Analysis of 20-year construction achievements of single center valve surgery database and follow-up system

Jiao Yuqing; Zhang Haibo; Meng Xu; Wang Jiangang

doi:10.3760/j.issn.1673-4777.2024.06.006

Abstract：Objective To explore the dilemma and breakthrough direction of the development of cardiac surgery professional database,hoping to bring beneficial reference for the construction of cardiac surgery professional database.Methods The operation database and follow-up system in Valve Surgery Center,Beijing Anzhen Hospital,Capital Medical University were extracted and compared,and the operation of the database and the existing problems were summarized and reviewed retrospectively.Results The operation information database had been running for more than 20 years since 2001,including 15 420 cases of valve surgery,and had become a part of clinical work.In the past 20 years,the age of patients undergoing valve surgery had changed in many aspects,such as age,diseased valves and surgical methods,indicated the changes of valve diseases and the progress of surgical techniques.The age of patients treated by valve surgery increased from(46±15)years old in 2001 to(58±13)years old in 2023.A total of 962 patients were enrolled in the follow-up system within 2 years since 2013,and 691 patients were followed up,with a follow-up rate of 71.8％.However,the bottleneck of sustainable development appeared later.Compared with the surgical database,there were differences in the follow-up system in terms of service subject orientation,information collection mode,and database working mode.Conclusion The construction of cardiac surgery database in the era of big data required the combination of national top-level design and practical exploration.The establishment of a patient-centered,national-level longitudinal database,combined with a disease-centered,professional-level horizontal database.Covering perfect basic and professional informa-tion,should be the future direction of professional database development.