Document Detail


Cardiac complications associated with the treatment of patients with congenital cardiac disease: consensus definitions from the Multi-Societal Database Committee for Pediatric and Congenital Heart Disease.
MedLine Citation:
PMID:  19063791     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A complication is an event or occurrence that is associated with a disease or a healthcare intervention, is a departure from the desired course of events, and may cause, or be associated with, suboptimal outcome. A complication does not necessarily represent a breech in the standard of care that constitutes medical negligence or medical malpractice. An operative or procedural complication is any complication, regardless of cause, occurring (1) within 30 days after surgery or intervention in or out of the hospital, or (2) after 30 days during the same hospitalization subsequent to the operation or intervention. Operative and procedural complications include both intraoperative/intraprocedural complications and postoperative/postprocedural complications in this time interval. The MultiSocietal Database Committee for Pediatric and Congenital Heart Disease has set forth a comprehensive list of complications associated with the treatment of patients with congenital cardiac disease, related to cardiac, pulmonary, renal, haematological, infectious, neurological, gastrointestinal, and endocrinal systems, as well as those related to the management of anaesthesia and perfusion, and the transplantation of thoracic organs. The objective of this manuscript is to examine the definitions of operative morbidity as they relate specifically to the cardiac system. These specific definitions and terms will be used to track morbidity associated with surgical and transcatheter interventions and other forms of therapy in a common language across many separate databases.The MultiSocietal Database Committee for Pediatric and Congenital Heart Disease has prepared and defined a near-exhaustive list of cardiac complications, including intraoperative complications and cardiopulmonary bypass-related complications. These cardiac complications are presented in the following subgroups: 1) Cardiac (general), 2) Cardiac--Metabolic, 3) Cardiac--Residual and Recurrent cardiac lesions, 4) Arrhythmia, 5) Cardiopulmonary bypass and mechanical circulatory support, and 6) Operative/Procedural. Within each subgroup, complications are presented in alphabetical order. Clinicians caring for patients with congenital cardiac disease will be able to use this list for databases, quality improvement initiatives, reporting of complications, and comparing strategies for treatment.
Authors:
Emile Antoine Bacha; David Cooper; Ravi Thiagarajan; Rodney C G Franklin; Otto Krogmann; Barbara Deal; Constantine Mavroudis; Avinash Shukla; Thomas Yeh; Paul Barach; David Wessel; Giovanni Stellin; Steven D Colan
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Cardiology in the young     Volume:  18 Suppl 2     ISSN:  1467-1107     ISO Abbreviation:  Cardiol Young     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-09     Completed Date:  2009-04-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200019     Medline TA:  Cardiol Young     Country:  England    
Other Details:
Languages:  eng     Pagination:  196-201     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, Children's Hospital Boston and Harvard Medical School, Boston, Massachusetts 02115, USA. Emile.Bacha@cardio.chboston.org
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MeSH Terms
Descriptor/Qualifier:
Arrhythmias, Cardiac / epidemiology,  etiology*
Cardiac Surgical Procedures / statistics & numerical data*
Child
Consensus*
Databases, Factual*
Heart Defects, Congenital / surgery*
Humans
Morbidity / trends
Postoperative Complications / epidemiology*
Societies, Medical*
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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