S.A. Bogachevskaia¹, A.N. Bogachevskiy¹, V.Yu. Bondar^1,2
1Federal Centre for Cardiovascular Surgery, Khabarovsk
²Far Eastern State Medical University, Khabarovsk

Contacts: Svetlana A. Bogachevskaia, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Background. Growing prevalence of congenital heart disorders in Russia substantiates the need to assess current state and timeliness of surgical care to patients.

The purpose of the study was to analyze surgical activity in case of congenital heart disorders in Russia and in the Far Eastern Federal District over the last 10 years.

Methods and data. Using data on the number of patients who underwent surgery in Russia and in the Far Eastern Federal District we calculated surgical activity per 1 million population, implemented comparative analysis of surgical activity and its growth rates within the study period, and analyzed age structure of patients in 2004-2013. The authors also estimated dynamics in using minimally invasive surgery in the Far Eastern Federal District over the last 10 years.

Results and Discussion. In 2004-2013 another 12 clinics (87 in total) started to perform surgical correction of congenital heart disorders; in the Far Eastern Federal District only two hospitals have been effectively functioning over the past years. The total number of surgical interventions per 1 million population in Russia increased by 59.7 ± 0.05%, including bypass - by 34.9 ± 0.05%.

Surgical interventions in children under 1 year increased by 2.6 times (including bypass – by 2.5 times), while in children under 3 years - by 1.9 times. In 2008-2013, the amount of surgical correction in adults increased by 29.0%. The Far Eastern Federal District reported increased total number of patients who underwent surgery by 2.3 times (including bypass – by 2.0 times) per 1 million population, accounting for 43.3% of the Russian average data, while surgical activity in children under 3 years increased by 3.4 times (including bypass – by 3.3 times). Endovascular treatment methods over the past eight years have been used 4.6 times more often (per 1 million population). Against the background of growing operative activity (p <0.001) over the past years The Far Eastern Federal District has been holding one of the end positions among all Russian regions both in terms of total number of surgery and number of endovascular procedures per 1 million population.

Conclusions. The trend towards increasing early surgery (children under 1 year) indicates improved detection (which includes improved perinatal diagnostics). However, late diagnostics of congenital heart disorders remains a significant problem in Russia resulting in relatively high level of surgical activity in adults.

The Far Eastern Federal District still maintains a relatively low level of surgical activity in children 0-3 years, especially in infants. Only two facilities for congenital heart disorders by 2013 are not sufficient to meet needs of the Far Eastern Federal District.

Key words: congenital heart and vascular disorders; surgical activity; minimally invasive surgery; growth rate

References

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