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Annex A > Chapter 24 - Concerns 1989 > Reports of the performance of the PCS Service in 1989


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Reports of the performance of the PCS Service in 1989

10 The Unit's `Paediatric Cardiology and Cardiac Surgery Annual Report' 1989/90 included tables showing mortality rates for open-heart operations on children aged under 1 year in 1989, and compared this with the UK mortality figure for 1988: [11]


Patients
Mortality rate %
Bristol 1989
40 (15)
37.5
UK 1988
708
18.8

11 This was the first time since reports of this sort began that the UK mortality had dropped below 20%.

12 The Unit's `Bristol Cardiac Surgery Annual Report' for 1989 included figures for individual open-heart operations on children aged under 1: [12]

Operations
Bristol 1984-1989
Mortality rate %
Bristol 1984-1989
Mortality rate %
UK 1988
AVSD (complete): 13 (8)
61.5
19.6
TGA + VSD: 7 (5)
71.4
37.8
Truncus Arteriosus: 8 (6)
75.0
62.9
TAPVD: 16 (7)
43.8
23.4
TGA (Senning): 26 (0)
0.0
10.1

13 As regards open-heart surgery on those over 1 year of age, the `Bristol Cardiac Surgery Annual Report' for 1989 included a table, with the figures divided into groups: simple, moderate and complex surgery: [13]

Operations
Bristol 1989
Mortality rate %
Bristol 1985-1989
Mortality rate %
UK 1988
Simple: 36 (0)
0.7
0.56
Moderate: 60 (9)
7.9
7.7
Complex: 14 (4)
27.1
18.2

14 The table also noted that the mortality rate for moderate operations in Bristol for 1989 was 15%. The mortality rate for complex operations at Bristol in the same period was 28.6%.

15 The comparisons between mortality rates in Bristol and the UK were made in the table annexed to the Annual Report. The figures correspond with the returns that the Unit made to the UK Cardiac Surgical Register. [14]


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Footnotes

[11] Figures taken from the tables at UBHT 0133 0085 and UBHT 0133 0086; `Paediatric Cardiology and Cardiac Surgery Annual Report' 1989/90; figures in parentheses are for deaths

[12] Figures taken from the table at JDW 0003 0079; `Bristol Cardiac Surgery Annual Report' 1989; figures in parentheses are for deaths

[13] Figures taken from the table at JDW 0003 0081 - 0082 ; `Bristol Cardiac Surgery Annual Report' 1989; figures in parentheses are for deaths

[14] UBHT 0055 0191; Unit return to the UK Cardiac Surgical Register