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

Jeffrey Phillip Jacobs, Constantine Mavroudis, Marshall L Jacobs, Bohdan Maruszewski, Christo I. Tchervenkov, François G. Lacour-Gayet, David Robinson Clarke, Thomas Yeh, Henry L. Walters, Hiromi Kurosawa, Giovanni Stellin, Tjark Ebels, Martin J. Elliott

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)1937-1941
Number of pages5
JournalAnnals of Thoracic Surgery
Volume81
Issue number5
DOIs
StatePublished - May 2006
Externally publishedYes

Fingerprint

Registries
Joints
Databases
Mortality
Hospitalization
Health Insurance Reimbursement
Government Agencies
Patient Transfer
Pediatric Hospitals
Patient Discharge
Patient Admission
Long-Term Care
Ambulatory Surgical Procedures
Thoracic Surgery
Cause of Death
Outcome Assessment (Health Care)
Pediatrics
Research

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

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. / Jacobs, Jeffrey Phillip; Mavroudis, Constantine; Jacobs, Marshall L; Maruszewski, Bohdan; Tchervenkov, Christo I.; Lacour-Gayet, François G.; Clarke, David Robinson; Yeh, Thomas; Walters, Henry L.; Kurosawa, Hiromi; Stellin, Giovanni; Ebels, Tjark; Elliott, Martin J.

In: Annals of Thoracic Surgery, Vol. 81, No. 5, 05.2006, p. 1937-1941.

Research output: Contribution to journalArticle

Jacobs, JP, Mavroudis, C, Jacobs, ML, Maruszewski, B, Tchervenkov, CI, Lacour-Gayet, FG, Clarke, DR, Yeh, T, Walters, HL, Kurosawa, H, Stellin, G, Ebels, T & Elliott, MJ 2006, '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', Annals of Thoracic Surgery, vol. 81, no. 5, pp. 1937-1941. https://doi.org/10.1016/j.athoracsur.2005.11.063
Jacobs, Jeffrey Phillip ; Mavroudis, Constantine ; Jacobs, Marshall L ; Maruszewski, Bohdan ; Tchervenkov, Christo I. ; Lacour-Gayet, François G. ; Clarke, David Robinson ; Yeh, Thomas ; Walters, Henry L. ; Kurosawa, Hiromi ; Stellin, Giovanni ; Ebels, Tjark ; Elliott, Martin J. / 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. In: Annals of Thoracic Surgery. 2006 ; Vol. 81, No. 5. pp. 1937-1941.
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