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.

Cardiol Young 2008 Dec;18 Suppl 2:196-201

Department of Cardiac Surgery, Children's Hospital Boston and Harvard Medical School, Boston, Massachusetts 02115, USA.

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.

Download full-text PDF

Source
http://www.researchgate.net/profile/Paul_Barach/publication/
Web Search
http://www.journals.cambridge.org/abstract_S1047951108002928
Publisher Site
http://dx.doi.org/10.1017/S1047951108002928DOI Listing
December 2008
32 Reads
1 Citation
0.860 Impact Factor

Publication Analysis

Top Keywords

heart disease
12
cardiac disease
12
pediatric congenital
12
committee pediatric
12
database committee
12
congenital cardiac
12
patients congenital
12
cardiac complications
12
congenital heart
12
complications
10
cardiac
10
complications associated
8
complications presented
8
operative procedural
8
multisocietal database
8
treatment patients
8
associated treatment
8
disease
7
congenital
6
associated
5

References

(Supplied by CrossRef)
Factors related to pleural effusions after Fontan procedure in the era of fenestration
Fedderly et al.
Circulation 2001

Similar Publications