`v \J V

Transkrypt

`v \J V

ECHSA Congenital Database - Data Verification Form, XXX 2014
Piu.lcut local ID
Paticnł. Jocal ID
1011869705
1008679507
XXX_l974
Dato of blrth
V
2014-11-19
V
Dac ,c of a<l1ni$8iOn
2014-11-19
Dat.I! uf surgery
\)
2014-11-25
V
Dat.tJ of di�churgo
2014-12-02
3.'ył(g
Cuso c·H.tcgory
1�
CPB
CPB Time
320.0
AoX Thnc
149.0
Dato or de!ath
2014-12-02
IPPV
180:00:00
Vtllida tion Ru les
OK
v
u
V
v
�
0J')<1rn.,.ion IO
XXX_l992
XXX_l991
Datc of birth
\)
2010-04-02
Dl'l.tc or a.dmlKslon
V
2014-11-25
Da.te of su.rgcry
2014-11-26
Dato of diddmrgo
2014-11-30
W(•ight.
15 kg
Csl'l-0 cn1.cgc.,ry
ECMO
i/
u
V
'v
CPO Time
2014-11-30
IPPV
90:00:00
Validation Rulo.s
OK
Hypoplrjic
left
(HLHS)
syndror
1) 2. Vascular ring
2)
1. Norwoo� procedure
scular ring
(prio. 1) 2.
repair (prio. 2) 3. ECMO
cannulation (prio. 3)
Prr,c(i<l11rc�
ls wrrnct
v
hl nuL corr<:c:t ( x)
\J
DMo of dl•clrnrgo
2014-11-30
VVcight
15 kg
C1L"\c cu t.ogory
CPB
CPB Timo
IJ
IPPV
105:00:00
Validation Jlnlrs
OK
I• vtllld?
OK
left
plastic
1.
y dromc (HLHS)
łicart w
2. Patent <luc(prio.
tus arteriosus (prio. 2)
ASD,
3.
Secundum
(prio. 3) 4. Coarctation of aorta (prio. 4)
5. Aortic arch hypoplasia
(prio. 5)
Proc..:cdun.i:s
1. EC�
(prio. 1)
V
V
2014-11-26
2014-11-30
Diagno�c:s
h c:orr„ct,
Datn o( �11rgory
u
cannulation
1, UOI, Mrr<Jct ( x)
o,.,__
u
V
V
t)
left
Hypopl t·c
1.
(IILHS)
heart syndro
(prio. 1) 2. Patent ductus arteriosus (prio. 2)
ASD,
3.
Secundum
5. Aortic arch hypoplasia
(prio. 5)
Prot,;cdurcH
Font
1.
TCPC,
External c� uit, Fen estra.ted (prio. 1) 2. ASD
creation/ enlargement
(prio. 2)
I• com:ct ( ,/)
V
99
lJ
v
Dat,c of death
OK
Diagnoscs
VlJ
2010-04-02
0Mo of •rlmiMion
2014-11-25
AoX Timo
Is va.li<I?
OK
DHte of hirth
159.0
AoX Timo
l)atę of deat,h
I• valld?
1.
heart
(prio.
(prio.
1008679507
Qpcr•t,ion ID
Operntion JO
Wcig:ht.
Pr1.tięnt loca.I ID
Is nc.>t corr(:Ct (X)
99
EC HSA C ongenital Database - Data Verification Form, XXX 2014
Paticnt locl\l ID
Pntlont loc;aJ ID
PM.icnt loca.I IO
1011869705
1011843300
Or,crntion ID
Operat.ion ID
Opcration ID
XXX_2005
XXX-1975
XXX_l972
1004464870
Doto of blrth
2003-02-06
Oate of acimi�sion
2014-11-27
OnLu ,,r 2u1rgcry
2014-11-27
\)
V
V
;�i;_;�:i VryJ
Wclght
V
55 kg
Case catcgory
CPB
V
CPB 'l'lntr,
322.0
\)
AnX Time•
139.0
Oat<i of clcat.h
7o(0:00
Vallda.Lion Iluluió!
\J
f0'b
()
2014-11-19
v
Da.te of admission
2014-11-19
Du.tu of ;1urgcry
V
2014-11-27
V
Ot\tC of <Ji�chargc
2014-12-02
Wclght
\J
3.7 kg
V
Case catcgory
ECMO
OPD Timo
\;
124:00:00
l;
IPPV
Vtdic..h .,tion 11.ulmt
type
1. DORY,
�
(prio. 1) 2. or ie arch
2)
hypoplasia
(prio.
Puhnona.ry rutery
3.
st,enosis, Branch, Centrał (within t,hc hilar
bifurcation) (prio. 3)
Proced11rus
1. A ortie arch repair
(prio. � 2. PA, reconstruc · 1
(p łasty),
Branch, entral (within
the hila.r bifurcation)
(prio. 2) 3. Conduit
