Outcomes research using a voluntary generic registry

Powell, Christine B.; Moller, James H.

doi:10.1016/s1058-9813(97)00012-x

Cited by 5 publications

(7 citation statements)

References 4 publications

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“…Institutions performing catheterization procedures for congenital heart disease have reported complication rates ranging from 9% to 24%, with major events occurring in 1–4% of cases, and mortality rates less than 1% 1–13 . In our series of prospectively collected data focused on AE occurrence, we identified AEs in 19% of the cases performed.…”

Section: Discussionmentioning

confidence: 98%

“…Institutions performing catheterization procedures for congenital heart disease have reported complication rates ranging from 9% to 24%, with major events occurring in 1-4% of cases, and mortality rates less than 1%. [1][2][3][4][5][6][7][8][9][10][11][12][13] In our series of prospectively collected data focused on AE occurrence, we identified AEs in 19% of the cases performed. Of these, 2.7% were classified as life threatening or catastrophic (level 4 or 5), similar to previously reported major event rates.…”

Section: Discussionmentioning

confidence: 99%

“…Well‐established diagnostic and interventional procedures, together with novel techniques, define the modern practice of congenital cardiac catheterization. Although prior investigators have defined adverse event (AE) rates in the era of diagnostic cases and selected populations, such comprehensive work including identification of high‐risk populations has not been undertaken 1–13 . At our institution, we sought to understand current AE rates in pediatric and congenital cardiac catheterization and identify vulnerable populations.…”

Section: Introductionmentioning

confidence: 99%

“…Although prior investigators have defined adverse event (AE) rates in the era of diagnostic cases and selected populations, such comprehensive work including identification of high-risk populations has not been undertaken. [1][2][3][4][5][6][7][8][9][10][11][12][13] At our institution, we sought to understand current AE rates in pediatric and congenital cardiac catheterization and identify vulnerable populations.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Adverse Event Rates in Congenital Cardiac Catheterization: A New Understanding of Risks

Bergersen

Gauvreau

Jenkins

et al. 2008

Congenital Heart Disease

129

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We sought to characterize the frequency, severity, and attributability of adverse events (AE) in congenital cardiac catheterization and identify patient and procedural characteristics associated with AE. Risk for any AE was associated with age < 1 year (odds ratio [OR] 2.3), interventional cases (OR 2.2), increasing procedure type risk group (OR 1, 2.0, 2.5), and indicator of hemodynamic vulnerability (OR 1.6), all p < 0.001. Each of these and weight were also associated with increased risk for high severity events, except for young age. Our understanding of populations at risk for adverse outcomes in congenital cardiac catheterization cases can be enhanced through the development and refinement of variables that categorize procedure types and patient characteristics by similar risk for adverse outcomes.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Adverse Event Rates in Congenital Cardiac Catheterization: A New Understanding of Risks

Bergersen

Gauvreau

Jenkins

et al. 2008

Congenital Heart Disease

129

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“…The purpose, function, and history of PCCC are documented. [1][2][3][4][5][6] To meet the purpose of assessing outcome of care, we needed a data acquisition system and appropriate analysis. I had seen several data collection systems which were not sustained over time.…”

mentioning

confidence: 99%

Using Data to Improve Quality: the Pediatric Cardiac Care Consortium

Moller

2015

Congenital Heart Disease

Self Cite

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A program to collect and analyze cardiac catheterization, electrophysiologic studies and cardiac operations in children was initiated in 1982. The purpose was to help centers compare their experience and outcomes with a group of centers to determine areas where their performance might improve. Cardiac centers became members of the Pediatric Cardiac Care Consortium and submitted demographic data and copies of procedure reports regularly to a central office. Data were extracted from the reports, coded by trained coders and entered into a computer database. Annually, the data were analyzed to compare the experience of an individual center with that of the entire group of centers. The annual data were adjusted for severity on the basis of eight factors selected after discussion with participants in the Consortium. Adjustment was by multivariate analysis. Reports were prepared for each center and distributed at an annual meeting. The data were used by centers to review operations where the mortality rate exceeded +2 standard deviations of the group. With discussion, the center staff often initiated changes to improve outcome. The outcome could then be monitored by the annual reports. Our data were also utilized in the creation of the Risk Adjustment for Surgery for Congenital Heart Disease (RACHS)-1 categories of disease severity. The mortality rates of our centers were comparable with the combined hospital discharge data from New York, Massachusetts, and California. From 1982 through 2007, the mortality rates of our centers dropped for each RACHS-1 category, falling to less than 1% for categories 1 and 2 for the last 5-year period. During the 25 years, we received data from 52 centers about 137 654 patients who underwent 117 756 cardiac operations.

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Decision analysis in pediatric cardiology outcomes research

Danford

1997

Progress in Pediatric Cardiology

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Outcomes research using a voluntary generic registry

Cited by 5 publications

References 4 publications

Adverse Event Rates in Congenital Cardiac Catheterization: A New Understanding of Risks

Adverse Event Rates in Congenital Cardiac Catheterization: A New Understanding of Risks

Using Data to Improve Quality: the Pediatric Cardiac Care Consortium

Decision analysis in pediatric cardiology outcomes research

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