Monday, September 6, 2010


 

Results



    This page contains the description of the reports only. To see the reports themselves, please select in the menu "Results" and then use apearing pop-up menu.


Gold standards report


Mortality vs Procedure


Basic score report




Gold standards report

The Gold Standards Report, over time, became the actual standard for the EACTS Congenital Database. The main part of the report is the table, which shows information about 7 parameters of the collected data. The parameters are:

  1. IPPV (in hours)
  2. Total CPB time (minutes)
  3. Total AoX time (minutes)
  4. Circulatory arrest (minutes)
  5. Patient's weight (kg)
  6. Age at operation (months)
  7. Length of stay (LOS) (days)

For each parameter you will see:

  1. How many operations have this parameter entered
  2. What percent of all data is it
  3. What is the minimum value of the parameter
  4. The mean value of the parameter
  5. Median (or standard deviation in new version)
  6. Maximum value of the parameter

There is some additional data over the main table. It includes:

  1. Number of patients
  2. Number of procedures, which is in this case equal to the number of operations, as the report counts only primary procedures, and there's only one primary procedure per operation
  3. Numbers of operations of each type: CPB, non-CPB, Thoracic, Other, ECMO, Interventional Cardiology
  4. 30-day mortality (ThirtyDaysMortality) and number of deaths


Options

The Gold Standards Report has options, which can be used to customize it. The options are:

  • Procedures: you can specify the procedure; if you do so, only operations with this procedure will be counted. If you want, you can select more than one procedure, holding CTRL key and clicking on procedures' names
  • Age group: you can specify the age group. There are four age group to choose: 0-30 days, 31-365 days and 0-365 days.
  • Hospital Code: you can specify the hospital; if you do so, only operations from this hospital will be counted
  • Years: you can specify one year or more


Five Best Centers

In addition to the main part of the report, you can see the corresponding results from five best centers. The 'best' criterion can be chosen as:

  1. Lowest mortality
  2. Lowest 30-day mortality
  3. Shortest LOS
  4. Shortest IPPV
  5. Biggest number of cases (operations)

If you select one of those, there will be five additional tables below the main table. They will contain Gold Standards Report for the five best centers listed by choosen parameter.

As for the mortality, it is common that there are some centers with very few operations, and very low mortality, probably because they provided us with less then 100% of their data.  You may specify minimal number of operations provided by a hospital, to be taken into account when choosing best centers. 



Basic score report
 

This small tutorial will introduce you to the Basic score Report, step by step. It will help you understand how it works.

 

Opening the form

First, you should go to the Basic score Report Form. You can reach it  by clicking "Results->Basic Score Report" from the manu.

Now you should see the Basic Score Report Form, which looks like as follow:

Split by continent                    [ ] Yes  [o] No
Split by hospital                     [ ] Yes  [o] No
Split by case category                [ ] Yes  [o] No
Split by year                         [ ] Yes  [o] No
Split by survival                     [ ] Yes  [o] No
Split by age group                    [ ] Yes  [o] No

[Generate report]


The Basic Score for the whole database

Second, you will see many options. Just press the "Generate report" button. As a result, you will see one row, similar to this:

Mean Basic Score Number of procedures Number of patients 30 days mortality 30 days survival
6.52 19026 procedures 17422 patients 5,00% 95,00%

This is the mean basic score for the whole database.


Basic Score for each Age Group

Now, let's try something more. Let us see, how the basic score splitted by age group will look. Go to the Basic Score Report Form by clicking on the "Basic Score report" link, which is in the top left corner of the screen. Now, change the "Split by age group" option to "Yes". The form should now look like this:

Split by continent                    [ ] Yes  [o] No
Split by hospital                     [ ] Yes  [o] No
Split by case category                [ ] Yes  [o] No
Split by year                         [ ] Yes  [o] No
Split by survival                     [ ] Yes  [o] No
Split by age group                    [o] Yes  [ ] No

[Generate report]

Press the "Generate Report" button and look at the results, which should look like this:

Age group Mean B.S. Number of procedures Number of patients 30 days mortality 30 days survival
Infants 6.68 6322 procedures 5944 patients 5.06% 94.94%
Neonates 7.63 3737 procedures 3444 patients 11.82% 88.18%
The rest 5.95 8967 procedures 8543 patients 1.93% 98.07%

This report shows the basic score for each of the age groups. Now, try other splits, but remember to select only one split at a time, so the results are clear for you.

When you become familiar with the single split, you can try two splits. The good example could be combining some split (e.g. "continent") with the "year" split. Your Basic Score Report Form should look like this:

Split by continent                    [o] Yes  [ ] No
Split by hospital                     [ ] Yes  [o] No
Split by case category                [ ] Yes  [o] No
Split by year                         [o] Yes  [ ] No
Split by survival                     [ ] Yes  [o] No
Split by age group                    [ ] Yes  [o] No

[Generate report]

This will show you the basic score for each continent in each year. In this report you will see the basic score in Europe for each year. Other continents will be visible, as well.

Now, you can try more splits combinations, to explore different Basic Score results.



 


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