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Annex A > Chapter 25 - Concerns 1990 > Report of the performance of the PCS Service in 1990


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Report of the performance of the PCS Service in 1990

62 A table prepared in the UBH and supplied to the Inquiry gave figures for open-heart operations in 1990: [76]

Operations - Over-1s
Mortality rate %
95 (16)
16.8
Operations - Under-1s
Mortality rate %
39 (5)
12.8

63 The number of open-heart operations had dropped from 150 in 1989 to 134 in 1990.

64 Detailed tables, showing different procedures, were produced for the over-1 age group for the purposes of comparison. [77] Of the `complex' operations performed between 1985 and 1990, 30.8% of patients died following surgery in Bristol. The figure for the UK for 1989 was shown as 18.2%.

65 A further table showed 30-day mortality figures for open-heart surgery for the under-1s between 1984 and 1989, and 1990, compared with the mortality rate in the UK for 1984-1988, as reported by the UK Cardiac Surgical Register: [78]


Operations
Mortality rate %
Bristol 1984-1989
143 (46)
32.2
Bristol 1990
39 (5)
12.8
UK 1984-1988
2, 777 (590)
21.2

66 A further table sought to analyse open-heart surgery on the under-1s by procedure. Eight deaths out of 13 in the `AVSD (complete)' group were shown for the period from 1984 to 1989: in 1989-1990 there were no deaths in five operations. No operations were performed for the diagnosis `TGA plus VSD' in 1989-1990. One operation had been performed in 1989-1990 for `Truncus Arteriosus': [79] the patient died. [80]

67 Closed-heart surgery on children over 1 year of age was reported to have a mortality rate of 2.4% over the six years from 1985 to 1990 inclusive, compared with the UK 1988 rate of 2%. In the under-1s, a 9.9% mortality was recorded compared with 6.2% in the UK in 1988. [81]


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Footnotes

[76] Figures taken from Table 1 at UBHT 0055 0082; figures in parentheses are for deaths

[77] Figures taken from Table 5 at UBHT 0055 0086

[78] Figures taken from Table 7 at UBHT 0055 0088; figures in parentheses are for deaths

[79] See Chapter 3 for an explanation of these clinical terms

[80] Figures taken from Table 8 at UBHT 0055 0089

[81] Tables 9 and 10 at UBHT 0055 0090 and UBHT 0055 0091