This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database.

Pagel C, Brown K, Crowe S, Utley M, Cunningham D, Tsang V. A Mortality Risk Model to Adjust for Case Mix in UK Paediatric Cardiac Surgery. Health Services and Delivery Research 2013; 1(1)

To establish whether or not a risk model can be developed that is fit for the purpose of adjusting for case mix severity to facilitate routine monitoring of outcomes for paediatric cardiac surgery in the UK and to assess whether or not and how diagnostic information can augment procedural information in risk adjustment.

For the first time diagnostic information has been successfully incorporated into risk adjustment for short-term outcomes in this patient group, which added discriminatory power. The risk model is fit for purpose, although the underestimation of risk in recent neonates is an important caveat. Several centres have expressed an interest in piloting the risk model and the accompanying monitoring tool. Future work includes developing software to generate variable life-adjusted display charts within units using the risk model; using the risk model to explore trends in case mix over time; and informing future work in evaluating long-term outcomes for children with CHD.

Subject indexing assigned by CRD

Cardiac Surgical Procedures; Child; Data Interpretation, Statistical; Hospital Mortalitys; Risk Assessment

English

England

An English language summary is available.

HS&DR Programme, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, University of Southampton, Alpha House, Enterprise Road, Southampton, SO16 7NS, UK Tel: +44 23 8059 4304 Email: hsdrinfo@southampton.ac.uk

32014001320

05/11/2014