Pediatric & Adult Congenital Heart Center

Pediatric & Adult Congenital Heart Center

Cleveland Clinic Children's participates in public reporting of our outcomes as posted on the Society of Thoracic Surgeons’ (STS) website. STS updates outcomes data for congenital heart surgery only once yearly, after the Spring data analysis is completed. In the last published Fall 2020 Harvest Report of the STS Congenital Cardiac Surgery Database, Cleveland Clinic and Cleveland Clinic Children’s overall observed-to-expected ratio (O/E) for the 4-year reporting period July 2016-June 2020 was 0.83 with an adjusted mortality rate of 2.21%, compared with 2.67%, the STS aggregated centers’ adjusted mortality rate. The lower than expected mortality is the result of the outstanding teamwork and collaboration of Cleveland Clinic's Heart, Vascular and Thoracic Institute.

Adult & Pediatric Congenital Heart Surgery: Annual Volumes

2018 - 2021

Congenital Cardiac Cases: Volume

2021, N = 624

Source: STS Congenital Heart Surgery Data Base

Adult & Pediatric Congenital Heart Surgery: In-Hospital Mortality

2019 - 2021

Source: STS Congenital Heart Surgery Data Base and STS Mortality date form Risk-adjusted Dashboard Report for 7/1/2017 - 6/30/2021

STS Benchmark Procedures Performed

2019 - 2021

STS = Society of Thoracic Surgeons
AV = Atrioventricular
TOF = Tetralogy of Fallot
VSD = Ventricular Septal Defect

Source: STS Congenital Heart Surgery Data Base

ᵃCoartaction repair operation type does not include Cardiopulmonary Bypass (CPB)

Volumes and Unadjusted Mortality for Benchmark Procedures

2018 - 2021

VSD = ventricular septal defect; TOF = tetralogy of Fallot; AVC = atrioventricular canal defect; Coarc = coarctation of the aorta

Source: Society of Thoracic Surgeons Congenital Heart Surgery Database; 1/1/2018-12/31/2021

Mortality per STAT Category

2019 - 2021

STS = Society of Thoracic Surgeons

Sources: Cleveland Clinic STS Congestive Heart Surgery Data Base. STS Mortality date is sourced from the Risk-Adjusted Dashboard Report for 7/1/2017 - 6/30/2021.

The STAT (The Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery) score is a tool designed to analyze the risk for mortality associated with congenital heart surgery procedures. STAT 1 to STAT 5 indicates transition from least complex (STAT 1) to most complex (STAT 5) congenital cardiac surgical procedures.

Risk-Adjusted Observed to Expected Operative Mortality by STAT Category

July 1, 2016 - June 30, 2020

Source: Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database: Table 16, October 2021, Period ending 6/30/2020.

STAT 1 to STAT 5 indicates transition from least complex (STAT 1) to most complex (STAT 5) congenital cardiac surgical procedures.