Análisis de los datos del Registro Español de Cirugía Cardiaca (RECC) 2021-2022

IF 0.3 Q4 SURGERY
Lourdes Montero-Cruces , Manuel Carnero-Alcázar , Rafael Rodríguez-Lecocq , José C. Sureda-Barbosa , Jorge Rodríguez-Roda-Stuart , Juan J. Legarra-Calderón , Juan M. Gracia-Baena , Marta Matamala-Adell , Álvaro Pedraz-Prieto , Alejandro Adsuar-Gómez , Félix Gómez-Blasco , José F. Valderrama-Marcos , Nuria Arce-Ramos , Carlos E. Martín-López , Stefano Urso , Nora García-Borges , José A. Hernández-Campos , Pilar Gascón-García-Verdugo , José López-Menéndez
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引用次数: 0

Abstract

Introduction

Since February 8, 2021, the Spanish Society of Cardiovascular and Endovascular Surgery got under way the Spanish Registry of Cardiac Surgery (RECC), which is available for the different units of cardiovascular surgeons in our country. It is a tool that allows collect patient-level data of patients undergoing cardiac, vascular or endovascular surgery. After two years of development, we have carried out an analysis of the quality of the information obtained in order to acquire an overview of its content.

Methods

The information has been analyzed anonymously at patient, hospital and province level. For risk-adjusted mortality estimation, the EuroSCORE II preoperative risk estimation scale was used.

Results

A total of 7087 interventions have been included. Six thousand two hundred and sixty-seven were major cardiac surgeries: 53.9% valvular, 25.2% coronary artery bypass grafting, and 14.9% aortic procedures. The overall mortality was 5.0% and the risk-adjusted mortality rate was 0.88. The EuroSCORE II calibration in the overall sample was good in the lowest-risk patients, although it overestimated mortality in high-risk patients.

Conclusions

RECC is a nationally defined clinical database in the field of cardiovascular surgery. RECC allows a patient-level data analysis in order to perform an accurate analysis of the volumen of activity, risk adjustment and results. Locally, it could be used as a tool to improve the quality of care and development of corrective programs.

西班牙心脏手术登记处(RECC) 2021-2022数据分析
简介自2021年2月8日起,西班牙心血管和血管内外科学会开始进行西班牙心脏外科注册(RECC),该注册可用于我国不同的心血管外科医生单位。它是一种允许收集接受心脏、血管或血管内手术的患者的患者级数据的工具。经过两年的发展,我们对所获得的信息的质量进行了分析,以了解其内容。方法在患者、医院和省级层面对信息进行匿名分析。对于风险调整后的死亡率估计,使用EuroSCORE II术前风险估计量表。结果共纳入7087项干预措施。六千二百六十七例为主要心脏手术:53.9%为瓣膜手术,25.2%为冠状动脉搭桥术,14.9%为主动脉手术。总死亡率为5.0%,风险调整死亡率为0.88。总体样本中的EuroSCORE II校准在风险最低的患者中表现良好,尽管它高估了高危患者的死亡率。结论sRECC是心血管外科领域一个全国性的临床数据库。RECC允许进行患者层面的数据分析,以便对活动量、风险调整和结果进行准确分析。在当地,它可以被用作提高护理质量和制定纠正方案的工具。
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来源期刊
CiteScore
0.50
自引率
66.70%
发文量
109
审稿时长
69 days
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