Recent Surgical Outcomes of updates Congenital Heart Disease according to Korea Heart Foundation Data
- Authors
- Shin, Hong Ju; Park, Young Hwan; Cho, Bum-Koo
- Issue Date
- 8월-2020
- Publisher
- KOREAN SOC CARDIOLOGY
- Keywords
- Heart defects; congenital; Treatment outcomes
- Citation
- KOREAN CIRCULATION JOURNAL, v.50, no.8, pp.677 - 690
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- KOREAN CIRCULATION JOURNAL
- Volume
- 50
- Number
- 8
- Start Page
- 677
- End Page
- 690
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/53873
- DOI
- 10.4070/kcj.2019.0364
- ISSN
- 1738-5520
- Abstract
- Background and objectives: This study presents an update of the surgical outcomes of congenital heart disease (CHD) according to Korea Heart Foundation (KHF) data. Methods: We investigated the data of the 7,305 patients who were economically supported by KHF in 2000-2014. Of them, we analyzed surgical outcomes of the 6,599 patients who underwent CHD surgery. Results: The median patient age was 1.9 years (range, 0-71.5 years). Of the 6,599 patients, 5,616 (85.1%) underwent biventricular repair and 983 (14.9%) underwent palliative procedures. The mean Basic Aristotle Score was 6.6 +/- 2.2. A complex procedure (defined as Basic Aristotle Score above 6) was performed in 3,368 patients (51.0%). The early mortality rate was 3.8%, while the late mortality rate was 1.8%. Previous reports of the KHF (1984-1999) showed that the early surgical and late mortality rates were 8.6%, and 5.3%, respectively. There were 491 neonates (7.4%); among them, the early mortality rate was 12.2% and late mortality rate was 3.7%. There were 2,617 infants (40.0%); among them, the early mortality rate was 6.0% and the late mortality rate was 2.3%. A total of 591 patients from 30 countries were helped by the KHF. Conclusions: More neonatal surgeries (491 vs. 74 patients) were performed than those in the past (1984-1999). The surgical outcomes were much better than before. Our surgical outcomes revealed that the Republic of Korea has been transformed from a country receiving help to a country that helps other low socioeconomic status countries.
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