The Resource Relationship between hospital procedure volume and complications following congenital cardiac catheteriazation : a report from the IMPACT Registry, Natalie M. Jayaram

Relationship between hospital procedure volume and complications following congenital cardiac catheteriazation : a report from the IMPACT Registry, Natalie M. Jayaram

Label
Relationship between hospital procedure volume and complications following congenital cardiac catheteriazation : a report from the IMPACT Registry
Title
Relationship between hospital procedure volume and complications following congenital cardiac catheteriazation
Title remainder
a report from the IMPACT Registry
Statement of responsibility
Natalie M. Jayaram
Creator
Contributor
Author
Degree supervisor
Subject
Genre
Language
eng
Summary
The association between institutional volume and outcomes has been demonstrated for many procedures within the field of cardiology, but whether this relationship exists within the field of congenital cardiac catheterization is unknown. Using the IMPACT® (Improving Pediatric and Adult Congenital Treatment) Registry, we identified all congenital cardiac catheterizations between January 2011 and December 2013 at 64 institutions. Programs were categorized according to their annual catheterization lab volume as small (<150 cases per year), medium (150 to 300 cases per year), large (300- 500 cases per year), and very large (>500 cases per year). Hierarchical logistic regression, adjusted for patient and procedural characteristics, was used to determine the association between annual catheterization lab volume and occurrence of a major adverse event. Among the 33,825 catheterization cases included in the study cohort, a major adverse event occurred in 711 (2.1%) cases. In unadjusted analysis, major adverse events differed based upon annual volume, with a major adverse event occurring in 79 (2.8%) cases at small, 145 (2.3%) cases at medium, 234 (2.1%) cases at large, and 253 (1.9%) cases at very-large programs (p=0.01). After adjustment for patient and procedural risk factors, there was no association between annual procedure volume and occurrence of a major adverse event (odds ratio 0.96 [95% Confidence Interval=0.90, 1.04] per increase in annual volume of 100, p=0.32). There was no difference in the volume-outcome relationship by procedure severity (interaction p=0.49). The unadjusted risk of adverse events is lower in centers performing more catheterizations for congenital heart disease. However, after adjustment for patient- and procedure-level factors, we were unable to identify a significant association between center volume and outcome. The hospital sample size and low event rate may have limited our ability to detect significant differences
Cataloging source
UMK
http://library.link/vocab/creatorDate
1979-
http://library.link/vocab/creatorName
Jayaram, Natalie M.,
Degree
M.S.
Dissertation note
(School of Medicine).
Dissertation year
2014.
Granting institution
University of Missouri-Kansas City,
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
  • theses
http://library.link/vocab/relatedWorkOrContributorName
Williams, Karen B.
http://library.link/vocab/subjectName
  • Outcome assessment (Medical care)
  • Cardiac catheterization in children
  • Congenital heart disease in children
  • Pediatric cardiology
  • Outcome Assessment (Health Care)
  • Cardiac Catheterization
  • Heart Defects, Congenital
Label
Relationship between hospital procedure volume and complications following congenital cardiac catheteriazation : a report from the IMPACT Registry, Natalie M. Jayaram
Instantiates
Publication
Note
  • "A thesis in Bioinformatics."
  • Advisor: Karen B. Williams
  • Vita
Antecedent source
not applicable
Bibliography note
Includes bibliographical references (pages 25-27)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Color
black and white
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Contents
Introduction -- Methods -- Results -- Discussion -- Conclusion
Control code
960869842
Dimensions
unknown
Extent
1 online resource (29 pages)
File format
one file format
Form of item
online
Level of compression
mixed
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations.
Quality assurance targets
not applicable
Specific material designation
remote
System control number
(OCoLC)960869842
System details
  • The full text of the thesis is available as an Adobe Acrobat .pdf file; Adobe Acrobat Reader required to view the file
  • Mode of access: World Wide Web
Label
Relationship between hospital procedure volume and complications following congenital cardiac catheteriazation : a report from the IMPACT Registry, Natalie M. Jayaram
Publication
Note
  • "A thesis in Bioinformatics."
  • Advisor: Karen B. Williams
  • Vita
Antecedent source
not applicable
Bibliography note
Includes bibliographical references (pages 25-27)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Color
black and white
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Contents
Introduction -- Methods -- Results -- Discussion -- Conclusion
Control code
960869842
Dimensions
unknown
Extent
1 online resource (29 pages)
File format
one file format
Form of item
online
Level of compression
mixed
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations.
Quality assurance targets
not applicable
Specific material designation
remote
System control number
(OCoLC)960869842
System details
  • The full text of the thesis is available as an Adobe Acrobat .pdf file; Adobe Acrobat Reader required to view the file
  • Mode of access: World Wide Web

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