Demographic Factors
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Patient-reported, clinical, or administrative data TYPE: Date by DD/MM/YYYY
date
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Patient-reported, clinical, or administrative data TYPE: Single answer
integer
Baseline health status
Height and weight are used to calculate BMI INCLUSION CRITERIA: All patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Numerical value of height in centimeters or inches
float
INCLUSION CRITERIA: All patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single answer
integer
Height and weight are used to calculate BMI INCLUSION CRITERIA: All patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Numerical value of weight in kilograms or pounds
float
INCLUSION CRITERIA: All patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer
integer
INCLUSION CRITERIA: ACS patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer
integer
INCLUSION CRITERIA: ACS patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Numerical value of peak level
float
INCLUSION CRITERIA: ACS patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Numerical value of upper limit of normal
float
Measurement from the transferring facility is acceptable INCLUSION CRITERIA: ACS patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Numerical value of heart rate in beats per minute
integer
Measurement from the transferring facility is acceptable INCLUSION CRITERIA: ACS patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Numerical value of systolic blood pressure in mm Hg
integer
INCLUSION CRITERIA: ACS patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer
integer
Cardiogenic shock is defined as a sustained (>30 minutes) episode of systolic blood pressure <90 mm Hg, and/or cardiac index, 2.2 L/min/m2 determined to be secondary to cardiac dysfunction, and/or the requirement for parenteral inotropic or vasopressor agents or mechanical support (e.g., IABP, extracorporeal circulation, ventricular assist devices) to maintain blood pressure and cardiac index above those specified levels. Note: Transient episodes of hypotension reversed with IV fluid or atropine do not constitute cardiogenic shock. The hemodynamic compromise (with or without extraordinary supportive therapy) must persist for at least 30 minutes INCLUSION CRITERIA: ACS patients, PCI and CABG patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer
integer
Cardiac arrest means the patient either 1. received attempts at external defibrillation (by lay responders or emergency personnel) or chest compressions by organized pre-hospital emergency services or emergency department personnel or 2. was pulseless but did not receive attempts to defibrillate or cardiopulmonary resuscitation (CPR) by emergency personnel. ‘Sudden’ cardiac arrest is the sudden cessation of cardiac activity so that the victim becomes unresponsive, with no normal breathing and no signs of circulation. If corrective measures are not taken rapidly, this condition progresses to sudden death. Cardiac arrest should be used to signify an event as described above that is reversed, usually by CPR, and/or defibrillation or cardioversion, or cardiac pacing. Sudden cardiac arrest is not the same as sudden cardiac death. Sudden cardiac death describes a fatal event INCLUSION CRITERIA: ACS patients, PCI and CABG patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer
integer
Elective: The patient’s cardiac function has been stable in the days or weeks prior to the operation. The procedure could be deferred without increased risk of compromised cardiac outcome Urgent: Procedure required during same hospitalization in order to minimize chance of further clinical deterioration. Examples include but are not limited to: Worsening chest pain, sudden chest pain, CHF, acute myocardial infarction (AMI), anatomy, IABP, unstable angina (USA) with intravenous (IV) nitroglycerin (NTG) or rest angina Emergent: Patients requiring emergency operations will have ongoing, refractory (difficult, complicated, and/or unmanageable) unrelenting cardiac compromise, with or without hemodynamic instability, and not responsive to any form of therapy except cardiac surgery. An emergency operation is one in which there should be no delay in providing operative intervention Emergent Salvage: The patient is undergoing CPR en route to the operating room or prior to anesthesia induction or has ongoing ECMO to maintain life INCLUSION CRITERIA: CABG patients only TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer
integer
Elective: The patient’s cardiac function has been stable in the days or weeks prior to the operation. The procedure could be deferred without increased risk of compromised cardiac outcome Not elective: Urgent, emergent, or emergent salvage (see above) INCLUSION CRITERIA: PCI patients only TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer
integer
Elective: The patient’s cardiac function has been stable in the days or weeks prior to the operation. The procedure could be deferred without increased risk of compromised cardiac outcome Not elective: Urgent, emergent, or emergent salvage (see above) INCLUSION CRITERIA: PCI and CABG patients only TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer
integer
Left main disease (≥50 percent) is counted as TWO vessels (LAD and Circumflex, which may include a Ramus Intermedius). For example, left main and RCA would count as three total INCLUSION CRITERIA: PCI and CABG patients only TIMING: Index hospitalization REPORTING SOURCE: Clinical RESPONSE OPTIONS: Numerical value of diseased vessels
integer
INCLUSION CRITERIA: PCI and CABG patients only TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Absolute numerical value of pre-procedural creatinine level in mg/dl
float
INCLUSION CRITERIA: PCI and CABG patients only TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer (Original version has the same question and Response Option as item PROCREAT)
integer
Prior Treatments
Includes CABG + other heart surgery e.g. CABG + Valve INCLUSION CRITERIA: ACS patients, PCI and CABG patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: ACS patients, PCI and CABG patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Date by DD/MM/YYYY
date
A percutaneous coronary intervention (PCI) is the placement of an angioplasty guide wire, balloon, or other device (e.g. stent, atherectomy, brachytherapy, or thrombectomy catheter) into a native coronary artery or coronary artery bypass graft for the purpose of mechanical coronary revascularization INCLUSION CRITERIA: ACS patients, PCI and CABG patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: ACS patients, PCI and CABG patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Date by DD/MM/YYYY
date
TREATMENT VARIABLES
