scholarly journals Early Impact of the COVID-19 Pandemic on Congenital Heart Surgery Programs Across the World: Assessment by a Global Multi-Societal Consortium

2020 ◽  
Vol 11 (6) ◽  
pp. 689-696
Author(s):  
Eleftherios M. Protopapas ◽  
Mauro Lo Rito ◽  
Vladimiro L. Vida ◽  
George E. Sarris ◽  
Christo I. Tchervenkov ◽  
...  
Keyword(s):  
Congenital Heart ◽  
Heart Surgery ◽  
Pediatric Population ◽  
Congenital Heart Surgery ◽  
Future Health ◽  
Surgical Practice ◽  
Infectious Risk ◽  
The World ◽  
Effects On Children ◽  
The Impact

The coronavirus disease 2019 (COVID-19) pandemic currently gripping the globe is impacting the entire health care system with rapidly escalating morbidities and mortality. Although the infectious risk to the pediatric population appears low, the effects on children with congenital heart disease (CHD) remain poorly understood. The closure of congenital heart surgery programs worldwide to address the growing number of infected individuals could have an unintended impact on future health for COVID-19-negative patients with CHD. Pediatric and congenital heart surgeons, given their small numbers and close relationships, are uniquely positioned to collectively assess the impact of the pandemic on surgical practice and care of children with CHD. We present the results of an international survey sent to pediatric and congenital heart surgeons characterizing the early impact of COVID-19 on the care of patients with CHD.

The improvement of care for paediatric and congenital cardiac disease across the World: a challenge for the World Society for Pediatric and Congenital Heart Surgery

2008 ◽  
Vol 18 (S2) ◽  
pp. 63-69 ◽  
Author(s):  
Christo I. Tchervenkov ◽  
Jeffrey Phillip Jacobs ◽  
Pierre-Luc Bernier ◽  
Giovanni Stellin ◽  
Hiromi Kurosawa ◽  
...  
Keyword(s):  
Cardiac Disease ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Surgical Care ◽  
Congenital Heart Surgery ◽  
World Society ◽  
Congenital Cardiac Disease ◽  
The World ◽  
Developed World ◽  
The Impact

AbstractThe diagnosis and treatment for paediatric and congenital cardiac disease has undergone remarkable progress over the last 60 years. Unfortunately, this progress has been largely limited to the developed world. Yet every year approximately 90% of the more than 1,000,000 children who are born with congenital cardiac disease across the world receive either suboptimal care or are totally denied care.While in the developed world the focus has changed from an effort to decrease post-operative mortality to now improving quality of life and decreasing morbidity, which is the focus of this Supplement, the rest of the world still needs to develop basic access to congenital cardiac care. The World Society for Pediatric and Congenital Heart Surgery [http://www.wspchs.org/] was established in 2006. The Vision of the World Society is that every child born anywhere in the world with a congenital heart defect should have access to appropriate medical and surgical care. The Mission of the World Society is to promote the highest quality comprehensive care to all patients with pediatric and/or congenital heart disease, from the fetus to the adult, regardless of the patient’s economic means, with emphasis on excellence in education, research and community service.We present in this article an overview of the epidemiology of congenital cardiac disease, the current and future challenges to improve care in the developed and developing world, the impact of the globalization of cardiac surgery, and the role that the World Society should play. The World Society for Pediatric and Congenital Heart Surgery is in a unique position to influence and truly improve the global care of children and adults with congenital cardiac disease throughout the world [http://www.wspchs.org/].

Proceedings From the 3rd Symposium of the World Database for Pediatric and Congenital Heart Surgery

2019 ◽  
Vol 10 (4) ◽  
pp. 492-498
Author(s):  
James D. St. Louis ◽  
Christo I. Tchervenkov ◽  
Richard A. Jonas ◽  
Nestor Sandoval ◽  
Hao Zhang ◽  
...  
Keyword(s):  
Congenital Heart Defect ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Congenital Heart Surgery ◽  
Scientific Meeting ◽  
World Society ◽  
Outcomes Analysis ◽  
Heart Defect ◽  
The World ◽  
International Experts

