{"id":"https://openalex.org/W1604462967","doi":"https://doi.org/10.1161/circ.130.suppl_2.19074","title":"Abstract 19074: Relationship Between Hospital Procedure Volume and Complications Following Congenital Cardiac Catheterization: a Report from the IMPACT\u00ae Registry","display_name":"Abstract 19074: Relationship Between Hospital Procedure Volume and Complications Following Congenital Cardiac Catheterization: a Report from the IMPACT\u00ae Registry","publication_year":2014,"publication_date":"2014-11-25","ids":{"openalex":"https://openalex.org/W1604462967","doi":"https://doi.org/10.1161/circ.130.suppl_2.19074","mag":"1604462967"},"language":"en","primary_location":{"id":"doi:10.1161/circ.130.suppl_2.19074","doi":"https://doi.org/10.1161/circ.130.suppl_2.19074","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circ.130.suppl_2.19074","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5033923948","display_name":"Andrew C. Glatz","orcid":"https://orcid.org/0000-0003-3791-8280","observed_orcids":["https://orcid.org/0000-0003-3791-8280"]},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew C Glatz","raw_affiliation_strings":["Div of Cardiology, The Children\u2019s Hosp of Philadelphia, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Div of Cardiology, The Children\u2019s Hosp of Philadelphia, Philadelphia, PA","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057612966","display_name":"Natalie Margaret Jayaram","orcid":"https://orcid.org/0000-0002-2523-5725","observed_orcids":["https://orcid.org/0000-0002-2523-5725"]},"institutions":[{"id":"https://openalex.org/I1328594524","display_name":"Children's Mercy Hospital","ror":"https://ror.org/04zfmcq84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1328594524"]},{"id":"https://openalex.org/I4210137478","display_name":"Saint Luke's Hospital","ror":"https://ror.org/04k1cm432","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1339091601","https://openalex.org/I4210137478","https://openalex.org/I75421653"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Natalie M Jayaram","raw_affiliation_strings":["Div of Cardiovascular Rsch, Saint Luke\u2019s Mid America Heart Institute and Children\u2019s Mercy Hosps and Clinics, Kansas City, MO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Div of Cardiovascular Rsch, Saint Luke\u2019s Mid America Heart Institute and Children\u2019s Mercy Hosps and Clinics, Kansas City, MO","institution_ids":["https://openalex.org/I1328594524","https://openalex.org/I4210137478"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031336210","display_name":"Michael Liam O'Byrne","orcid":"https://orcid.org/0000-0001-6023-1634","observed_orcids":["https://orcid.org/0000-0001-6023-1634"]},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael L O\u2019Byrne","raw_affiliation_strings":["Div of Cardiology, The Children\u2019s Hosp of Philadelphia and The Univ of Pennsylvania Perelman Sch of Medicine, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Div of Cardiology, The Children\u2019s Hosp of Philadelphia and The Univ of Pennsylvania Perelman Sch of Medicine, Philadelphia, PA","institution_ids":["https://openalex.org/I1335321130","https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100380252","display_name":"Yan Li","orcid":"https://orcid.org/0000-0001-6155-0389","observed_orcids":["https://orcid.org/0000-0001-6155-0389","https://orcid.org/0009-0009-0981-3589"]},"institutions":[{"id":"https://openalex.org/I4210137478","display_name":"Saint Luke's Hospital","ror":"https://ror.org/04k1cm432","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1339091601","https://openalex.org/I4210137478","https://openalex.org/I75421653"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yan Li","raw_affiliation_strings":["Dept of Cardiovascular Rsch, Saint Luke\u2019s Mid America Heart Institute, Kansas City, MO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dept of Cardiovascular Rsch, Saint Luke\u2019s Mid America Heart Institute, Kansas City, MO","institution_ids":["https://openalex.org/I4210137478"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086243822","display_name":"Paul S. Chan","orcid":"https://orcid.org/0000-0002-5185-3367","observed_orcids":["https://orcid.org/0000-0002-5185-3367"]},"institutions":[{"id":"https://openalex.org/I4210137478","display_name":"Saint Luke's Hospital","ror":"https://ror.org/04k1cm432","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1339091601","https://openalex.org/I4210137478","https://openalex.org/I75421653"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paul S Chan","raw_affiliation_strings":["Div of Cardiology, Saint Luke\u2019s Mid America Heart Institute, Kansas City, MO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Div of Cardiology, Saint Luke\u2019s Mid America Heart Institute, Kansas