Development of the MAGIC congenital heart disease catheterization database for interventional outcome studies

J Interv Cardiol. 2006 Apr;19(2):173-7. doi: 10.1111/j.1540-8183.2006.00128.x.

Abstract

As the field of catheter-based therapies for congenital heart disease continues to expand, we lack the evidence-based data to make appropriate therapeutic decisions in the catheterization laboratory. A stumbling block to the determination of evidence-based therapies is our inability to simply and reliably share outcome data across multiple centers. We investigated whether a commonly used congenital heart disease catheterization database program (PedCath) could be used as an automatic catheterization data submission tool to a central database for outcome analysis. To test the feasibility of such a tool for collaborative outcomes research we formed a national group of seven congenital heart disease centers, the Mid-Atlantic Group of Interventional Cardiology, to warehouse and analyze catheterization data. We successfully modified PedCath to transfer the results of catheter-based therapies on 256 therapeutic procedures for atrial septal defect (ASD) closure, coarctation of the aorta angioplasty and stenting, and pulmonary and aortic balloon valvuloplasties over a 13-month pilot period. Short-term follow-up within the 13-month period was received on 31 patients. This study demonstrated the successful development of a simple process, requiring minimal data entry for investigators from around the world to share cardiac catheterization data for long-term outcome determination of catheter-based therapies for congenital heart disease.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Cardiac Catheterization / standards*
  • Cardiac Catheterization / statistics & numerical data*
  • Databases, Factual*
  • Female
  • Heart Defects, Congenital / epidemiology
  • Heart Defects, Congenital / etiology
  • Heart Defects, Congenital / surgery*
  • Humans
  • Male
  • Mid-Atlantic Region / epidemiology
  • Outcome Assessment, Health Care*
  • Registries*
  • Treatment Outcome
  • United States / epidemiology