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

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

*Corresponding author for this work

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)196-201
Number of pages6
JournalCardiology in the young
Volume18
Issue numberS2
DOIs
StatePublished - Jan 1 2008

Keywords

  • Congenital heart disease
  • cardiac surgical procedures
  • congenital abnormalities
  • heart
  • operative morbidity
  • outcomes
  • paediatric
  • patient safety
  • quality improvement
  • registry
  • surgery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Bacha, E. A., Cooper, D., Thiagarajan, R., Franklin, R. C. G., Krogmann, O., Deal, B., Mavroudis, C., Shukla, A., Yeh, T., Barach, P., Wessel, D., Stellin, G., & Colan, S. D. (2008). 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. Cardiology in the young, 18(S2), 196-201. https://doi.org/10.1017/S1047951108002928