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Use of diagnostic information submitted to the United Kingdom Central Cardiac Audit Database: development of categorisation and allocation algorithms
- Source :
- Cardiology in the young. 23(4)
- Publication Year :
- 2012
-
Abstract
- ObjectiveTo categorise records according to primary cardiac diagnosis in the United Kingdom Central Cardiac Audit Database in order to add this information to a risk adjustment model for paediatric cardiac surgery.DesignCodes from the International Paediatric Congenital Cardiac Code were mapped to recognisable primary cardiac diagnosis groupings, allocated using a hierarchy and less refined diagnosis groups, based on the number of functional ventricles and presence of aortic obstruction.SettingA National Clinical Audit Database.PatientsChildren undergoing cardiac interventions: the proportions for each diagnosis scheme are presented for 13,551 first patient surgical episodes since 2004.ResultsIn Scheme 1, the most prevalent diagnoses nationally were ventricular septal defect (13%), patent ductus arteriosus (10.4%), and tetralogy of Fallot (9.5%). In Scheme 2, the prevalence of a biventricular heart without aortic obstruction was 64.2% and with aortic obstruction was 14.1%; the prevalence of a functionally univentricular heart without aortic obstruction was 4.3% and with aortic obstruction was 4.7%; the prevalence of unknown (ambiguous) number of ventricles was 8.4%; and the prevalence of acquired heart disease only was 2.2%. Diagnostic groups added to procedural information: of the 17% of all operations classed as “not a specific procedure”, 97.1% had a diagnosis identified in Scheme 1 and 97.2% in Scheme 2.ConclusionsDiagnostic information adds to surgical procedural data when the complexity of case mix is analysed in a national database. These diagnostic categorisation schemes may be used for future investigation of the frequency of conditions and evaluation of long-term outcome over a series of procedures.
- Subjects :
- Clinical audit
Heart Defects, Congenital
Heart Septal Defects, Ventricular
Male
medicine.medical_specialty
Heart disease
Adolescent
Databases, Factual
Quality Assurance, Health Care
computer.software_genre
Risk Assessment
Case mix index
Ductus arteriosus
Outcome Assessment, Health Care
medicine
Prevalence
Humans
Medical diagnosis
Cardiac Surgical Procedures
Child
Ductus Arteriosus, Patent
Tetralogy of Fallot
Heart septal defect
Database
business.industry
Infant
General Medicine
medicine.disease
United Kingdom
Cardiac surgery
medicine.anatomical_structure
Child, Preschool
Pediatrics, Perinatology and Child Health
Female
Cardiology and Cardiovascular Medicine
business
computer
Algorithms
Subjects
Details
- ISSN :
- 14671107 and 10479511
- Volume :
- 23
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Cardiology in the young
- Accession number :
- edsair.doi.dedup.....016a42aba1ef68555d47713ef15c1430