Journal article
What is Operative Mortality? Defining Death in a Surgical Registry Database: A Report of the STS Congenital Database Taskforce and the Joint EACTS-STS Congenital Database Committee
The Annals of thoracic surgery, v 81(5), pp 1937-1941
01 May 2006
PMID: 16631716
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The most concrete and universal outcome measure used in databases, whether governmental, professional society, research, or third-party payer, is operative mortality. To assure congruous data entry by multiple users of The Society of Thoracic Surgeons and the European Association for Cardiothoracic Surgery congenital heart surgery databases, operative mortality must be clearly defined. Traditionally, operative mortality has been defined as any death, regardless of cause, occurring (1) within 30 days after surgery in or out of the hospital, and (2) after 30 days during the same hospitalization subsequent to the operation. Differing hospital practices result in problems in use of the latter part of the definition (eg, the pediatric hospital that provides longer-term care will have higher mortality rates than one which transfers patients to another institution for such care). In addition, because of the significant number of pediatric multiple operation hospitalizations, issues of assignment of mortality to a specific operation within the hospitalization, calculation of operative mortality rates (operation based vs patient admission based), and discharge other than to home must be addressed and defined. We propose refinements to the definition of operative mortality which specifically meet the needs of our professional societies’ multi-institutional registry databases, and at the same time are relevant and appropriate with respect to the goals and purposes of administrative databases, government agencies, and the general public.
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Details
- Title
- What is Operative Mortality? Defining Death in a Surgical Registry Database: A Report of the STS Congenital Database Taskforce and the Joint EACTS-STS Congenital Database Committee
- Creators
- Jeffrey Phillip Jacobs - University of South Florida St. PetersburgConstantine Mavroudis - Northwestern UniversityMarshall Lewis Jacobs - Drexel UniversityBohdan Maruszewski - Children’s Memorial Health Institute, Warsaw, PolandChristo I. Tchervenkov - McGill UniversityFrançois G. Lacour-Gayet - Denver Children’s Hospital, University of Colorado School of Medicine, Denver, ColoradoDavid Robinson Clarke - Denver Children’s Hospital, University of Colorado School of Medicine, Denver, ColoradoThomas Yeh - Children’s Medical Center, Dallas, University of Texas Southwestern Medical School, Dallas, TexasHenry L. Walters - Wayne State UniversityHiromi Kurosawa - Tokyo Women's Medical UniversityGiovanni Stellin - University of Padova Medical School, Padova, ItalyTjark Ebels - Groningen University Medical Centre, Groningen, the NetherlandsMartin J. Elliott - Great Ormond Street HospitalJoint EACTS-STS Congenital Database Committee
- Publication Details
- The Annals of thoracic surgery, v 81(5), pp 1937-1941
- Publisher
- Elsevier
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Web of Science ID
- WOS:000237001700078
- Scopus ID
- 2-s2.0-33646836763
- Other Identifier
- 991021901515204721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems
- Respiratory System
- Surgery