Procedural characteristics and adverse events in diagnostic and interventional catheterisations in paediatric and adult CHD: Initial report from the IMPACT Registry

Robert N. Vincent, John Moore, Robert H. Beekman, Lee Benson, Lisa Bergersen, Ralf Holzer, Natalie Jayaram, Kathy Jenkins, Richard Ringel, Jonathan Rome, Gerard R. Martin

Research output: Contribution to journalArticle

Abstract

Objectives To report procedural characteristics and adverse events on data collected in the registry. Background The IMPACT - IMproving Paediatric and Adult Congenital Treatment - Registry is a catheterisation registry of paediatric and adult patients with CHD undergoing diagnostic and interventional cardiac catheterisation. We are reporting the procedural characteristics and adverse events of patients undergoing diagnostic and interventional catheterisation procedures from January, 2011 to March, 2013. Methods Demographic, clinical, procedural, and institutional data elements were collected at the participating centres and entered via either a web-based platform or software provided by American College of Cardiology-certified vendors, and were collected in a secure, centralised database. Centre participation was voluntary. Results During the time frame of data collection, 19,797 procedures were entered into the IMPACT Registry. Procedures were classified as diagnostic only (35.4%); one of six specific interventions (23.8%); other or multiple interventions (40.7%); and were further broken down into four age groups. Anaesthesia was used in 84.1% of diagnostic procedures and 87.8% of interventional ones. Adverse events occurred in 10.0% of diagnostic and 11.1% of interventional procedures. Conclusions The IMPACT Registry is gathering data to set national benchmarks for diagnostic and certain specific interventional procedures. We are seeing little differences in procedural characteristics or adverse events in diagnostic procedures compared with interventional procedures overall, but there is significant variation in adverse events amongst age categories. Risk stratification and patient acuity scores will be required for further analysis of these differences.

Original languageEnglish (US)
Pages (from-to)70-78
Number of pages9
JournalCardiology in the young
Volume26
Issue number1
DOIs
StatePublished - Dec 22 2014

    Fingerprint

Keywords

  • Kewords IMPACT Registry
  • cardiac catheterisation
  • quality improvement

ASJC Scopus subject areas

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

Cite this

Vincent, R. N., Moore, J., Beekman, R. H., Benson, L., Bergersen, L., Holzer, R., Jayaram, N., Jenkins, K., Ringel, R., Rome, J., & Martin, G. R. (2014). Procedural characteristics and adverse events in diagnostic and interventional catheterisations in paediatric and adult CHD: Initial report from the IMPACT Registry. Cardiology in the young, 26(1), 70-78. https://doi.org/10.1017/S1047951114002637