Author + information
- Robert N. Vincent,
- John Moore,
- Lee Benson,
- Lisa Bergersen,
- Ralf Holzer,
- Kathy Jenkins,
- Richard Ringel,
- Jonathan Rome and
- Joan Michaels
IMPACT is a voluntary NCDR registry gathering information on all cardiac catheterization procedures in pediatric and adult congenital heart disease patients as well as detailed data on 6 specific interventions.
This report summarizes the data and trends that we have seen from Jan 2011 through June 2012 for diagnostic catheterizations. For adverse events, the last 4 quarters of data are presented.
The number of sites submitting data increased from 12 to 65. During this period there were 8889 events (cathlab visits) of which 33.2% were for diagnostic catheterizations and 66.8% for specific or multiple interventions. 2,986 candidate procedure records are excluded because they did not meet NCDR data quality thresholds. Diagnostic procedures were performed on 232 newborns (<30 days of age); 750 infants (>=30 days and <=1 yr); 1499 children (>1 yr and <= 18 yr) and 470 adults (>18yr). Procedures were elective (85%), urgent (13%), emergent (2%) or salvage (<1%). Most procedures were performed using general anesthesia (77%). All cause adverse events associated with diagnostic catheterizations (occurring from the onset of the catheterization procedure to discharge) were noted in 11.4% of patients. Adverse events were most common in newborns (16.2%) and infants(4.9%) with children and adults 1.3% each. All cause in hospital mortality was 3.5% for newborns; 4.7% infants; 0.5% children and 0.6% adults.
As the IMPACT registry grows we are gathering data in order to set national benchmarks for diagnostic and certain specific interventional procedures. Future versions of IMPACT will hopefully address risk stratification, attribution of adverse events and long term follow-up of interventions and allow us to create recommendations for catheter intervention based on the data being compiled. Although adverse events as currently reported are not necessarily attributable to the catheterization procedure itself, it is clear that newborns and infants who require a diagnostic catheterization are at risk of adverse events, including death, during their hospital admission.
Moderated Poster Contributions
Poster Sessions, Expo North
Saturday, March 09, 2013, 3:45 p.m.-4:30 p.m.
Session Title: Congenital Cardiology Solutions: Trends, Knowledge and Outcomes
Abstract Category: 14. Congenital Cardiology Solutions: Therapy
Presentation Number: 1161M-135
- 2013 American College of Cardiology Foundation