Development of the MAGIC congenital heart disease catheterization database for interventional outcome studies.
Development of the MAGIC congenital heart disease catheterization database for interventional outcome studies.
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DOI：
10.1111/j.1540-8183.2006.00128.x
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发表时间：
2006-04-01
影响因子：
2.1
通讯作者：
Lim, D Scott
中科院分区：
文献类型：
--
作者：
Everett, Allen D;Ringel, Richard;Lim, D Scott
随着先天性心脏病导管治疗领域的不断扩大，我们缺乏循证数据来在导管室做出适当的治疗决策。确定循证疗法的一个绊脚石是我们无法在多个中心简单可靠地共享结果数据。我们研究了常用的先天性心脏病导管插入数据库程序（PedCath）是否可用作向中央数据库提交导管插入数据的自动工具，以进行结局分析。为了测试这种工具用于协作结果研究的可行性，我们成立了一个由七个先天性心脏病中心组成的国家小组，即中大西洋介入心脏病组，以存储和分析导管插入数据。我们成功改良了PedCath，在13个月的试点期内，转移了256例房间隔缺损（ASD）闭合、主动脉缩窄血管成形术和支架植入术以及肺动脉和主动脉球囊瓣膜成形术的基于导管的治疗结果。在13个月内对31例患者进行了短期随访。这项研究证明了一个简单的过程的成功开发，需要最少的数据输入，来自世界各地的研究者共享心脏导管数据，以确定先天性心脏病的导管治疗的长期结果。
As the field of catheter-based therapies for congenital heart disease continues to expand, we lack the evidence-based data to make appropriate therapeutic decisions in the catheterization laboratory. A stumbling block to the determination of evidence-based therapies is our inability to simply and reliably share outcome data across multiple centers. We investigated whether a commonly used congenital heart disease catheterization database program (PedCath) could be used as an automatic catheterization data submission tool to a central database for outcome analysis. To test the feasibility of such a tool for collaborative outcomes research we formed a national group of seven congenital heart disease centers, the Mid-Atlantic Group of Interventional Cardiology, to warehouse and analyze catheterization data. We successfully modified PedCath to transfer the results of catheter-based therapies on 256 therapeutic procedures for atrial septal defect (ASD) closure, coarctation of the aorta angioplasty and stenting, and pulmonary and aortic balloon valvuloplasties over a 13-month pilot period. Short-term follow-up within the 13-month period was received on 31 patients. This study demonstrated the successful development of a simple process, requiring minimal data entry for investigators from around the world to share cardiac catheterization data for long-term outcome determination of catheter-based therapies for congenital heart disease.