{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:13:08Z","timestamp":1777878788947,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Chao Family Foundation and Transparent Fish Fund"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      Children's HeartLink and the University of California San Francisco (UCSF) have partnered with Vietnam National Children's Hospital (VNCH). Compared with low- and middle-income countries (LMICs) enrolled in the International Quality Improvement Collaborative for Congenital Heart Disease, VNCH is a high performing center. Our goal is to compare outcomes of VNCH with North American centers leveraging data from the Pediatric Cardiac Critical Care Consortium (PC\n                      <jats:sup>4<\/jats:sup>\n                      ) in 2023.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Children's HeartLink established a partnership with VNCH in 2017 with a consistent senior-level medical volunteer team from UCSF (Dr Sano currently at Showa University Hospital) engaged in semiannual training visits and weekly case conferences. In-person visits have evolved to hands-off teaching. Areas of improvement are identified, and outcomes presented at the subsequent visit. International Quality Improvement Collaborative and PC\n                      <jats:sup>4<\/jats:sup>\n                      perform site specific audits to confirm data accuracy. Data presented are based on primary operations. Conversion from Risk Adjustment for Congenital Heart Surgery (RACHS-1) to STAT is as follows: RACHS-1 1-4 equal STAT 1-4; RACHS-1 5-6 equal STAT 5.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Results represent 8 on-site visits and 109 case discussions. VNCH performed 1,056 operations, and PC\n                      <jats:sup>4<\/jats:sup>\n                      represents 14,506 operations in 2023. VNCH had comparable outcomes, except higher surgical mortality for infants with prematurity and noncardiac abnormalities, and a higher rate of surgical site infections. VNCH performed fewer operations on patients with noncardiac abnormalities and higher STAT scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Partnership of highly resourced North American programs with underresourced LMIC centers can elevate congenital heart surgery outcomes. VNCH is a high-volume center with respectable outcomes. Future focus will be higher STAT level and neonatal surgeries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501351251386684","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T18:16:46Z","timestamp":1762885006000},"page":"310-317","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Development of a High-Performing Congenital Heart Program in Vietnam"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4503-6197","authenticated-orcid":false,"given":"Chau P.","family":"Nguyen","sequence":"first","affiliation":[{"name":"Emory University\/Children's Healthcare of Atlanta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huu Nhat","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Vietnam National Children's Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Tabbutt","sequence":"additional","affiliation":[{"name":"Division of Critical Care Medicine, Department of Pediatrics, University of California San Francisco Benioff Children's Hospitals, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunji","family":"Sano","sequence":"additional","affiliation":[{"name":"Showa University Koto-Toyosu Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Cocalis","sequence":"additional","affiliation":[{"name":"University of California San Francisco Benioff Children's Hospitals"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hung","family":"Nguyen","sequence":"additional","affiliation":[{"name":"University of California San Francisco Benioff Children's 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