The World Database for Pediatric and Congenital Heart Surgery was created to provide a resource for centers to be able to perform complex outcomes analyses of children undergoing repair of a congenital heart defect. In just under two years, the World Society for Pediatric and Congenital Heart Surgery (WSPCHS) has amassed over 13,000 procedures from 55 centers into the database. This Proceedings of the 3rd World Database Symposium held at the 6th Scientific Meeting of the WSPCHS summarizes the presentations of international experts in the fields of outcomes analysis and care of children with congenital heart surgery.

scholarly journals The Association Between Cardiac Biomarker NT-proBNP and 30-Day Readmission or Mortality After Pediatric Congenital Heart Surgery

2019 ◽  
Vol 10 (4) ◽  
pp. 446-453 ◽  
Author(s):  
Devin M. Parker ◽  
Allen D. Everett ◽  
Meagan E. Stabler ◽  
JoAnna Leyenaar ◽  
Luca Vricella ◽  
...  
Keyword(s):  
Congenital Heart ◽  
Heart Surgery ◽  
Pediatric Patients ◽  
Risk Model ◽  
Pediatric Population ◽  
Kidney Injury ◽  
Congenital Heart Surgery ◽  
Cardiac Biomarker ◽  
Increased Risk ◽  
Heart Operation

Background: Very little is known about clinical and biomarker predictors of readmissions following pediatric congenital heart surgery. The cardiac biomarker N-terminal pro-brain natriuretic peptide (NT-proBNP) can help predict readmission in adult populations, but the estimated utility in predicting risk of readmission or mortality after pediatric congenital heart surgery has not previously been studied. Our objective was to evaluate the association between pre- and postoperative serum biomarker levels and 30-day readmission or mortality for pediatric patients undergoing congenital heart surgery. Methods: We measured pre- and postoperative NT-proBNP levels in two prospective cohorts of 522 pediatric patients <18 years of age who underwent at least one congenital heart operation from 2010 to 2014. Blood samples were collected before and after surgery. We evaluated the association between pre- and postoperative NT-proBNP with readmission or mortality within 30 days of discharge, using multivariate logistic regression, adjusting for covariates based on the Society of Thoracic Surgeons (STS) Congenital Heart Surgery Mortality Risk Model. Results: The Johns Hopkins Children's Center cohort and the Translational Research Investigating Biomarker Endpoints in Acute Kidney Injury (TRIBE-AKI) cohort demonstrate event rates of 12.9% and 9.4%, respectively, for the composite end point. After adjustment for covariates in the STS congenital risk model, we did not find an association between elevated levels of NT-proBNP and increased risk of readmission or mortality following congenital heart surgery for either cohort. Conclusions: In our two cohorts, preoperative and postoperative values of NT-proBNP were not significantly associated with readmission or mortality following pediatric congenital heart surgery. These findings will inform future studies evaluating multimarker risk assessment models in the pediatric population.

Congenital Heart Surgery Databases Around the World: Do We Need a Global Database?

2010 ◽  
Vol 13 (1) ◽  
pp. 3-19 ◽  
Author(s):  
Jeffrey Phillip Jacobs ◽  
Bohdan Maruszewski ◽  
Hiromi Kurosawa ◽  
Marshall Lewis Jacobs ◽  
Constantine Mavroudis ◽  
...  
Keyword(s):  
Congenital Heart ◽  
Heart Surgery ◽  
Congenital Heart Surgery ◽  
Global Database ◽  
The World

History of the World Society for Pediatric and Congenital Heart Surgery: The First Decade

2018 ◽  
Vol 9 (4) ◽  
pp. 392-406 ◽  
Author(s):  
Jeffrey P. Jacobs ◽  
Christo I. Tchervenkov ◽  
Giovanni Stellin ◽  
Hiromi Kurosawa ◽  
Constantine Mavroudis ◽  
...  
Keyword(s):  
Congenital Heart ◽  
Heart Surgery ◽  
Surgical Care ◽  
Congenital Heart Surgery ◽  
World Society ◽  
Professional Organization ◽  
Current Status ◽  
Cardiac Care ◽  
The World ◽  
History Of

The World Society for Pediatric and Congenital Heart Surgery (WSPCHS) is the largest professional organization in the world dedicated to pediatric and congenital heart surgery. The purpose of this article is to document the first decade of the history of WSPCHS from its formation in 2006, to summarize the current status of WSPCHS, and to consider the future of WSPCHS. The WSPCHS was incorporated in Canada on April 7, 2011, with a head office in Montreal, Canada. The vision of the WSPCHS is that every child born anywhere in the world with a congenital heart defect should have access to appropriate medical and surgical care. The mission of the WSPCHS is to promote the highest quality comprehensive cardiac care to all patients with congenital heart disease, from the fetus to the adult, regardless of the patient’s economic means, with an emphasis on excellence in teaching, research, and community service.

