Evaluation of paediatric cardiosurgical model in Croatia by using the Aristotle basic complexity score and the risk adjustment for congenital cardiac surgery-1 method

Dilber, Daniel and Malčić, Ivan (2010) Evaluation of paediatric cardiosurgical model in Croatia by using the Aristotle basic complexity score and the risk adjustment for congenital cardiac surgery-1 method. Cardiology in the Young, 20 (4). pp. 433-440. ISSN 1047-9511

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Official URL: https://doi.org/10.1017/S1047951110000193

Abstract

OBJECTIVE: The Aristotle basic complexity score and the risk adjustment in congenital cardiac surgery-1 method were developed and used to compare outcomes of congenital cardiac surgery. Both methods were used to compare results of procedures performed on our patients in Croatian cardiosurgical centres and results of procedures were taken abroad. ----- METHODS: The study population consisted of all patients with congenital cardiac disease born to Croatian residents between 1 October, 2002 and 1 October, 2007 undergoing a cardiovascular operation during this period. ----- RESULTS: Of the 556 operations, the Aristotle basic complexity score could be assigned to 553 operations and the risk adjustment in congenital cardiac surgery-1 method to 536 operations. Procedures were performed in two institutions in Croatia and seven institutions abroad. The average complexity for cardiac procedures performed in Croatia was significantly lower. With both systems, along with the increase in complexity, there is also an increase in mortality before discharge and postoperative length of stay. Only after the adjustment for complexity there are marked differences in mortality and occurrence of postoperative complications. ----- CONCLUSION: Both, the Aristotle basic complexity score and the risk adjustment in congenital cardiac surgery-1 method were predictive of in-hospital mortality as well as prolonged postoperative length to stay, and can be used as a tool in our country to evaluate a cardiosurgical model and recognise potential problems.

Item Type:

Article

MeSH:

Cardiac Surgical Procedures/adverse effects ; Cardiac Surgical Procedures/mortality ; Child, Preschool ; Cohort Studies ; Croatia ; Female ; Heart Defects, Congenital/complications ; Heart Defects, Congenital/diagnosis ; Heart Defects, Congenital/surgery ; Hospital Mortality ; Humans ; Infant ; Length of Stay ; Male ; Models, Cardiovascular ; Outcome Assessment (Health Care) ; Reproducibility of Results ; Retrospective Studies ; Risk Adjustment/methods ; Severity of Illness Index

Departments:

Katedra za pedijatriju

Depositing User:

Marijan Šember

Status:

Published

Creators: