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Risk-Adjusted Operative Mortality for Pediatric and Congenital Heart Surgery

CBE ID
2683
Endorsed
Endorsement Status
Endorsed
1.1 New or Maintenance
Maintenance
Is Under Review
No
Next Planned Maintenance Review
Fall 2025
1.3 Measure Description

Risk-adjusted percent of patients undergoing index pediatric and/or congenital heart surgery who die, including both 1) all deaths occurring during the hospitalization in which the procedure was performed, even if after 30 days (including patients transferred to other acute care facilities), and 2) those deaths occurring after discharge from the hospital, but within 30 days of the procedure

    • 1.14 Numerator

      Number of patients undergoing index pediatric and/or congenital heart surgery who die, including both 1) all deaths occurring during the hospitalization in which the procedure was performed, even if after 30 days (including patients transferred to other acute care facilities), and 2) those deaths occurring after discharge from the hospital, but within 30 days of the procedure

    • 1.15 Denominator

      All patients undergoing index pediatric and/or congenital heart surgery

    • Exclusions

      - Patients weighing less than or equal to 2,500 grams undergoing isolated patent arterial duct (PDA) ligation as their primary procedure are excluded. We acknowledge that mortality after surgical PDA closure in low-birth weight premature infants can be related to surgical judgment or technique; however, the vast majority of deaths in this patient population are multi-factorial and largely unrelated to the surgical procedure in time and by cause. Therefore, because mortality in this patient group could potentially impact significantly on the expression of overall programmatic mortality, a decision was made to exclude from mortality analysis patients weighing less than or equal to 2,500 g undergoing PDA ligation as their primary procedure.
      - All operations where the primary procedure is either pectus repair or bronchoscopy are not classified as cardiac operations (i.e., they are thoracic procedures) and thus, they are excluded from the denominator

    • OLD 1.12 MAT output not attached
      Attached
    • Most Recent Endorsement Activity
      Endorsed Surgery Spring Cycle 2019
      Initial Endorsement
      Last Updated
    • Risk Adjustment
      Statistical risk model
      Risk adjustment approach
      Off
      Risk adjustment approach
      Off
      Conceptual model for risk adjustment
      Off
      Conceptual model for risk adjustment
      Off