Congenital Perfusion Registry: Development and Current Status

Brian Mejak, BS, CCPChildren’s Hospital Colorado, Denver, ColoradoBrian.mejak@childrenscolorado.org

AmSECT 53rd International ConferenceApril 14-18, 2015Marriott Tampa Waterside, Tampa Florida

DisclosuresNo off label usage discussedNo financial disclosures

Development of the Pediatric PERForm Registry

I. Areas of focusA. Anticoagulation management B. Circuit selection(equipment) for size of patientC. Prime constituents (packed RBCs, FFP, whole blood)D. Hematocrit and lactate valuesE. Modified ultrafiltration

II. Inclusion criteriaA. All surgical cases involving cardiopulmonary bypass

III. STS databaseA. Can be linked to STS data set

Group assembled to develop registryDonny Likosky, PhD, U. of Michigan (PERForm founding father)

Theron Paugh, CCP, U. of Michigan, Mott Children’s Hospital (PERForm founding father)

Brian Mejak, Children's Hospital Colorado, Denver, CO

Vince Olshove, Cedars-Sinai Medical Center, Los Angeles, CA

Carmen Giacomuzzi, Doernbecher Children’s Hospital, OHSU, Portland, OR

Tom Klein, Monroe Carell Jr Children’s Hospital at Vanderbilt, Nashville, TN

Kathy Spitzer, Children’s Healthcare of Atlanta, Atlanta, GA

James Reagor, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Dan Gomez, Nationwide Children’s Hospital, Columbus, OH

Rich Melchoir, Children’s Hospital of Philadelphia

Richard Ginther, Children’s Medical Center at UT Southwestern, Dallas, TX

Pediatric Registry FieldsI. Adult PERForm form was starting point

A. Adult PERForm fields were reviewed individually by group members B. All additions, deletions, and comments were combined on one document

II. All comments, additions, deletions were then discussed on conference calls

III. Fields were tentatively finalizedA. Six sections were createdB. Each perfusionist in group was assigned a sectionC. Field selections and definitions from adult PERForm were updated to

fit pediatric criteria

i.e. All oxygenator brands/models were listed

IV. Definitions were then reviewed and edited on conference calls.

Pediatric PERForm Data Form

I. Developed in Excel format (Will not be final format)

II. Emailed out to the 10 sites

represented by the groupA. Colleagues to

complete and give feedback

B. Clarity discussed on conference call and changes made

Areas of focus… Coagulation

Areas of Focus….Circuit Selection

Areas of Focus….Prime Constituents

Areas of Focus…Hct and Lactate, and MUF

Benefits of Joining

I. Reports (Quarterly, Semiannual, Annual)

II. Exchange of information through conference calls with participants showing data and discussing results.

III. Exchange of information at the Pediatric Perfusion Conferences with participating center (data will be unblinded so exchange of information will be open and accessible)

ParticipationI. Cost- Yearly fee

II. IRB A. University of Michigan will host data and has IRB B. Each individual will need IRB from their own institution to participate

III. Software A. Fields will be part of STS software B. Separate web based browser