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The European Perfusion Registry: A Work in Progress
Luc Puis, ECCPIan Johnson, AACPElse Nygreen, ECCPPia Sprogøe, ECCPTim Jones, MB BS, MD, FRCS
ICEBP - AMSECT 2011 San Antonio
ICEBP - AMSECT 2011 San Antonio
Disclaimer
I declare having no conflict of interest
ICEBP - AMSECT 2011 San Antonio
Importance of Registries
To measure is to know
Register
Evaluate
Benchmark
ChangeRegister
Re-evaluate
Change
Practice
Best Practice
ICEBP - AMSECT 2011 San Antonio
Importance of Registries
ICEBP - AMSECT 2011 San Antonio
Importance of Registries
ICEBP - AMSECT 2011 San Antonio
Existing Registries
ICEBP - AMSECT 2011 San Antonio
Existing Registries
ICEBP - AMSECT 2011 San Antonio
Existing Registries
• heterogeneous data between registries
• descriptive procedural data
• no risk stratification, no outcome
• cost
• no or low number of perfusion parameters in cardiac surgery databases
Why not adhere? – Several issues
ICEBP - AMSECT 2011 San Antonio
Setting up a Registry
• people, that need coming together, money
• dataset and medium for collection
• motivation and trust to submit data
• quality control and error reporting
Long and labor-intensive work which requires:
Safety of data and priv
acy issues
• statistical processing
• publication of results (public/benchmarking)
ICEBP - AMSECT 2011 San Antonio
Setting up a Registry
And having to put them together later anyway…
To avoid to having all countries to go through this:
ICEBP - AMSECT 2011 San Antonio
Setting up the EPR
Gathering people together:
Ian Johnson, AACPElse Nygreen, ECCPPia Sprogøe, ECCPTim Jones, MB BS, MD, FRCSLuc Puis, ECCP
ICEBP - AMSECT 2011 San Antonio
Ideally…
The benefit for the patient is our common cause…
We’re all treating the same patients…
ICEBP - AMSECT 2011 San Antonio
Ideally…
We’re all treating the same patients…
ICEBP - AMSECT 2011 San Antonio
Ideally…
Benefits of such collaboration…
• large number of cases
• added value for surgeons• legion of data submitters
• access to extended data for perfusionists• avoidance of double collection
• more powerful database
BETTER CARE FOR OUR PATIENTS
ICEBP - AMSECT 2011 San Antonio
What have we done so far?
Mission Statement
ICEBP - AMSECT 2011 San Antonio
What have we done so far?
Mission Statement
ICEBP - AMSECT 2011 San Antonio
What have we done so far?
Registered Charity – judicial background
ICEBP - AMSECT 2011 San Antonio
What will it look like?
EACTS Adult Cardiac Surgery Database
• active plans for web-based database
static submission dynamic submission
(online/upload)
• add perfusion parameters to it (same patients)
• participation would be free for participants
ICEBP - AMSECT 2011 San Antonio
What still needs to be done…
Structure of European Perfusion Registry
Scientific Advisory
Board
Members (Participants)
Board of Directors
ICEBP - AMSECT 2011 San Antonio
What still needs to be done…
Structure of European Perfusion Registry
Who
• chair, secretary, treasurer• founding members• not restricted
Tasks
• daily management of Charity• funding – financial management• communication with participants and partners
ICEBP - AMSECT 2011 San Antonio
What still needs to be done…
Structure of European Perfusion Registry
Who
• perfusionists, surgeons, anesthetists• statistician• epidemiologist• …
Tasks
• dataset• quality control / error reporting• statistical processing• publishing of reports
ICEBP - AMSECT 2011 San Antonio
What still needs to be done…
Who
• countries• centers• individuals• NOT restricted to Europe
Tasks
• comply to membership / bylaws• bring in the (correct) data• read reports• change practice to best practice
Structure of European Perfusion Registry
ICEBP - AMSECT 2011 San Antonio
Next steps…
There is still a long way to go…
ICEBP - AMSECT 2011 San Antonio
Dataset
ICEBP - AMSECT 2011 San Antonio
DatasetWhat do you want to achieve?
Areas of Risk Outcome
Identify parameters that have an influence on these areas
Bleeding
Antico
Transfusion
Inflammation
Organ Injury
LCOS LOS - …
Morbidity
Mortality
• heparine• protamine• Hct• Hb• RBC•Plts• FFP• …• …
• coating• cardioplegia• hemofilters• open/closed• PSB managmnt• …• …• …
• cardioplegia• inotropes• …• …• …
• ventilation• ICU• complicat• death• …• …
ICEBP - AMSECT 2011 San Antonio
Risk Scores
ICEBP - AMSECT 2011 San Antonio
Risk Scores
ICEBP - AMSECT 2011 San Antonio
Risk Scores
ICEBP - AMSECT 2011 San Antonio
Risk Scores
ICEBP - AMSECT 2011 San Antonio
Risk Scores
ICEBP - AMSECT 2011 San Antonio
Quality Improvement
ICEBP - AMSECT 2011 San Antonio
Dendrite Clinical Systems Ltd.www.e-dendrite.com
ICEBP - AMSECT 2011 San Antonio
Dendrite Clinical Systems Ltd.www.e-dendrite.com
ICEBP - AMSECT 2011 San Antonio
Dendrite Clinical Systems Ltd.www.e-dendrite.com
ICEBP - AMSECT 2011 San Antonio
BelSECT 13th Symposium
• September 29th 2012, Brussels
• Simulation Sessions, September 28th
• gathering of three EU simulation groups• focus on teamtraining, scenario writing and
assessment
ICEBP - AMSECT 2011 San Antonio
Thank You
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