PCI + other includes but is not limited to: right heart caths, EtOH ablations, septal closures, and other angiograms and/or endovascular interventions INCLUSION CRITERIA: Patients receiving percutaneous coronary interventions TIMING: During index visit or hospitalization for procedure REPORTING SOURCE: Clinical TYPE: Single answer
integer
CABG + other includes but is not limited to: placement of ventricular assist devices, non-cardiac procedures INCLUSION CRITERIA: Patients receiving cardiac surgery TIMING: During index visit or hospitalization for procedure REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: All patients undergoing interventional treatment for coronary disease TIMING: During index visit or hospitalization for procedure REPORTING SOURCE: Clinical TYPE: Single answer
integer
Acute complications of treatment
Any death, regardless of cause occurring (1) within 30 days after surgery in or out of the hospital, and (2) after 30 days during the same hospitalization subsequent to the operation INCLUSION CRITERIA: PCI and CABG patients TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical or administrative data TYPE: Single answer
integer
INCLUSION CRITERIA: PCI and CABG patients If answered 'yes' that patient has died (DEATH) TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical or administrative data TYPE: Date by DD/MM/YYYY
date
INCLUSION CRITERIA: PCI and CABG patients, If answered 'yes' that patient has died (DEATH) TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical or administrative data TYPE: Single answer
integer
Stroke is defined as any confirmed neurological deficit of abrupt onset caused by a disturbance in blood supply to the brain that did not resolve within 24 hours INCLUSION CRITERIA: PCI and CABG patients TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical or administrative data TYPE: Single answer
integer
INCLUSION CRITERIA: PCI and CABG patients, If answered 'yes' that patient had a stroke (STROKE) TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical or administrative data TYPE: Single answer
integer
Acute renal failure is the documented history of AKI and/or Increase in serum creatinine by ≥ 0.3 mg/dl (≥ 26.5 l mol/l) within 48 hours; and/or increase in serum creatinine to ≥ 1.5 times baseline, which is known or presumed to have occurred within the prior 7 days; and/or urine volume < 0.5 ml/kg/h for 6 hours; and/or new requirement for dialysis INCLUSION CRITERIA: PCI and CABG patients TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical or administrative data TYPE: Single answer
integer
Date used to calculate total length of stay and post-procedure length of stay INCLUSION CRITERIA: PCI and CABG patients TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical or administrative data TYPE: Date by DD/MM/YYYY
date
Date used to calculate total length of stay INCLUSION CRITERIA: PCI and CABG patients TIMING: Within index hospitalization REPORTING SOURCE: Administrative data TYPE: Date by DD/MM/YYYY
date
Date used to calculate post-procedure length of stay INCLUSION CRITERIA: PCI and CABG patients TIMING: Within index hospitalization REPORTING SOURCE: Administrative data TYPE: Date by DD/MM/YYYY
date
Major surgery complications
Includes (but not limited to) causes such as ARDS, pulmonary edema, and/or any patient requiring mechanical ventilation > 24 hours postoperatively INCLUSION CRITERIA: CABG patients TIMING: Within index hospitalization REPORTING SOURCE: Clinical TYPE: Single answer
integer
Must have ALL of the following conditions: 1. Wound opened with excision of tissue (I&D) or re-exploration of mediastinum 2. Positive culture unless patient on antibiotics at time of culture or no culture obtained 3. Treatment with antibiotics beyond perioperative prophylaxis INCLUSION CRITERIA: CABG patients TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: CABG patients TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical TYPE: Single answer
integer
Major interventional cardiology complications
Typically, dissections described as type A or B are not considered significant dissections because there is no impairment of flow. Significant dissections are grade C dissections in the presence of ischemia, or grade D-F dissections, all of which are further described as: Type C: persisting contrast medium extravasations; Type D: spital filling defect with delayed but complete distal flow; Type E: persistent filling defect with delayed antegrade flow; Type F: filling defect with impaired flow and total occlusion INCLUSION CRITERIA: PCI patients TIMING: Within index hospitalization REPORTING SOURCE: Clinical TYPE: Single answer
integer
A coronary artery perforation occurs when there is angiographic or clinical evidence of a dissection or intimal tear that extends through the full thickness of the arterial wall INCLUSION CRITERIA: PCI patients TIMING: Within index hospitalization REPORTING SOURCE: Clinical TYPE: Single answer
integer
The surgery should be: a. Cardio-thoracic (rather than for peripheral vascular complications at access sites) b. Prompted and indicated by a need to - Perform emergency revascularization to a coronary distribution that has been the subject of a PCI or attempted PCI and/or - To correct as an emergency a complication of PCI such as abrupt vessel closure, cardiac or vessel perforation, dissection of a thoracic great vessel etc. INCLUSION CRITERIA: PCI patients TIMING: Within index hospitalization REPORTING SOURCE: Clinical TYPE: Single answer
integer
Vascular complications can include, but are not limited to, access site occlusions, peripheral embolizations, dissections, pseudoaneurysms and/or AV fistulas. Any noted vascular complication must have had an intervention such as a fibrin injection, angioplasty, or surgical repair to qualify. Prolonged pressure does not qualify as an intervention, but ultrasonic guided compression after making a diagnosis of pseudoaneurysm does qualify. A retroperitoneal bleed or hematoma requiring transfusion is not a vascular complication under this data element. To qualify, this adverse outcome should be attributable to this procedure and not related to a previous or subsequent procedure INCLUSION CRITERIA: PCI patients TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical TYPE: Single answer
integer
A bleeding event is observed and documented in the medical record that was associated with any of the following: 1. Hemoglobin drop of ≥3 g/dl; 2. Transfusion of whole blood or packed red blood cells; 3. Procedural intervention/surgery at the bleeding site to reverse/stop or correct the bleeding (such as surgical closures/exploration of the arteriotomy site, balloon angioplasty to seal an arterial tear, endoscopy with cautery of a GI bleed) INCLUSION CRITERIA: PCI patients TIMING: Within 72 hours of procedure REPORTING SOURCE: Clinical TYPE: Single answer
integer