Adding the Missing Link—Integration of Anesthesia and Perfusion Variables into Europe’s Largest Congenital Cardiac Surgery Outcomes Database: Methods and First List of Candidate Variables by an ECHSA-EACTAIC-EBCP Collaboration

Journal of Cardiothoracic and Vascular Anesthesia, vol. 40, pp. 1961–1968

Abstract

OBJECTIVES: Numerous databases exist in the field of cardiac surgery across Europe, but none of them combine the entire captured data of all clinical specialties involved in the care process of patients, including anesthesia and perfusion. To fill this gap, the European Congenital Heart Surgeons Association (ECHSA) and the European Association for Cardiovascular Anesthesia and Intensive Care along with the European Board of Cardiovascular Perfusion propose to build a database module for Anesthesia and Perfusion data collected during congenital cardiac surgery and interventional procedures and coupling these data within the existing largest congenital cardiac surgery database in Europe-the ECHSA Congenital Cardiac Database (ECHSA-CCDB). This report will review the state of the development of this database module to date and propose an initial set of variables for collection. The report also outlines the methodology to be followed for the final selection of variables and sets a course for the start of data collection. The scope of procedures to be captured includes pediatric cardiac surgery operations with or without cardiopulmonary bypass and interventional cardiology procedures. DESIGN: Descriptive study/methods study. SETTING: Congenital cardiac surgery/cardiology/anesthesiology. PARTICIPANTS: Congenital cardiac anesthesiologists, surgeons, and perfusionists. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: We discuss a literature review, survey, and panel meetings for the development of an anesthesia and perfusion variables module being integrated into ECHSA-Congenital Cardiac Database by identifying the first set of variables to be available for outcome research in surgical operations and transcatheter interventional cardiology procedures across Europe. CONCLUSIONS: This multisocietal collaboration will lead to the most comprehensive approach to patient outcome research in congenital cardiac surgery and Interventional Cardiology in Europe to date. The article describes the initial concept of the modules and the process steps used to identify candidate variables for anesthesia outcomes in the setting of congenital cardiac surgery.

Authors 36

1. Sascha Meier corresponding

   University Medical Center Groningen · University of Groningen

   Affiliation as printed

   Department of Anesthesiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. Electronic address: s.meier@umcg.nl

2. Theofili Kousi

   Onassis Cardiac Surgery Center

   Affiliation as printed

   Onassis Cardiac Surgery Center, Athens, Greece

3. Sara Camilla Arrigoni

   Leiden University Medical Center

   Affiliation as printed

   Department of Cardiothoracic Surgery, University of Leiden, University Medical Center Leiden, Leiden, The Netherlands

4. Jeffrey Phillip Jacobs

   University of Florida · University of Florida Health

   Affiliation as printed

   Congenital Heart Center, Division of Cardiovascular Surgery, Departments of Surgery and Pediatrics, University of Florida, Gainesville, FL

5. Vladimiro Lorenzo Vida

   University of Padua

   Affiliation as printed

   Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy

6. Attilio A Lotto

   Alder Hey Children's Hospital

   Affiliation as printed

   Pediatric Cardiac Surgery, Alder Hey Children's Hospital, Liverpool, UK

7. George E. Sarris
   Affiliation as printed

   Athens Heart Surgery Institute, Athens, Greece

8. Filip M J J De Somer

   Ghent University Hospital

   Affiliation as printed

   Heart Centre University Hospital Ghent, Ghent, Belgium

9. Normunds Sikora

   Pauls Stradiņš Clinical University Hospital · Riga Stradiņš University

   Affiliation as printed

   Pauls Stradins Clinical University Hospital, Riga Stradins University, RSU Red Cross Medical College, Riga, Latvia

10. Dedré Buys

    Leiden University Medical Center

    Affiliation as printed

    Department of Cardiothoracic Surgery, University of Leiden, University Medical Center Leiden, Leiden, The Netherlands

11. Lindy Liebenberg

    Leiden University Medical Center

    Affiliation as printed

    Department of Cardiothoracic Surgery, University of Leiden, University Medical Center Leiden, Leiden, The Netherlands

12. Marloes van Hoeven

    Catharina Ziekenhuis

    Affiliation as printed

    Department of Cardiothoracic Surgery, Catharina Hospital, Eindhoven, the Netherlands

13. Zdzisław Tobota

    Children's Memorial Health Institute

    Affiliation as printed

    Pediatric Cardiothoracic Surgery, Children's Memorial Health Institute, Warsaw, Poland

14. Justin B. Long

    Emory University · Children's Healthcare of Atlanta

    Affiliation as printed

    Department of Anesthesiology, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA

15. David F. Vener

    Baylor College of Medicine · Texas Children's Hospital

    Affiliation as printed

    Departments of Pediatrics and Anesthesia, Baylor College of Medicine and Texas Children's Hospital, Houston, TX

