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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Jacobs, Jeffrey P. 2013. Pediatric Cardiac Surgery.


    Shin, Hong Ju Jhang, Won Kyoung Park, Jeong-Jun and Yun, Tae-Jin 2011. Impact of Delayed Sternal Closure on Postoperative Infection or Wound Dehiscence in Patients With Congenital Heart Disease. The Annals of Thoracic Surgery, Vol. 92, Issue. 2, p. 705.


    Jacobs, Jeffrey Phillip Maruszewski, Bohdan Kurosawa, Hiromi Jacobs, Marshall Lewis Mavroudis, Constantine Lacour-Gayet, Francois G. Tchervenkov, Christo I. Walters, Hal Stellin, Giovanni Ebels, Tjark Tsang, Victor T. Elliott, Martin J. Murakami, Arata Sano, Shunji Mayer, John E. Edwards, Fred H. and Quintessenza, James Anthony 2010. Congenital Heart Surgery Databases Around the World: Do We Need a Global Database?. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual, Vol. 13, Issue. 1, p. 3.


    Jacobs, Jeffrey Phillip Jacobs, Marshall Lewis Mavroudis, Constantine Backer, Carl Lewis Lacour-Gayet, Francois G. Tchervenkov, Christo I. Franklin, Rodney C. G. Béland, Marie J. Jenkins, Kathy J. Walters, Hal Bacha, Emile A. Maruszewski, Bohdan Kurosawa, Hiromi Clarke, David Robinson Gaynor, J. William Spray, Thomas L. Stellin, Giovanni Ebels, Tjark Krogmann, Otto N. Aiello, Vera D. Colan, Steven D. Weinberg, Paul Giroud, Jorge M. Everett, Allen Wernovsky, Gil Elliott, Martin J. and Edwards, Fred H. 2008. Nomenclature and databases for the surgical treatment of congenital cardiac disease – an updated primer and an analysis of opportunities for improvement. Cardiology in the Young, Vol. 18, Issue. S2, p. 38.


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Congenital cardiac surgical complications of the integument, vascular system, vascular-line(s), and wounds: consensus definitions from the Multi-Societal Database Committee for Pediatric and Congenital Heart Disease

  • Henry L. Walters (a1), Howard E. Jeffries (a2), Gordon A. Cohen (a3) and Thomas Klitzner (a4)
  • DOI: http://dx.doi.org/10.1017/S1047951108003016
  • Published online: 01 December 2008
Abstract
Abstract

A complication is an event or occurrence that is associated with a disease or a healthcare intervention, is a departure from the desired course of events, and may cause, or be associated with, suboptimal outcome. A complication does not necessarily represent a breech in the standard of care that constitutes medical negligence or medical malpractice. An operative or procedural complication is any complication, regardless of cause, occurring (1) within 30 days after surgery or intervention in or out of the hospital, or (2) after 30 days during the same hospitalization subsequent to the operation or intervention. Operative and procedural complications include both intraoperative/intraprocedural complications and postoperative/postprocedural complications in this time interval.

The MultiSocietal Database Committee for Pediatric and Congenital Heart Disease has set forth a comprehensive list of complications associated with the treatment of patients with congenital cardiac disease, related to cardiac, pulmonary, renal, haematological, infectious, neurological, gastrointestinal, and endocrinal systems, as well as those related to the management of anaesthesia and perfusion, and the transplantation of thoracic organs. The objective of this manuscript is to examine the definitions of operative morbidity as they relate specifically to a collection of loosely related topics that include the following groups of complications: 1) Complications of the Integument, 2) Complications of the Vascular System, 3) Complications of the Vascular-Line(s), 4) Complications of Wounds. These specific definitions and terms will be used to track morbidity associated with surgical and transcatheter interventions and other forms of therapy in a common language across many separate databases.

As surgical survival in children with congenital cardiac disease has improved in recent years, focus has necessarily shifted to reducing the morbidity of congenital cardiac malformations and their treatment. A comprehensive list of complications is presented. This list is a component of a systems-based compendium of complications that will standardize terminology and thereby allow the study and quantification of morbidity in patients with congenital cardiac malformations. Clinicians caring for patients with congenital cardiac disease will be able to use this list for databases, initiatives to improve quality, reporting of complications, and comparing strategies of treatment.

Copyright
Corresponding author
Correspondence to: Henry L. Walters III, MD, Department of Cardiovascular Surgery, Children’s Hospital of Michigan, 3901 Beaubien Boulevard, Detroit, MI 48201, USA. Tel: 313 745 5538; Fax: 313 993 0531; E-mail: hwalters@dmc.org
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Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
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