Annex A > Chapter 23 - Concerns 1988 > Reports of the performance of the PCS Service in 1988
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Reports of the performance of the PCS Service in 1988
7 The Unit's 1988 `Paediatric Cardiology and Cardiac Surgery Annual Report' reported figures for the results of surgery for that year: [9]
| Operations - Over-1s | Mortality rate % |
| Simple: 18 (0) | 0 |
| Moderate: 58 (1) | 1.7 |
| Complex: 23 (7) | 30.4 |
| Total: 99 (8) | 8.1 |
| Operations - Under-1s | Mortality rate % |
| Total: 29 (11) | 37.9 |
8 The table also compared these results with the results for the four-year period
1984-1987, set out in para 37 of Chapter 22 - Concerns 1987. [10]
9 It was also apparent to those in the Unit that the number of operations was fewer than in the previous year. This was ascribed in part to the effect of building work that was being carried out during 1988. [11]
10 In a table prepared in the UBH and supplied to the Inquiry a comparison was made of the 30-day mortality for children under 1 in the Bristol Unit in the four-year period 1984-1987 and in 1988, with the mortality rate shown in the UK Cardiac Surgical Register (UKCSR) for 1984-1987: [12]
| | Operations | Mortality rate % |
| Bristol 1984-1987 | 74 (20) | 27.0 |
| Bristol 1988 | 29 (11) | 37.9 |
| UK 1984-1987 | 2, 069 (457) | 22.1 |
11 A note to the table reported that the mortality rate in the UK was static, at between 21.2% and 23.5%, between the years 1984 and 1987.
12 A comparison was also made of the 30-day mortality for children over 1 in the Bristol Unit in the four-year period 1984-1987 and in 1988, with the mortality rate shown in the UKCSR for 1987: [13]
| | Operations | Mortality rate % |
| Bristol 1984-1987 | 344 | 8.1 |
| Bristol 1988 | 99 | 8.1 |
| UK 1987 | 1, 657 | 7.7 |
13 A further table was produced in the Annual Report showing a comparison between mortality figures for children under 1 at Bristol between 1984 and 1988 and in the 1987 UKCSR: [14]
| | Operations | Mortality rate % |
| Bristol 1984-1988 | 103 | 30.1 |
| UK 1987 | 588 | 23.5 |
Of those children treated in Bristol, there had been no deaths in 17 operations for the Atrial Switch procedure: the Sennings operation. Six out of seven who had been operated on for AVSD had died; as did three out of four who had been operated on for TGA plus VSD; five out of six for Truncus Arteriosus; and four out of 11 for TAPVD. [15]
14 The tables also showed a comparison between mortality figures for children over 1 at Bristol between 1985 and 1988 and in the 1987 UKCSR, with the figures divided into groups: simple, moderate and complex surgery: [16]
| Operations Bristol 1985-1988 | Mortality rate % Bristol 1985-1988 | Mortality rate % UK 1987 |
| Simple: 100 (1) | 1.0 | 0.5 |
| Moderate: 206 (12) | 5.8 | 5.7 |
| Complex: 71 (19) | 26.8 | 19.8 |
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Footnotes
[9] Figures taken from UBHT 0055 0031
[10] See tables at para 32 of Chapter 22
[12] Figures taken from UBHT 0055 0035; figures in parentheses are for deaths
[13] Figures taken from UBHT 0055 0033
[14] Figures taken from UBHT 0055 0036
[15] See Chapter 3 for an explanation of clinical terms
[16] Figures taken from UBHT 0055 0039 - 0040 ; figures in parentheses are for deaths