Congenital Heart Disease (CHD) Clinical Trial
Official title:
National Congenital Heart Disease Audit
The National Institute of Cardiovascular Outcomes Research (NICOR) collects data and
produces analysis to enable hospitals and healthcare improvement bodies to monitor and
improve the quality of care and outcomes of cardiovascular patients.
The Congenital Heart Disease audit collects data on all cardiac surgery and therapeutic
cardiac catheterisations procedures used to treat patients with congenital and acquired
heart disease.
For acquired heart disease, the audit covers all arrhythmias & cardiomyopathies in patients
less than 16 years old only. For congenital heart disease, the audit collects data on both
children and adult patients. The audit covers all specialist centers in the UK and Republic
of Ireland.
The project aims to improve the quality of care for children and adults with congenital
heart disease by providing national comparative analysis of procedure specific activity and
outcomes of cardiac surgery and therapeutic cardiac catheterisation procedures. The audit
also provides quality indicators for the antenatal detection of major congenital heart
disease.
The current dataset is available from here:
http://www.ucl.ac.uk/nicor/audits/congenital/datasets
The Congenital Heart Disease audit collects data on all cardiac surgery and therapeutic
cardiac catheterisations procedures used to treat patients with congenital and acquired
heart disease
Data collection:
Hospitals use Patient Administration Systems and manual data entry by cardiac database
managers to submit data to NICOR.
Data are either assimilated locally using third party commercial software and imported as a
.csv file, or entered directly onto the NICOR database.
Data quality:
NICOR provide tools that communicate possible errors to centres submitting data. A data
submitting schedule has been agreed with the centres, data is submitted and a validation
report is returned each quarter. Centres are responsible for updating errors in the records.
An import log highlights missing and invalid data as well as records that failed to import
due to data quality or compatibility issues.
In addition, data is validated by on site visits with a NICOR representative.
Data linkage:
Data is annually linked with Office fot National Statistics (ONS) life status and Hospital
Episodes Statistics (HES) admission data to verify case ascertainment and to track long term
outcome measures.
Information governance:
NICOR has Section 251 approval and data protection registration. An organisation-wide
standard operating procedure is in place for Information Security Incident Management.
University College London has a robust information governance framework, to which NICOR
adheres.
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Observational Model: Cohort, Time Perspective: Prospective
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