Objectives: To characterize the frequency and attributability of @entity204 among @entity1 who died within 30 days of their cardiac catheterization (30-day mortality). Background: 30-day postprocedure mortality is commonly used as a quality outcome metric in national cardiac catheterization registries. It is unclear if this parameter is sufficiently specific to meaningfully capture mortality attributable to cardiac catheterization in @entity1 with @entity299 ( @entity299 ). Methods: Multicenter cohort study with 3 participating centers. Records were retrospectively reviewed for @entity1 who died within 30 days of catheterization (06/2007-06/2012). Attributability of @entity204 was assigned to each case. Results: A total of 14,707 cardiac catheterization procedures were performed during the study period. @entity204 occurred within 30 days in 279/14,707 (1.9%) of cases. Among the @entity1 who died, 53% of cases were emergent or urgent cases. The median age was 4 mos (1 day-45 years). @entity204 was attributable to the catheterization procedure in 29/279 (10%) of cases. @entity204 was attributable to cardiac surgery in 14%, precatheterization clinical status in 34%, postcatheterization clinical status in 22%, and noncardiac comorbidity in 19%. In 1%, @entity204 attributability could not be established. Conclusions: While valuable in adult settings, 30-day mortality is inadequate as a quality metric among @entity1 with @entity299 undergoing cardiac catheterization. To derive the optimal benefit from catheterization registry data, more robust methodologies to capture procedure-related mortality are needed.    2014 Wiley Periodicals, Inc.

Quality metrics in cardiac catheterization for XXXX : Utility of 30-day mortality.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity204 :: ('MESH:D003643', 'Disease') :: ['Death', 'death'] @entity299 :: ('MESH:D006331', 'Disease') :: ['CHD', 'congenital heart disease']
@entity299 :: (MESH:D006331,Disease) :: ['congenital heart disease']