Strengthening International Collaboration in Congenital Heart Surgery

2018 ◽  
Vol 9 (4) ◽  
pp. 383-391 ◽  
Author(s):  
Richard A. Jonas
Keyword(s):  
Congenital Heart ◽  
Heart Surgery ◽  
Mission Statement ◽  
Presidential Address ◽  
Congenital Heart Surgery ◽  
Scientific Meeting ◽  
World Society ◽  
International Exchange ◽  
The World ◽  
Scientific Meetings

This paper was presented by the author at the 2016 biannual scientific meeting in Abu dhabi of the World Society for Pediatric and Congenital Heart Surgery as his incoming presidential address. In addition to listing the accomplishments of the World Society including several successful international scientific meetings and regional meetings, the Society has established the only journal devoted to congenital heart surgery and is in the process of establishing the new World Society database. The mission statement of the World Society emphasizes equitable global management of patients with congenital heart disease and includes an emphasis on excellence in education, research and community service. The Society will promote international exchange of trainees in congenital heart surgery, the facilitation of international teaching and treatment missions as well as a system for global certification of congenital heart surgeons to facilitate international movement of surgeons to areas of greatest need.

Regionalization in Neonatal Congenital Heart Surgery: The Impact of Distance on Outcome After Discharge

2011 ◽  
Vol 33 (2) ◽  
pp. 229-238 ◽  
Author(s):  
Nelangi M. Pinto ◽  
Javier Lasa ◽  
Troy E. Dominguez ◽  
Gil Wernovsky ◽  
Sarah Tabbutt ◽  
...  
Keyword(s):  
Congenital Heart ◽  
Heart Surgery ◽  
Congenital Heart Surgery ◽  
The Impact

The World Database for Pediatric and Congenital Heart Surgery “A Call to Service for North American Congenital Heart Surgery Programs”

2019 ◽  
Vol 31 (2) ◽  
pp. 230-233
Author(s):  
James D. St. Louis ◽  
Nick Timkovich ◽  
Susanna Lenderman ◽  
Richard A. Jonas ◽  
Kristine J. Guleserian ◽  
...  
Keyword(s):  
North American ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Congenital Heart Surgery ◽  
The World

The World Database for Pediatric and Congenital Heart Surgery: The Dawn of a New Era of Global Communication and Quality Improvement in Congenital Heart Disease

2017 ◽  
Vol 8 (5) ◽  
pp. 597-599 ◽  
Author(s):  
James D. St. Louis ◽  
Hiromi Kurosawa ◽  
Richard A. Jonas ◽  
Nestor Sandoval ◽  
Jorge Cervantes ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Quality Improvement ◽  
Heart Disease ◽  
Information Exchange ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Congenital Heart Surgery ◽  
Improvement Program ◽  
Global Improvement ◽  
The World

The World Society for Pediatric and Congenital Heart Surgery was founded with the mission to “promote the highest quality comprehensive cardiac care to all patients with congenital heart disease, from the fetus to the adult, regardless of the patient’s economic means, with an emphasis on excellence in teaching, research, and community service.” Early on, the Society’s members realized that a crucial step in meeting this goal was to establish a global database that would collect vital information, allowing cardiac surgical centers worldwide to benchmark their outcomes and improve the quality of congenital heart disease care. With tireless efforts from all corners of the globe and utilizing the vast experience and invaluable input of multiple international experts, such a platform of global information exchange was created: The World Database for Pediatric and Congenital Heart Disease went live on January 1, 2017. This database has been thoughtfully designed to produce meaningful performance and quality analyses of surgical outcomes extending beyond immediate hospital survival, allowing capture of important morbidities and mortalities for up to 1 year postoperatively. In order to advance the societal mission, this quality improvement program is available free of charge to WSPCHS members. In establishing the World Database, the Society has taken an essential step to further the process of global improvement in care for children with congenital heart disease.

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