Cardiology in the Young

Original Article

Centre variation in cost and outcomes for congenital heart surgery  *

Sara K. Pasqualia1 c1, Michael G. Gaiesa1, Jeffrey P. Jacobsa2, J. William Gaynora3 and Marshall L. Jacobsa4

a1 Department of Pediatrics and Communicable Diseases, C. S. Mott Children's Hospital, University of Michigan Medical School, Ann Arbor, Michigan, United States of America

a2 Division of Thoracic and Cardiovascular Surgery, All Children's Hospital, Saint Petersburg, Florida, United States of America

a3 Department of Surgery, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America

a4 Department of Pediatric and Congenital Heart Surgery, Cleveland Clinic, Cleveland, Ohio, United States of America

Abstract

Although overall outcomes for children undergoing heart surgery have improved, there is a significant variation in outcomes across hospitals. This review discusses the variation in cost and outcomes across centres performing congenital heart surgery, potential underlying mechanisms, and efforts to reduce variation and improve outcome.

Correspondence:

c1 Correspondence to: Dr S. K. Pasquali, MD, MHS, Department of Pediatrics and Communicable Diseases, C. S. Mott Children's Hospital, University of Michigan Congenital Heart Center, 1540 E. Hospital Drive 11-715Z, Ann Arbor, MI 48109-4204, United States of America. Tel: 734 936 7418; Fax: 734-936-9470; E-mail: pasquali@med.umich.edu

Footnotes

*  Presented at: The Children's Hospital of Philadelphia Cardiology 2012, 16th Annual Update on Pediatric and Congenital Cardiovascular Disease, Orlando, Florida, February 22–26, 2012.