Temporal and Regional Differences in Congenital Heart Surgery in China(2017-2022):Trends and Implications

作     者：Zheng Guo Li Xie Ju Zhao Xing Hao Xiaotong Hou Wei Wang 

作者机构：Department of Pediatric Thoracic and Cardiovascular SurgeryShanghai Children’s Medical CenterShanghai Jiaotong University School of MedicineShanghai200127China Clinical Research CenterShanghai Jiao Tong University School of MedicineShanghai200030China Department of Extracorporeal CirculationCenter for Cardiac Intensive CareBeijing Anzhen HospitalCapital Medical UniversityBeijing100029China 

出 版 物：《Congenital Heart Disease》 (先天性心脏病（英文）)

年 卷 期：2024年第19卷第4期

页      面：341-350页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Congenital heart surgery cardiac surgery epidemiology 

摘      要：Background:With the decline of birth population and the development of medical technology in China,studies assessing how these changes have affected the adoption of congenital heart disease surgery at the national or regional scale are ***:We investigated the status of congenital heart surgery in China in the period from 2017-2022,through investigation of the total rates of cardiac surgeries,cardiopulmonary bypass(CPB),adult congenital heart surgeries(CHS),and pediatric CHS(18 years old),as recorded by the Extracorporeal Cir-culation Branch of the Chinese Society of Biomedical ***,we evaluated correlations between these factors with economic,demographic,and other ***:From 2017 to 2022,the total num-ber of cardiac operations increased from 230,772 to 263,292,representing an increase of 14.09%over 6 years;the CHS dropped from 76,365 to 68,940(10.19%decrease),and the proportion of CHS in the total cardiac surgeries dropped from 33.26%to 26.18%(7.08%decrease).Finally,cases of pediatric CHS decreased from 61,825 to 38,174(38.25%decrease).The annual percentage change(APC)of the total amount of pediatric CHS cases was-10.03(-15.95 to-3.69,p=0.013).Adult CHS increased from 14,940 to 30,766(105.93%increase).The proportion of adult CHS cases of the total number of cardiac surgeries increased from 6.47%to 11.68%(5.21%increase).From a regional perspective,the APC for the proportion of pediatric CHS in the local population was generally lower in western *** proportion of CHS in the local population generally decreases from the north to the south,although the lowest incidence is found in the northeast ***:Due to demographic changes,med-ical technology and economic factors,the number of surgical operations for congenital heart disease(CHD)in children decreased significantly from 2017 to 2022,and may decline further in the ***,in the same period,a significant increase in the number of operations for CH