ReviewThe Annals of thoracic surgery2019
Development of a Congenital Heart Surgery Composite Quality Metric: Part 1-Conceptual Framework.
Review in The Annals of thoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07361523 (Using Near-Infrared Spectroscopy Devices to Assess Myocardial and Visceral Perfusion During Complex Congenital Cardiac Surgery), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Using Near-Infrared Spectroscopy Devices to Assess Myocardial and Visceral Perfusion During Complex Congenital Cardiac Surgery
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Methods to derive composite indicators used for quality and safety measurement and monitoring in healthcare: a scoping review.Frontiers in health services · 2026Pooled it
- National Variation in Congenital Heart Surgery Outcomes.Circulation · 2020Trial
- Impact of Neighborhood and Individual Social Drivers of Health on Outcomes Following Congenital Heart Surgery.World journal for pediatric & congenital heart surgery · 2026Article
- Review
- Risk Models for Monitoring Postoperative Complication Rates After Paediatric Cardiac Surgery.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025Article
- Primary vs Staged Biventricular Repair for Neonatal IAA with VSD and LVOTO.Annals of thoracic surgery short reports · 2024Article
- Risk of Cardiac Reoperation: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database.The Annals of thoracic surgery · 2024Article
- Association Between Past and Present Operative Mortality in Congenital Heart Surgery: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database.The Annals of thoracic surgery · 2024Article
- Impact of heart failure on reoperation in adult congenital heart disease: An innovative machine learning model.The Journal of thoracic and cardiovascular surgery · 2024Article
- Socioeconomic Influences on Outcomes Following Congenital Heart Disease Surgery.Pediatric cardiology · 2024Article
- Textbook outcome for the Norwood operation-an informative quality metric in congenital heart surgery.JTCVS open · 2023Article
- Broad- Versus Narrow-Spectrum Perioperative Antibiotics and Outcomes in Pediatric Congenital Heart Disease Surgery: Analysis of the Vizient Clinical Data Base.Journal of the Pediatric Infectious Diseases Society · 2023Article
- Characterization of "ICU-30": A Binary Composite Outcome for Neonates With Critical Congenital Heart Disease.Journal of the American Heart Association · 2022Article
- Risk Stratification for Congenital Heart Surgery for ICD-10 Administrative Data (RACHS-2).Journal of the American College of Cardiology · 2022Article
- Comparison of Postoperative, In-Hospital Outcomes After Complete Repair of Tetralogy of Fallot Between 22q11.2 Deletion Syndrome and Trisomy 21.Pediatric cardiology · 2022Article
- The horizon of pediatric cardiac critical care.Frontiers in pediatrics · 2022Review
- Clinical Importance of Concomitant Cleft Lip/Palate in the Surgical Management of Patients With Congenital Heart Disease.World journal for pediatric & congenital heart surgery · 2021Article
- Development of a Congenital Heart Surgery Composite Quality Metric: Part 2-Analytic Methods.The Annals of thoracic surgery · 2019Review
- Standardization of Care Reduces Length of Stay for Postoperative Congenital Heart Disease Patients.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundCurrent pediatric and congenital heart surgery quality measures focus on operative mortality, and numerous stakeholders are interested in more comprehensive measures. This report describes the background, rationale, and conceptual framework related to the development of the first composite quality metric in the field.
methodsA multidisciplinary panel reviewed methodology and framework related to quality measurement and several composite quality measures across adult cardiac surgery and other fields. The panel subsequently developed methodology and selected measures for a congenital heart surgery composite measure and reviewed potential advantages and limitations. Individual measures considered for potential inclusion in the composite were reviewed within the context of Donabedian's triad and the Institute of Medicine quality domains. Decisions were made through group consensus.
resultsThe final composite measure selected is comprised of two domains: (1) a mortality domain (operative mortality) and (2) a morbidity domain (the 6 major complications endorsed by The Society of Thoracic Surgeons and Congenital Heart Surgeons Society plus cardiac arrest, and postoperative length of stay). Potential advantages include the more comprehensive view of quality compared with mortality alone and improvements in discrimination of hospital performance through increasing the number of end points. Potential limitations include the lack of longer term outcomes and challenges related to case-mix adjustment.
conclusionsWe have applied and adapted conceptual framework and methodology related to composite quality measures across other fields to congenital heart surgery. The composite quality metric created is inclusive of both morbidity and mortality, and expands our view of quality in this patient population.
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