Implementation and Preliminary Results of an Interoperable, Standardised Clinical Registry on Cardiovascular Surgery

Abstract

The implementation of a Clinical Registry in a hospital environment becomes a challenge in the face of different types of treatment, care culture and non-standardized records. Objective: To describe the implementation and preliminary results of the Clinical Registry of Cardiovascular Surgery. Methods: The Registry was designed using REDCap, with remote access via a web interface. The registry included patients older than 18 years undergoing coronary artery bypass grafting, valve repair or replacement, aortic surgery, congenital heart disease and cardiac transplants, at the Cardiology Institute of RS - Brazil. Data elements were nationally and internationally standardized (STS Adult Cardiac Database and Bypass - Brazilian Registry of Cardiovascular Surgery in Adults). Results: Data were collected at pre, trans and immediate postoperative periods, in the intensive care unit, at hospital discharge, at 1 and 6 months, and annually after surgery. The dataset included 650 variables. A team of approx. 18 professionals were involved in data collection and management. The first year of data collection was completed in November 2016, reaching 1,000 patients. Male prevalence was  66.4%, mean age 62 years, use of the Public Health System 67.8%, procedures were myocardial revascularization surgery 60.9%, valve surgery 39.6%, aortic surgeries 10.5%), congenital heart disease 1.8%, and heart transplantation 0.2%. Conclusion: The registry allowed the identification of measures to evaluate care quality and cost efficiency. Successful interoperability with other registries in cardiology, will contribute to new discoveries and quality care improvements.