BACKGROUND Based on a quality assurance initiative of the German Society for Thoracic and Cardiovascular Surgery (DGTHG) and the German Society for Pediatric Cardiology and Congenital Heart Defects (DGPK), a voluntary registry was founded for assessment of treatment and outcomes of patients with congenital heart disease in Germany. This evaluation by the German Registry for cardiac operations and interventions in patients with congenital heart disease reports the data and the outcome over a 6-year period in patients undergoing invasive treatment. METHODS This real-world database collects clinical characteristics, in-hospital complications, and medium-term outcome of patients who underwent cardiac surgical and interventional procedures within the prospective, all-comers registry. Patients were followed-up for up to 90 days. RESULTS In the period from 2013 to 2018, a total of 35,730 patients, 39,875 cases, respectively 46,700 procedures were included at up to 31 German institutions. The cases could be subcategorized according to the treatment intention into 21,027 (52.7%) isolated operations, 17,259 (43.3%) isolated interventions, and 1,589 (4.0%) with multiple procedures. Of these, 4,708 (11.8%) were performed in neonates, 10,047 (25.2%) in infants, 19,351 (48.5%) in children of 1 to 18 years, and 5,769 (14.5%) in adults. Also, 15,845 (33.9%) cases could be allocated to so-called index procedures which underwent a more detailed evaluation to enable meaningful comparability. The mean unadjusted in-hospital mortality of all cases in our registry ranged from 0.3% in patients with isolated interventions and 2.0% in patients with surgical procedures up to 9.1% in patients undergoing multiple procedures. CONCLUSION This annually updated registry of both scientific societies represents voluntary public reporting by accumulating actual information for surgical and interventional procedures in patients with congenital heart disease (CHD) in Germany. It describes advancements in cardiac medicine and is a basis for internal and external quality assurance for all participating institutions. In addition, the registry demonstrates that in Germany, both interventional and surgical procedures for treatment of CHD are offered with high medical quality.

中文翻译：

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先天性心脏病患者心脏手术和干预的德国注册管理机构：报告2020年-六年经验的综合数据。

背景技术根据德国胸心血管外科学会（DGTHG）和德国小儿心脏病学和先天性心脏缺陷学会（DGPK）的质量保证计划，建立了一个自愿注册机构，以评估先天性心脏病患者的治疗和预后德国的疾病。德国注册管理机构对先天性心脏病患者进行心脏手术和干预的评估报告了接受侵入性治疗的患者在6年期间的数据和结果。方法这个真实的数据库收集了所有前瞻性登记册中接受心脏手术和介入治疗的患者的临床特征，院内并发症和中期结果。对患者进行了长达90天的随访。结果2013年至2018年期间，多达31家德国机构共纳入35,730名患者，39,875例病例，分别进行了46,700例手术。根据治疗目的，可将病例分为21,027例（52.7％）隔离手术，17,259例（43.3％）隔离手术和1,589例（4.0％）多种手术。其中，新生儿进行了4,708（11.8％），婴儿进行了10,047（25.2％），1至18岁儿童进行了19,351（48.5％），成人进行了5,769（14.5％）。另外，可以将15845（33.9％）个案例分配给所谓的索引程序，该程序经过了更详细的评估，以实现有意义的可比性。在我们的注册表中，所有病例的未经调整的平均院内死亡率范围为：单独干预患者为0.3％，外科手术患者为2.0％，最高为9。接受多次手术的患者中为1％。结论这两个科学协会的年度更新注册表通过收集德国先天性心脏病（CHD）患者的手术和介入程序的实际信息，代表了自愿的公共报告。它描述了心脏医学的进步，是所有参与机构内部和外部质量保证的基础。此外，注册表显示，在德国，CHD的介入和外科手术程序均具有很高的医疗质量。结论这两个科学协会的年度更新注册表通过收集德国先天性心脏病（CHD）患者的手术和介入程序的实际信息，代表了自愿的公共报告。它描述了心脏医学的进步，是所有参与机构内部和外部质量保证的基础。此外，注册表显示，在德国，CHD的介入和外科手术程序均具有很高的医疗质量。结论这两个科学协会的年度更新注册表通过收集德国先天性心脏病（CHD）患者的手术和介入程序的实际信息，代表了自愿的公共报告。它描述了心脏医学的进步，是所有参与机构内部和外部质量保证的基础。此外，注册表显示，在德国，CHD的介入和外科手术程序均具有很高的医疗质量。