TY - JOUR
T1 - Databases for assessing the outcomes of the treatment of patients with congenital and paediatric cardiac disease – the perspective of cardiac surgery
AU - Jacobs, Marshall Lewis
AU - Jacobs, Jeffrey Phillip
AU - Franklin, Rodney C.g.
AU - Mavroudis, Constantine
AU - Lacour-Gayet, Francois
AU - Tchervenkov, Christo I.
AU - Walters, Hal
AU - Bacha, Emile A.
AU - Clarke, David Robinson
AU - William Gaynor, J.
AU - Spray, Thomas L.
AU - Stellin, Giovanni
AU - Ebels, Tjark
AU - Maruszewski, Bohdan
AU - Tobota, Zdzislaw
AU - Kurosawa, Hiromi
AU - Elliott, Martin
PY - 2008
Y1 - 2008
N2 - This review includes a brief discussion, from the perspective of cardiac surgeons, of the rationale for creation and maintenance of multi-institutional databases of outcomes of congenital heart surgery, together with a history of the evolution of such databases, a description of the current state of the art, and a discussion of areas for improvement and future expansion of the concept. Five fundamental areas are reviewed: nomenclature, mechanism of data collection and storage, mechanisms for the evaluation and comparison of the complexity of operations and stratification of risk, mechanisms to ensure the completeness and accuracy of the data, and mechanisms for expansion of the current capabilities of databases to include comparison and sharing of data between medical subspecialties. This review briefly describes several European and North American initiatives related to databases for pediatric and congenital cardiac surgery the Congenital Database of The European Association for Cardio-Thoracic Surgery, the Congenital Database of The Society of Thoracic Surgeons, the Pediatric Cardiac Care Consortium, and the Central Cardiac Audit Database in the United Kingdom. Potential means of approaching the ultimate goal of acquisition of long-term follow-up data, and input of this data over the life of the patient, are also considered.
AB - This review includes a brief discussion, from the perspective of cardiac surgeons, of the rationale for creation and maintenance of multi-institutional databases of outcomes of congenital heart surgery, together with a history of the evolution of such databases, a description of the current state of the art, and a discussion of areas for improvement and future expansion of the concept. Five fundamental areas are reviewed: nomenclature, mechanism of data collection and storage, mechanisms for the evaluation and comparison of the complexity of operations and stratification of risk, mechanisms to ensure the completeness and accuracy of the data, and mechanisms for expansion of the current capabilities of databases to include comparison and sharing of data between medical subspecialties. This review briefly describes several European and North American initiatives related to databases for pediatric and congenital cardiac surgery the Congenital Database of The European Association for Cardio-Thoracic Surgery, the Congenital Database of The Society of Thoracic Surgeons, the Pediatric Cardiac Care Consortium, and the Central Cardiac Audit Database in the United Kingdom. Potential means of approaching the ultimate goal of acquisition of long-term follow-up data, and input of this data over the life of the patient, are also considered.
KW - Congenital heart disease
KW - complexity
KW - complications
KW - patient safety
KW - quality improvement
KW - registry
KW - surgical outcomes
UR - http://www.scopus.com/inward/record.url?scp=60849105841&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=60849105841&partnerID=8YFLogxK
U2 - 10.1017/S1047951108002813
DO - 10.1017/S1047951108002813
M3 - Article
C2 - 19063780
AN - SCOPUS:60849105841
SN - 1047-9511
VL - 18
SP - 101
EP - 115
JO - Cardiology in the young
JF - Cardiology in the young
IS - S2
ER -