title: Procedural characteristics and adverse events in diagnostic and interventional catheterisations in paediatric and adult CHD: initial report from the IMPACT Registry.
abstract: OBJECTIVE
  To report procedural characteristics and adverse events on data collected in the registry.
  
  
  BACKGROUND
  The IMPACT--IMproving Paediatric and Adult Congenital Treatment--Registry is a catheterisation registry of paediatric and adult patients with CHD undergoing diagnostic and interventional cardiac catheterisation. We are reporting the procedural characteristics and adverse events of patients undergoing diagnostic and interventional catheterisation procedures from January, 2011 to March, 2013.
  
  
  METHODS
  Demographic, clinical, procedural, and institutional data elements were collected at the participating centres and entered via either a web-based platform or software provided by American College of Cardiology-certified vendors, and were collected in a secure, centralised database. Centre participation was voluntary.
  
  
  RESULTS
  During the time frame of data collection, 19,797 procedures were entered into the IMPACT Registry. Procedures were classified as diagnostic only (35.4%); one of six specific interventions (23.8%); other or multiple interventions (40.7%); and were further broken down into four age groups. Anaesthesia was used in 84.1% of diagnostic procedures and 87.8% of interventional ones. Adverse events occurred in 10.0% of diagnostic and 11.1% of interventional procedures.
  
  
  CONCLUSIONS
  The IMPACT Registry is gathering data to set national benchmarks for diagnostic and certain specific interventional procedures. We are seeing little differences in procedural characteristics or adverse events in diagnostic procedures compared with interventional procedures overall, but there is significant variation in adverse events amongst age categories. Risk stratification and patient acuity scores will be required for further analysis of these differences.
authors.affiliation: 1Department of Pediatrics,Children's Healthcare of Atlanta,Emory University School of Medicine,Atlanta,United States of America.
authors.forename: Robert N
authors.initials: RN
authors.lastname: Vincent
authors.affiliation: 3Rady Children's Hospital,University of California San Diego,San Diego,United States of America.
authors.forename: John
authors.initials: J
authors.lastname: Moore
authors.affiliation: 4Cincinnati Children's Hospital Medical Center,University of Cincinnati,Cincinnati,United States of America.
authors.forename: Robert H
authors.initials: RH
authors.lastname: Beekman
authors.affiliation: 5Toronto Hospital for Sick Children,University of Toronto,Toronto,Canada.
authors.forename: Lee
authors.initials: L
authors.lastname: Benson
authors.affiliation: 6Boston Children's Hospital,Harvard University,Boston,United States of America.
authors.forename: Lisa
authors.initials: L
authors.lastname: Bergersen
authors.affiliation: 7Sidra Medical Center,Doha,Qatar.
authors.forename: Ralf
authors.initials: R
authors.lastname: Holzer
authors.affiliation: 8Children's Mercy Hospitals and Clinics,Kansas City,United States of America.
authors.forename: Natalie
authors.initials: N
authors.lastname: Jayaram
authors.affiliation: 6Boston Children's Hospital,Harvard University,Boston,United States of America.
authors.forename: Kathy
authors.initials: K
authors.lastname: Jenkins
authors.affiliation: 10Johns Hopkins Children's Center,Johns Hopkins University,Baltimore,United States of America.
authors.forename: Richard
authors.initials: R
authors.lastname: Ringel
authors.affiliation: 11Children's Hospital of Philadelphia,University of Pennsylvania,Philadelphia,United States of America.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Rome
authors.affiliation: 12Children's National Health System,George Washington University,Washington,District of Columbia,United States of America.
authors.forename: Gerard R
authors.initials: GR
authors.lastname: Martin
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012042:Registries
keywords: IMPACT Registry; cardiac catheterisation; quality improvement