Recommendations for Centers Performing Pediatric Heart Surgery in the United States

被引:9
作者
Backer, Carl L. [1 ,30 ]
Overman, David M. [2 ]
Dearani, Joseph A. [3 ]
Romano, Jennifer C. [4 ]
Tweddell, James S. [1 ]
Ram Kumar, S. [5 ]
Marino, Bradley S. [6 ]
Bacha, Emile A. [7 ]
Jaquiss, Robert D. B. [8 ]
Zaidi, Ali N. [9 ]
Gurvitz, Michelle [10 ]
Costello, John M. [11 ]
Pierick, Trudy A. [12 ]
Ravekes, William J. [13 ]
Reagor, James A. [14 ]
St. Louis, James D. [15 ]
Spaeth, James [16 ]
Mahle, William T. [17 ]
Shin, Andrew Y. [18 ]
Lopez, Keila N. [19 ]
Karamlou, Tara [20 ]
Welke, Karl F. [21 ]
Bryant, Roosevelt [22 ]
Husain, S. Adil [23 ]
Chen, Jonathan M. [24 ]
Kaza, Aditya [25 ]
Wells, Winfield J. [5 ]
Glatz, Andrew C. [26 ]
Cohen, Mitchell I. [27 ]
Mcelhinney, Doff B. [18 ]
Parra, David A. [28 ]
Pasquali, Sara K. [29 ]
机构
[1] Cincinnati Childrens Hosp Med Ctr, Dept Surg, Cincinnati, OH USA
[2] Mayo Clin, Div Cardiovasc Surg, Childrens Minnesota Cardiovasc Collaborat, Childrens Minnesota, Minneapolis, MN USA
[3] Mayo Clin, Dept Surg, Rochester, MN USA
[4] Univ Michigan, CS Mott Childrens Hosp, Dept Cardiac Surg, Ann Arbor, MI USA
[5] Childrens Hosp Los Angeles, Dept Surg, Los Angeles, CA USA
[6] Cleveland Clin, Dept Pediat Cardiol, Cleveland, OH USA
[7] Columbia Univ, New York Presbyterian Morgan Stanley Childrens Hos, Dept Surg, New York, NY USA
[8] UT Southwestern Childrens Hlth, Dept Surg, Dallas, TX USA
[9] Icahn Sch Med Mt Sinai, Dept Pediat, New York, NY USA
[10] Boston Childrens Hosp, Dept Cardiol, Boston, MA USA
[11] Med Univ South Carolina, Shawn Jenkins Childrens Hosp, Dept Pediat, Charleston, SC USA
[12] Univ Iowa, Stead Family Childrens Hosp, Dept Pediat, Iowa City, IA USA
[13] Johns Hopkins Childrens Ctr, Dept Pediat, Baltimore, MD USA
[14] Cincinnati Childrens Hosp Med Ctr, Dept Cardiovasc Perfus, Cincinnati, OH USA
[15] Inova Childrens Hosp, Dept Surg, Fairfax, VA USA
[16] Cincinnati Childrens Hosp Med Ctr, Dept Anesthesia, Cincinnati, OH USA
[17] Emory Univ, Dept Pediat, Childrens Healthcare Atlanta, Atlanta, GA USA
[18] Stanford Med Childrens Hlth, Dept Pediat, Palo Alto, CA USA
[19] Texas Childrens Hosp, Dept Pediat, Houston, TX USA
[20] Cleveland Clin, Dept Thorac & Cardiovasc Surg, Cleveland, OH USA
[21] Atrium Hlth Levine Childrens Hosp, Dept Surg, Charlotte, NC USA
[22] Phoenix Childrens Hosp, Dept Surg, Phoenix, AZ USA
[23] Primary Childrens Med Ctr, Dept Surg, Salt Lake City, UT USA
[24] Childrens Hosp Philadelphia, Dept Cardiac Surg, Philadelphia, PA USA
[25] Boston Childrens Hosp, Dept Cardiac Surg, Boston, MA USA
[26] St Louis Childrens Hosp, Dept Pediat, St Louis, MO USA
[27] Inova Childrens Hosp, Dept Pediat, Fairfax, VA USA
[28] Vanderbilt Childrens Hosp, Dept Pediat, Vanderbilt, TN USA
[29] Univ Michigan, CS Mott Childrens Hosp, Dept Pediat, Ann Arbor, MI 48109 USA
[30] Cincinnati Childrens Hosp Med Ctr, 3333 Burnet Ave NLC 2013, Cincinnati, OH 45229 USA
关键词
congenital heart disease; congenital heart surgery; pediatric cardiac critical care; cardiopulmonary bypass; perfusion; imaging; catheterization; anesthesia; heart transplantation; EXPERT CONSENSUS STATEMENT; CARDIOVASCULAR COMPUTED-TOMOGRAPHY; SEDATION PRACTICE RECOMMENDATIONS; ANESTHESIA SOCIETY-SOCIETY; RADIATION-DOSE BENCHMARKS; CARDIAC-CATHETERIZATION; CRITICAL-CARE; CONGENITAL ELECTROPHYSIOLOGY; THERAPEUTIC PROCEDURES; COMPLEX RELATIONSHIP;
D O I
10.1177/21501351231190353
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Care and outcomes for the more than 40,000 patients undergoing pediatric and congenital heart surgery in the United States annually are known to vary widely. While consensus recommendations have been published across numerous fields as one mechanism to promote a high level of care delivery across centers, it has been more than two decades since the last pediatric heart surgery recommendations were published in the United States. More recent guidance is lacking, and collaborative efforts involving the many disciplines engaged in caring for these children have not been undertaken to date. The present initiative brings together professional societies spanning numerous care domains and congenital cardiac surgeons, pediatric cardiologists, nursing, and other healthcare professionals from diverse programs around the country to develop consensus recommendations for United States centers. The focus of this initial work is on pediatric heart surgery, and it is recommended that future efforts focus in detail on the adult congenital population. We describe the background, rationale, and methodology related to this collaborative effort, and recommendations put forth for Essential Care Centers (essential services necessary for any program), and Comprehensive Care Centers (services to optimize comprehensive and high-complexity care), encompassing structure, process, and outcome metrics across 14 domains. Graphical Abstract
引用
收藏
页码:642 / 679
页数:38
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