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
Jeffrey P JacobsJoint EACTS-STS Congenital Database Committee

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 t...Continue Reading

Citations

Feb 23, 2008·Cardiology in the Young·Meryl S CohenRoss M Ungerleider
Jan 1, 2012·World Journal for Pediatric & Congenital Heart Surgery·Jeffrey Phillip JacobsJohn E Mayer
Jan 10, 2014·World Journal for Pediatric & Congenital Heart Surgery·Rebecca A RussellTom B Rice
Feb 27, 2014·Asian Cardiovascular & Thoracic Annals·Sumit VasdevUsha Kiran
Apr 10, 2014·Health Services Research·Bryan G MaxwellRobert L Lobato
Apr 20, 2016·Archives of Disease in Childhood·Jarle JortveitHenrik Holmstrøm
Aug 14, 2020·World Journal for Pediatric & Congenital Heart Surgery·Sergio A CarrilloMark Galantowicz
Jun 10, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jan Hinnerk HansenHans-Heiner Kramer
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Sep 20, 2011·Critical Care Medicine·Lynne MooreAndré Lavoie
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Jul 30, 2014·The American Journal of Hospice & Palliative Care·Adam G GoldenJuan Cendan
Dec 31, 2015·World Journal for Pediatric & Congenital Heart Surgery·Jeffrey P Jacobs, Marshall L Jacobs
Mar 17, 2018·World Journal for Pediatric & Congenital Heart Surgery·Arata TakahashiHiroaki Miyata
Jun 27, 2013·World Journal for Pediatric & Congenital Heart Surgery·David M OvermanDavid M Shahian
May 15, 2008·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Aaron T DorfmanTroy E Dominguez
Feb 23, 2008·Cardiology in the Young·Jeffrey P JacobsMartin J Elliott
Apr 1, 2010·World Journal for Pediatric & Congenital Heart Surgery·James Anthony QuintessenzaHarald Lindberg
Oct 1, 2011·World Journal for Pediatric & Congenital Heart Surgery·Jeffrey Phillip JacobsRobert Vincent
Feb 2, 2012·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·David C ChangFizan Abdullah
Oct 1, 2011·World Journal for Pediatric & Congenital Heart Surgery·Lisa Caplan, David F Vener
Nov 10, 2010·Journal of Cardiothoracic Surgery·Serban C Stoica, David N Campbell

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