A Novel Model Demonstrates Variation in Risk-Adjusted Mortality Across Pediatric Cardiac ICUs After Surgery.

ABSTRACT:

Objective

To develop a postoperative mortality case-mix adjustment model to facilitate assessment of cardiac ICU quality of care, and to describe variation in adjusted cardiac ICU mortality across hospitals within the Pediatric Cardiac Critical Care Consortium.

Design

Observational analysis.

Setting

Multicenter Pediatric Cardiac Critical Care Consortium clinical registry.

Participants

All surgical cardiac ICU admissions between August 2014 and May 2016. The analysis included 8,543 admissions from 23 dedicated cardiac ICUs.

Interventions

None.

Measurements and main results

We developed a novel case-mix adjustment model to measure postoperative cardiac ICU mortality after congenital heart surgery. Multivariable logistic regression was performed to a

SUBMITTER: Tabbutt S 

PROVIDER: S-EPMC6363885 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature