Update on the Risk Model - 2021 Quality Summit presentation (Non-CE)-Update on the Risk Model

Video Transcription

Video Summary

Dr. Natalie Jayram presents on the topic of "Adjustment for Risk in the Impact Registry". The IMPACT Registry is an initiative that collects catheterization data from centers across the United States in order to understand and improve outcomes for patients with congenital heart disease. The registry was created by a group of pediatric cardiologists who wanted to pool data and analyze outcomes across different institutions. Dr. Jayram discusses the development of a risk adjustment model for the registry, which aims to account for differences in patient characteristics and procedural risk. The model includes variables such as procedure type risk group, hemodynamic vulnerability, renal insufficiency, coagulation disorder, and single ventricle physiology. The model has a C-statistic of 0.76, indicating reasonable discrimination in predicting adverse events. It is used to provide feedback to participating sites and help them identify areas for improvement. Dr. Jayram also addresses some challenges in developing the model, including the inclusion of death as an outcome and the question of whether additional outcome variables should be considered. She concludes by highlighting the need for ongoing updates and refinements to the risk model in order to maximize its utility.

Keywords

Dr. Natalie Jayram

Adjustment for Risk

IMPACT Registry

catheterization data

congenital heart disease

risk adjustment model

patient characteristics

procedural risk