1
Heart surgery in Norway 2013
Norwegian Association for Cardiothoracic Surgery
Jan L.Svennevig, MD,PhD
22.09.2014
Heart surgery in Norway 2013
All operations
0 1000 2000 3000 4000 5000 6000
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 4008 4135
4416 4602
4457 4448
4979 5074 5147 5400 5299 5230 5220 5021
4654 4474
4245 4278 4351
3
Heart surgery in Norway 2013
Heart lung machines
3874 3967
4259 4381 4316 4263
4694 4745 4864 5163 5090 5079 5044 4884
4473 4261
4007 4039 4011
0 1000 2000 3000 4000 5000 6000
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
HEART SURGERY IN NORWAY
No. of operations /Hospital
507
1280
695
561 542
765
0
0200 400 600 800 1000 1200
1400 2004
2005
2006
2007
2008
2009
2010
2011
2012
5
Heart surgery in Norway 2013
No. of operations per 100.000 inh.
88 75
61 107
97
80 75 78
57 59 77
101 104
79 85 92
107 136
148
0 50 100 150 200
Østfold Akersh Oslo Hedm Oppl Busk Vestf Telem Aust-A Vest-A Rog Hord Sogn&F Møre&R Sørt-Tr Nord_tr Nordland Troms Finnmark
2005
2012
2013
HEART SURGERY IN NORWAY 2013
Coronary artery bypass surgery
2883 2945
3222 3207
3104 3021 3299 3386 3362 3430
3258 3123 3048 2859
2564
2340 2178
1968 1919
0 500 1000 1500 2000 2500 3000 3500 4000
199 5 19 97 199 9 20 01 200 3 20 05 200 7 20 09 201 1 20 13
No.
7
Interventional coronary treatment in Norway vs CABG
Source: The Norwegian Association of Cardiothoracic surg.
The Norwegian Society of Cardiology and NPR
No of patients
HEART SURGERY IN NORWAY 2013
HEART SURGERY IN NORWAY 2013
Valve surgery, adults
645 651 687
838 830 898
1129 1175 1193 1294
1408 1446 1449 1515
1413 1460 1371 1572
1728
0 200 400 600 800 1000 1200 1400 1600 1800 2000
199 5 199 7 199 9 20 01 200 3 20 05 200 7 20 09 201 1 201 3
No.
9
HEART SURGERY IN NORWAY 2013
Valve surgery, TAVI
0 0 0 0 0 0 0 0 0 0 0 0 0
21 29 84
116 133
196
0 50 100 150 200 250
199 5 199 7 199 9 200 1 200 3 20 05 20 07 20 09 201 1 201 3
No.
HEART SURGERY IN NORWAY 2013
Congenital
No.
11
HEART SURGERY IN NORWAY 2013
Thoracic aorta excl. valves
50
75 63
78 80 81 116
133
151 161 154
172 165 159 197
218 217
202 209
0 50 100 150 200 250
1995 1997 1999 2001 2003 2005 2007 2009 2011 2013
No.
HEART SURGERY IN NORWAY 2013
Thoracic transplants
No.
13
HEART SURGERY IN NORWAY 2013
Surgical ablation for atrial fibrillation
109
91 96 99
114 115
72 68
0 25 50 75 100 125 150
200 6 20 07 20 08 200 9 20 10 20 11 201 2 20 13
No.
245
21 51 86
243
758
1241 1220
586
0 200 400 600 800 1000 1200 1400 1600
0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-
2000 2012 2013
HEART SURGERY IN NORWAY 2013
Age distribution
No. of patients
15
65,7
94
0 20 40 60 80 100 120
MEAN AGE OLDEST
1995 2000 2005 2010 2012 2013
HEART SURGERY IN NORWAY 2013
Mean age(adults) and oldest patient
Yrs.
Elective and emergency surgery
• Elective n= 3689
• Emergency n= 662 (15.2%)
• Female gender n= 1254(28,8%)
• Redo operation n= 335 (7,7%)
HEART SURGERY IN NORWAY 2013
17
Mechanical vs. Bioprostheses, trends 1995-2013
19,1
80,9
0 10 20 30 40 50 60 70 80 90
Mech. Biol.
1995 2000 2005 2010 2012 2013
%
HEART SURGERY IN NORWAY 2013
Euroscore for all patients>18 y, ECMO and VAD excluded
4,6
5, 4
0 1 2 3 4 5 6
Euroscore
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
%
HEART SURGERY IN NORWAY 2013
19
Valve operations 2003-2013, all patients, adults and children:
• No. of patients:
• Aortic valve surgery 992 1099 1179 1206 1171 1254 1109 1205 1144 1334 1452
• Mitral valve surgery 202 209 261 262 298 283 239 278 277 283 308
• Tricuspid valve surgery 9 27 27 38 59 61 76 53 49 62 74
• No. of prostheses or repairs:
• Mechanical prostheses 619 595 542 499 421 375 334 350 309 334 292
• Biological prostheses 406 573 755 835 815 947 794 883 862 1059 1240
• Valve repair 112 133 184 198 297 285 249 288 284 272 266
HEART SURGERY IN NORWAY 2013
HEART SURGERY IN NORWAY 2013
Preop.risk factors (%), all patients
(Euroscore for heart surgery in adults, ECMO and VAD excluded)
16,5
5,4
1,9 3,3
40,9
5,4
0 5 10 15 20 25 30 35 40 45 50
2000 2005 2010 2011 2012 2013
%
21
HEART SURGERY IN NORWAY 2013
30-day mortality (%), all patients
1
2,2 2,5
3,1
6,7
3
1,4
2,2
0 2 4 6 8 10 12 14
2001 2005 2010 2011 2012 2013
%
HEART SURGERY IN NORWAY 2013
Morbidity (%), all patients
5,4
2,4 2,2
1,6
4,2
0,9
0 1 2 3 4 5 6 7 8 9 10
2000 2005 2010 2011 2012 2013
%
23