City, MO","institution_ids":["https://openalex.org/I4210137478"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070801991","display_name":"Praneet K. Sharma","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210137478","display_name":"Saint Luke's Hospital","ror":"https://ror.org/04k1cm432","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1339091601","https://openalex.org/I4210137478","https://openalex.org/I75421653"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Praneet K Sharma","raw_affiliation_strings":["Div of Cardiology, Saint Luke\u2019s Mid America Heart Institute, Kansas City, MO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Div of Cardiology, Saint Luke\u2019s Mid America Heart Institute, Kansas City, MO","institution_ids":["https://openalex.org/I4210137478"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068611506","display_name":"Lisa J. Bergersen","orcid":"https://orcid.org/0000-0002-0115-1033","observed_orcids":["https://orcid.org/0000-0002-0115-1033"]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lisa Bergersen","raw_affiliation_strings":["Div of Cardiology, Boston Children\u2019s Hosp, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Div of Cardiology, Boston Children\u2019s Hosp, Boston, MA","institution_ids":["https://openalex.org/I1288882113"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5015021993","display_name":"John A. Spertus","orcid":"https://orcid.org/0000-0002-2839-2611","observed_orcids":["https://orcid.org/0000-0002-2839-2611"]},"institutions":[{"id":"https://openalex.org/I4210137478","display_name":"Saint Luke's Hospital","ror":"https://ror.org/04k1cm432","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1339091601","https://openalex.org/I4210137478","https://openalex.org/I75421653"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John A Spertus","raw_affiliation_strings":["Div of Cardiology, Saint Luke\u2019s Mid America Heart Institute, Kansas City, MO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Div of Cardiology, Saint Luke\u2019s Mid America Heart Institute, Kansas City, MO","institution_ids":["https://openalex.org/I4210137478"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"130","issue":"suppl_2","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10300","display_name":"Congenital Heart Disease Studies","score":0.9448000192642212,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10300","display_name":"Congenital Heart Disease Studies","score":0.9448000192642212,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.006200000178068876,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11579","display_name":"Cardiovascular and Diving-Related Complications","score":0.00559999980032444,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/procedural-volume","display_name":"procedural volume","score":0.8730000257492065},{"id":"https://openalex.org/keywords/major-adverse-events","display_name":"major adverse events","score":0.8009999990463257},{"id":"https://openalex.org/keywords/volume-outcome-relationship","display_name":"volume-outcome relationship","score":0.7369999885559082},{"id":"https://openalex.org/keywords/congenital-heart-disease","display_name":"congenital heart disease","score":0.7910000085830688},{"id":"https://openalex.org/keywords/cardiac-arrest","display_name":"cardiac arrest","score":0.5360000133514404},{"id":"https://openalex.org/keywords/cardiac-arrhythmia","display_name":"cardiac arrhythmias","score":0.7680000066757202},{"id":"https://openalex.org/keywords/tamponade","display_name":"tamponade","score":0.8379999995231628},{"id":"https://openalex.org/keywords/air-embolism","display_name":"air embolism","score":0.8809999823570251},{"id":"https://openalex.org/keywords/embolic-stroke","display_name":"embolic stroke","score":0.7839999794960022},{"id":"https://openalex.org/keywords/device-malposition","display_name":"device malposition","score":0.6119999885559082},{"id":"https://openalex.org/keywords/dialysis-requirement","display_name":"dialysis requirement","score":0.6470000147819519},{"id":"https://openalex.org/keywords/extracorporeal-membrane-oxygenation","display_name":"extracorporeal membrane oxygenation","score":0.9610000252723694},{"id":"https://openalex.org/keywords/left-ventricular-assist-device","display_name":"left ventricular assist device","score":0.9599999785423279},{"id":"https://openalex.org/keywords/unplanned-surgery","display_name":"unplanned surgery","score":0.6669999957084656},{"id":"https://openalex.org/keywords/risk-adjustment","display_name":"risk adjustment","score":0.6819999814033508}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9427276849746704},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.6573367118835449},{"id":"https://openalex.org/C2777385415","wikidata":"https://www.wikidata.org/wiki/Q1615191","display_name":"Cardiac