Annex A > Chapter 22 - Concerns 1987 > Reports of the performance of the PCS Service in 1987
<< previous | next >>
Reports of the performance of the PCS Service in 1987
32 In 1987 a table was prepared by the Unit comparing the number of operations and the mortality rate in Bristol between 1984 and 1986 with that in the UK Cardiac Surgical Register (UKCSR) for 1984: [36]
| Operations Bristol 1984-1986 | Mortality rate % Bristol 1984-1986 | Mortality rate % UK 1984 |
| Over-1s: 240 (19) | 7.9 | 6.9 |
| Under-1s: 49 (13) | 26.5 | 21.8 |
33 The note to the table stated:
`The Table shows 30 day mortality for Bristol operations for the three years 1984-86: this was done to provide a reasonable number of patients for comparison. The UK figures are taken from the UK Cardiac Surgical Register for 1984, which is the last year for which figures have been published.'
34 The Bristol Unit's return to the UKCSR for the year ending 31 December 1987 showed the following figures for open-heart surgery: [37]
| Operations - Over-1s | Operations - Under-1s |
| 110 (9) | 25 (7) |
35 In the under-1 age group, there had been three `Complete A-V Canal (corrective procedure)' [38] operations, in two of which the patient had died; and one child operated on for `Truncus Arteriosus (corrective procedure)', who had died.
36 In 1987 a `Paediatric Cardiology and Cardiac Surgery Annual Report', the first such Annual Report, was produced by the Bristol Unit. It described an increase in the numbers of patients admitted to the BRHSC for assessment and investigations, and to the BRHSC and BRI for surgery, following designation of Bristol as a supra regional centre, and stated that:
`... Children are now referred from the SW region, and parts of Wessex and South Wales, and beyond'. [39]
37 The Report included figures for the results of open-heart surgery for the four-year period 1984-1987: [40]
| Operations - Over-1s | Mortality rate % |
| Simple: 107 | 1.9 |
| Moderate: 184 | 6.5 |
| Complex: 59 | 23.7 |
| Total: 350 | 8.0 |
| Operations - Under-1s | Mortality rate % |
| 74 | 27.0 |
<< previous | next >> | back to top
Footnotes
[36] Figures taken from UBHT 0055 0008; figures in parentheses are for deaths
[37] Figures taken from UBHT 0055 0173 - 0174 ; Unit return to the UK Cardiac Surgical Register 1987; figures in parentheses are for deaths
[38] See Chapter 3 for an explanation of clinical terms
[39] UBHT 0055 0011; `Paediatric Cardiology and Cardiac Surgery Annual Report' 1987
[40] Figures taken from UBHT 0055 0018; `Paediatric Cardiology and Cardiac Surgery Annual Report' 1987