Cirugía cardiovascular en España en el año 2017. Registro de intervenciones de la Sociedad Española de Cirugía Torácica-Cardiovascular

Abstract

The Spanish Society of Thoracic and Cardiovascular surgery reports the results of the 2017 registry of the surgical activity in Spain. The participation in this registry is anonymous and voluntary, and it is based on the analysis of the information gathered from 62 centres with activity in cardiovascular surgery, and the confidentiality of the individual data of each centre is ensured. The registry reports the global activity Spain, the observed mortality and the estimated mortality risk, stratified into different types of procedures.The overall cardiac surgical activity in Spain remains stable, with an observed mortality that is adequately adjusted to the estimated surgical risk.During 2017, a total of 36,692 procedures of cardiovascular surgery were performed, divided into 29.056 (79.2%) procedures of adult cardiac surgery, 2.127 (5.8%) procedures of congenital cardiac surgery, and 5,509 procedures (15.0%) of peripheral vascular surgery.Among the total of 36,692 procedures, 23,261 (63.4%) were major cardiac surgical procedures: 21,134 procedures of acquired adult cardiac surgery, and 2,127 congenital cardiac surgery procedures. Furthermore, 20,895 (89.8%) of these procedures were performed with the use of the cardiopulmonary bypass machine.The results of the activity in congenital heart surgery are presented separately in another specific report.Within the 21,134 procedures of acquired adult cardiac surgery, isolated heart valve procedures were the most frequent (9,682 procedures), followed by coronary artery bypass grafting surgery (5,029 procedures), surgery of the aorta (2,249 procedures), combined heart valve and revascularisation procedures (2,172 procedures), other miscellaneous procedures with the use of cardiopulmonary bypass (1,209 procedures), and surgery of mechanical complications of myocardial infarction (142 procedures). Moreover, there were another other 5,496 procedures related to electronic implantable devices and 1,837 procedures without CPB not included in the previous groups.The information derived from this national registry allows to know the state-of-the-art of the surgical specialty in our country, through the knowledge of the surgical activity, the risk profile and the observed results, which is a keystone for an adequate evaluation of the quality of the health care that is delivered to the patients suffering from cardiovascular diseases.