catheterization","level":2,"score":0.622475266456604},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.6004775762557983},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.5062767267227173},{"id":"https://openalex.org/C2776858399","wikidata":"https://www.wikidata.org/wiki/Q1385195","display_name":"Extracorporeal membrane oxygenation","level":2,"score":0.47798556089401245},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.43405407667160034},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4168919324874878},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3709559440612793},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3390522599220276}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/circ.130.suppl_2.19074","doi":"https://doi.org/10.1161/circ.130.suppl_2.19074","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circ.130.suppl_2.19074","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2530558584","https://openalex.org/W2023574387","https://openalex.org/W7162268377","https://openalex.org/W2042476730","https://openalex.org/W2261493438","https://openalex.org/W1900534765","https://openalex.org/W2416287619","https://openalex.org/W7098788189","https://openalex.org/W2029876512","https://openalex.org/W1979418275"],"abstract_inverted_index":{"Background:":[0],"The":[1,298],"association":[2,90,222,282],"between":[3,46,91,223,253,283],"institutional":[4],"procedural":[5,83,93,216,296],"volume":[6,94,226,245,258,285],"and":[7,37,48,70,82,95,154,203,215,227,257,286,295,302],"outcomes":[8,260,287],"has":[9],"been":[10],"demonstrated":[11],"for":[12,80,120,213,277,293],"many":[13],"procedures":[14],"within":[15],"the":[16,33,89,264],"field":[17],"of":[18,97,229,246,267],"cardiology,":[19],"but":[20],"whether":[21],"this":[22,281],"relationship":[23],"pertains":[24],"to":[25,63,87,311],"congenital":[26,278],"cardiac":[27,140],"catheterization":[28],"is":[29],"unknown.":[30],"Methods:":[31],"Using":[32],"IMPACT\u00ae":[34],"(Improving":[35],"Pediatric":[36],"Adult":[38],"Congenital":[39],"Treatment)":[40],"Registry,":[41],"we":[42],"identified":[43],"all":[44],"catheterizations":[45,276],"2011":[47],"2013":[49],"at":[50,191,196,201,207],"64":[51,144],"U.S.":[52],"centers.":[53],"Programs":[54],"were":[55,147],"categorized":[56],"as":[57],"small":[58],"(<150":[59],"cases/year),":[60,65],"medium":[61],"(150":[62],"300":[64],"large":[66,72,157],"(300-500":[67],"cases/":[68,74],"year),":[69],"very":[71,156],"(>500":[73],"year).":[75],"Hierarchical":[76],"logistic":[77],"regression,":[78],"adjusted":[79],"patient":[81,214,294],"characteristics,":[84],"was":[85,220,250,270],"used":[86],"determine":[88],"annual":[92,179,224,244],"occurrence":[96,228],"a":[98,162,182,230],"major":[99,163,173,183,231],"adverse":[100,164,174,184,232,268],"event":[101,122,165,185,233,304],"(cardiac":[102],"arrest;":[103],"arrhythmia":[104],"requiring":[105,123],"permanent":[106],"pacemaker;":[107],"tamponade;":[108],"air":[109],"embolus;":[110],"embolic":[111],"stroke;":[112],"device":[113],"malposition,":[114],"thrombus,":[115],"or":[116,127,135,138],"embolization;":[117],"new":[118],"requirement":[119],"dialysis;":[121],"extracorporeal":[124],"membrane":[125],"oxygenation":[126],"left":[128],"ventricular":[129],"assist":[130],"device;":[131],"unplanned":[132],"cardiac,":[133],"vascular,":[134],"other":[136],"surgery;":[137],"subsequent":[139],"catheterization).":[141],"Results:":[142],"Among":[143,159],"hospitals,":[145],"there":[146,219],"19":[148,152],"small,":[149,192],"15":[150],"medium,":[151,197],"large,":[153,202],"11":[155],"programs.":[158],"33,825":[160],"catheterizations,":[161],"occurred":[166],"in":[167,187,243,272],"711":[168],"(2.1%).":[169],"In":[170],"unadjusted":[171,265],"analysis,":[172],"events":[175,269],"differed":[176],"based":[177],"upon":[178],"volume,":[180],"with":[181],"occurring":[186],"79":[188],"(2.8%)":[189],"cases":[190,195,200,206],"145":[193],"(2.3%)":[194],"234":[198],"(2.1%)":[199],"253":[204],"(1.9%)":[205],"very-large":[208],"programs":[209],"(p=0.01).":[210],"After":[211],"adjusting":[212],"risk":[217,255,266],"factors,":[218],"no":[221,251],"procedure":[225],"(odds":[234],"ratio":[235],"0.96":[236],"[95%":[237],"Confidence":[238],"Interval=0.90,":[239],"1.04]":[240],"per":[241],"increase":[242],"100,":[247],"p=0.32).":[248],"There":[249],"interaction":[252],"procedure-type":[254],"group":[256],"on":[259],"(p=0.49).":[261],"Conclusions:":[262],"Although":[263],"lower":[271],"centers":[273],"performing":[274],"more":[275],"heart":[279],"disease,":[280],"center":[284],"did":[288],"not":[289],"persist":[290],"after":[291],"adjustment":[292],"case-mix.":[297],"hospital":[299],"sample":[300],"size":[301],"low":[303],"rate":[305],"may":[306],"have":[307],"limited":[308],"our":[309],"ability":[310],"detect":[312],"significant":[313],"differences.":[314]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2017,"cited_by_count":1}],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2016-06-24T00:00:00"}