the heart and how severe it is. Some heart defects can be treated by a catheterization instead of open-heart surgery.

Children's Heart Center 2019 CLABSI Rate

A central line, also known as a central venous line or CVL, is a special type of intravenous, or I.V., line. A central line-associated bloodstream infection, or CLABSI, happens when bacteria, or more rarely fungus, grow in your child’s central line or bloodstream. A CLABSI is serious and requires that your child get antibiotics immediately. If not handled correctly, it can even cause death. Your child’s care team follows guidelines to help prevent your child from getting a CLABSI.

During 2019 (December 2018 – November 2019), the Children’s Heart Center had a low rate of CLABSIs, performing much better than other children’s hospitals who are members of the Solutions for Patient Safety National Children’s Network (SPS).

Survival Rates by Procedure

An open-heart surgery to correct transposition of the great arteries (TGA). The defect is corrected by the surgeon on bypass by disconnecting the pulmonary and aortic vessels and moving them back into their normal position.

In addition to surgically correcting the transposition of the great arteries (TGA), the surgeon also closes the hole between the two lower pumping chambers of the heart. This operation is similar to an ASO.

To allow oxygen-rich blood to flow freely to organs in the lower part of the body, surgeons use various techniques to remove the narrowed part of the aorta, which is a defect often present at birth.

Performed as the last stage for patients born with a single pumping chamber which connects blood vessels from the lower body directly to the lungs to optimize oxygen levels and decrease the workload on the heart.

A procedure performed for patients born with a single pumping chamber that connects the large vein transporting blood from the upper body directly to the lungs, bypassing the heart. The temporary tube is then removed.

A procedure necessary for patients born with a single pumping chamber, which attaches a temporary tube that allows blood to travel from the heart to the lungs so the body gets more oxygen.

Open heart surgery to open up the blockage from the right pumping chamber of the heart and close existing holes. Some infants require a temporary tube supplying blood to the lungs prior to surgery.

This congenital defect requires surgery to detach the pulmonary arteries from the common artery and connect them to the right ventricle using a valve-containing tube, and a patch is used to close the ventricular septal defect.

Surgery is required to close a ventricular septal defect (VSD), an abnormal opening between the two lower, pumping chambers of the heart. The hole may be closed in a variety of ways depending on its size.