Quality and Outcomes

A Doernbecher Childrens Hospital nurse holds a pediatric patient being checked with a stethoscopeDoernbecher  Children’s Hospital is dedicated to giving your child and family the  highest-quality care. As part of our commitment to excellence and transparency, we’re  pleased to share information on outcomes. Our heart surgery outcomes are on par with the averages from  across North America, and our hospital stays are significantly shorter.

Culture of excellence

We  are proud members of the National Pediatric Cardiology Quality Improvement  Collaborative.

NPC-QIC  is a network of more than 60 leading U.S. pediatric cardiology care centers  that are dedicated to improving outcomes for children with congenital heart  disease. The network is particularly focused on improving “interstage” outcomes  (between a first and second surgery) for infants with single ventricle defects.

As  part of our culture of excellence, we also formally recognize employees for  outstanding service beyond their normal duties.

Heart surgery outcomes

Doernbecher is among 117 pediatric hospitals, nearly all in the  U.S. and Canada, to voluntarily report congenital heart surgery statistics to  the International Society of Thoracic Surgeons. The STS is the recognized  leader in efforts to improve outcomes for surgeries on the heart, lungs,  esophagus and other areas in the chest. As part of that, the society keeps a database of  statistics.

Survival rates reflect patients who  survived at least 30 days after surgery and who were discharged from the  hospital. Doernbecher’s statistics include only surgeries tracked by the STS.

Please note that every case is different.  Doernbecher’s numbers cannot predict the outcome for any one child. Some  categories also have only a few cases, which can significantly skew the  survival rate.

If you have questions or concerns about  your child’s unique condition, the heart care team at Doernbecher would be  happy to talk with you. Families can call us at us at 503-346-0640.  Referring providers can reach us at 503-346-0644.

Overall survival, January 1, 2013- December 31, 2016

 

Number of surgeries

Survival rate

Doernbecher

740

97.4%

STS

96,255

97.0%

Survival rates by type of surgery, January 1, 2013-December 31, 2016

Off-bypass coarctation

 

Number of surgeries

Survival rate

Doernbecher

43

97.7%

STS

3,949

98.7%

VSD (ventricular septal defect)

 

Number of surgeries

Survival rate

Doernbecher

56

100%

STS

7,322

99.4%

TOF (tetralogy of Fallot)

 

Number of surgeries

Survival rate

Doernbecher

36

100%

STS

4,735

98.9%

Complete AVC (atrioventricular canal)

 

Number of surgeries

Survival rate

Doernbecher

26

100%

STS

3,219

97.3%

ASO (arterial switch operation)

 

Number of surgeries

Survival rate

Doernbecher

19

100%

STS

1,852

97.6%

ASO + VSD

 

Number of surgeries

Survival rate

Doernbecher

4

100%

STS

782

94.9%

Glenn

 

Number of surgeries

Survival rate

Doernbecher

28

96.4%

STS

4,538

97.9%

Fontan

 

Number of surgeries

Survival rate

Doernbecher

22

100%

STS

4,252

98.9%

Truncus

 

Number of surgeries

Survival rate

Doernbecher

2

100%

STS

621

89.9%

Norwood

 

Number of surgeries

Survival rate

Doernbecher

20

90.0%

STS

2,783

84.2

Days in the hospital

Median length of stay, Jan 1, 2013- Dec 31, 2016

Doernbecher patients, on average, spend  far fewer days in the hospital than the North American average. The median is  the point at which half of patients stayed less time and half more. The Doernbecher numbers do not include a decimal  place like the STS numbers because we track these stays only in whole days.

 

Off-bypass coarctation

VSD

TOF

Complete AVC

ASO

ASO + VSD

Glenn

Fontan

Truncus

Norwood

Doernbecher

5

4

6

6

10

13.5

5.5

8

8.5

15.5

STS

11.3

8.3

11.5

16.6

16.8

16.4

13.3

13.6

28.7

43.7

Survival by  surgery difficulty, 2012-15

STAT Categories are used to stratify the risk of mortality following cardiac surgery. They are based on an analysis of objective data from the STS Congenital Heart Surgery Database. There is a progressively increasing risk of post-operative mortality as we progress from category 1 through category 5 surgeries, with STAT category 5 cases having the highest risk of mortality following surgical intervention.

                                                                                               

 

Doernbecher survival rate

Expected survival rate

STAT 1

99.6%

99.6%

STAT 2

98%

98.5%

STAT 3

100%

98%

STAT 4

90.8%

94.1%

STAT 5

85.2%

82.2%