16. Steffen Rex

    KU Leuven

    Affiliation as printed

    Department of Anaesthesiology, University Hospitals Leuven, Leuven, Belgium; Department of Cardiovascular Sciences, KU Leuven-University of Leuven, Leuven, Belgium

17. Gudrun Kunst

    King's College London · King's College Hospital · King's College Hospital NHS Foundation Trust

    Affiliation as printed

    Department of Anaesthetics and Pain Therapy King's College Hospital NHS Foundation Trust, London, UK; School of Cardiovascular and Metabolic Medicine & Sciences, King's College London, UK

18. Tommaso Aloisio

    IRCCS Policlinico San Donato

    Affiliation as printed

    Department of Cardiovascular Anesthesia and Intensive Care, I.R.C.C.S. Policlinico San Donato, Milan, Italy

19. Mariana Julião Correia

    Hospital de Egas Moniz · Centro Hospitalar de Lisboa Ocidental

    Affiliation as printed

    Departamento de Anestesiologia, Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal

20. Gabor Erdoes

    University of Bern · University Hospital of Bern

    Affiliation as printed

    Department of Anesthesiology and Pain Medicine, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland

21. Josefin Grabert

    University Hospital Bonn

    Affiliation as printed

    Department of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, 53127, Bonn, Germany

22. Katharina Gräfe Aachen Department of Anesthesiology, Medical Faculty

    RWTH Aachen University

    Affiliation as printed

    Department of Anesthesiology, Medical Faculty RWTH Aachen University, Aachen, Germany

23. Giuseppe Isgrò

    IRCCS Policlinico San Donato

    Affiliation as printed

    Department of Pediatric Intensive Care Unit, I.R.C.C.S. Policlinico San Donato, Milan, Italy

24. Aniruddha Ramesh Janai

    Leipzig Heart Institute

    Affiliation as printed

    Department of Anesthesiology and Intensive Care Medicine, Heart Center Leipzig, Leipzig, Germany

25. Nadeen Habib Khalil

    Leipzig Heart Institute

    Affiliation as printed

    Department of Anesthesiology and Intensive Care Medicine, Heart Center Leipzig, Leipzig, Germany

26. Maren Kleine‐Brueggeney

    Humboldt-Universität zu Berlin · German Centre for Cardiovascular Research · Charité - Universitätsmedizin Berlin · Freie Universität Berlin · Deutsches Herzzentrum der Charité

    Affiliation as printed

    Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

    Department of Cardiac Anesthesiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Berlin, Germany

    German Center for Cardiovascular Research, partner site Berlin, Berlin, Germany

27. Joost M. van der Maaten

    University Medical Center Groningen · University of Groningen

    Affiliation as printed

    Department of Anesthesiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands

28. Mona Momeni

    UCLouvain · Cliniques Universitaires Saint-Luc

    Affiliation as printed

    Department of Anesthesiology, Cliniques Universitaires Saint-Luc, Brussels, Belgium

    Institute of Experimental and Clinical Research, UCLouvain, Brussels, Belgium

    Institute of Neuroscience, UCLouvain, Brussels, Belgium

29. Pieter Okkerse

    Leiden University Medical Center

    Affiliation as printed

    Department of Anesthesiology, Leiden University Medical Center, Leiden, The Netherlands

30. Ömer Faruk Şavluk

    Kartal Koşuyolu High Specialization Training and Research Hospital

    Affiliation as printed

    Anesthesiology and Reanimation Clinic, Kartal Kosuyolu High Education and Training Hospital, Istanbul, Turkey

31. Ehrenfried Schindler

    University of Bonn · University Hospital Bonn

    Affiliation as printed

    Department of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Bonn, Germany

32. Peter Szedlak

    Leeds Teaching Hospitals NHS Trust · Leeds General Infirmary

    Affiliation as printed

    Leeds General Infirmary, The Leeds Teaching Hospitals NHS Trust, Leeds, UK

33. Edgár Székely

    Semmelweis University

    Affiliation as printed

    Department of Anesthesiology and Intensive Care, Semmelweis University, Budapest, Hungary

34. Michaël Vandenheuvel

    Ghent University Hospital

    Affiliation as printed

    Department of Cardiac Anesthesia, Ghent University Hospital, Ghent, Belgium

35. Markus Velten

    The University of Texas Southwestern Medical Center

    Affiliation as printed

    Department of Anesthesiology and Pain Management, Division of Cardiovascular and Thoracic Anesthesiology, University of Texas Southwestern Medical Center, Dallas, Texas, USA

36. Georgina Westcott

    Guy's and St Thomas' NHS Foundation Trust · Evelina London Children's Healthcare

    Affiliation as printed

    Department of Anaesthesia, Evelina London Children's Hospital, Guy's and St. Thomas' NHS Foundation Trust, London, UK