reopcration (prio. 3)
'(
Ont,1 of 1mrg�ry
2014-11-28
Ontt� of db1cha.rgc
2014-12-04
Wclght
3.6 kg
Ca::U.' ca.tcgory
CPB
�·o
lJ
\J
\)
0:>0
0b
V31idt,tion ll.ulllK
OK
rs. valid?
OK
DIŁlgnosc�
1.
heart
(prio.
(prio.
\!
\J
1·�
. 0:00
��
(
OK
Dillgnoscs
2014-11-17
0Ąt.� of cim,t.h
J� valirl?
OK
Datfl of admission
g;(o
2014-12-02
V
2014-09-11
AoX Timo
AoX 'T'im.t?
OK
h valid?
o.. ,o of birth
,,
OH.t.t.1 of doa.th
OK
Is correct ( ./)
Dato of hirtb
Hypo
tic
left
�
syndr me (HLHS)
1) 2. Vascular ring
2)
Proccdures
1. E,0
(prio. 1
I• correct ( ./')
cannulation
I• not correct ( x)
Dlagnosu:1,
l. Coarct
of amta
(prio. 1) r:E
. SD, Type
2
(Per 1embranous)
(Pararnerubra.nous)
( Conoventricula.r)
2)
3.
ASD,
(prio.
(prio.
Secundum
3)
4. Miscellaneous, Other
(prio. 4)
Proccc.J11rcK
�
1. VSD
pair, Patch
(prio. 1) \{) ASD rcpair,
Patch (prio. 2) 3. PA debanding (prio. 3)
I• correct ( ./)
·ot correct (x)
v
100
\}
"" corruct (X)
100
Patlcnt loc}1l ID
Pat.icnt local ID
Patient loca) lD
Opurat,io11 IO
Opcr•tion ID
Opumtion lD
1001089246
1008679507
XXX_l959
V
1991-07-09
v
011,t,o of adm ission
2014-06-27
V
\)
DaLc tJ( surgory
2014-11-28
Dato of dischurgo
2014-11-30
\.Vcigbt.
48 kg
Cmm <'11tc.1gury
CPB
CPB Tinrn
V
\)
245.0
Dat() of death
2014-11-30
IPPV
35:00:00
Validation Rulc5
OK
DM,C o( l.Jirth
2010-04-02
Dato of a.dmission
lJ
V
2014-11-30
v
Out<> of dlit<.�łmrgc.:
2014-11-30
Ca.se cuLcgory
ECMO
CPB Time
AoX Timu
V
V
\J
Oau� of sur&,cry
15 kg
V
XXX_l977
2014-11-25
Wcight
u
494.0
AoX Timo
1011865079
XXX_l993
Da.tt� of bi rt.h
Dato of death
2014-11-30
IPl'V
V
V
DatQ of l>irth
2014-11-18
Datf1 of surg<'ry
2014-12-01
Duto of diftchurl(O
2014-12-06
Wcight
Ca,m ca�cgoty
CPS Time
OK
OK
1.
Single
ntricle,
�
Heterotaxia
ndrome
(prio. 1) 2. Cardiomyopathy, End-stage congenital
heart disease (prio. 2)
1.
Hyp
tic
left
hcart syn<S'
o 1c (IILHS)
(prio. 1) 2 a.tent ductus a.rteriosus (prio. 2)
3.
ASD,
Secundum
5. Aortic a.reb hypoplasia
(prio. 5)
I• vt,lld?
1. Trans�
1 .nt,
(prio. 1)
u
Is correct ( v')
Heart
Is not correct {X)
I• valid?
Diagno�<lli
1. ECMO \'J;cannulation
(prio. 1) 2. elayed sternal closure (prio. 2)
Proccdurc:,
Is correct, ( v')
V
Vulidat.ion Rul<:s
OK
Procud\lrns
l)
V
OR.to of <leath
24:00:00
Q
\)
115.0
IPPV
V
\)
CPB
OK
Oiup;oost�tt
\)
3.4 kg
AoX Tllno
Validrltion Rulos
u
Datc or admiasion
211.0
u
j
2014-11-17
OK
Is valld?
101
ls not corr(::ct (X)
101
i
; :•s;;�,
Proc(.•d 111·,J�
IVS Wio.
1)
1. Artcrial �itch op-eration (ASO (prio. 1)
2. Valve surgery, Other,
Aortie (prio. 2) 3. ASD
repair, Primary closure
(prio. 3)
Is corrocL
V
li, Ii(')t t'Orrcc.t (X)
Pł\tinnr. lnc nJ JO
Pat.iont loc;,11 ID
101166803
Opcration ID
XXX_l979
Da to of blrth
2013-10-23
Datc of admissio11
2014-12-01
2014-12-02
Oo.tQ <1f �mrgory
Datc of di:,;clu_1.rg1)
2014-12-09
v
u
V
V
Woight
10 kg
Ca.se catcgor,v
CPB
v
\)
CPB Time
71.0
AoX Timo
29.0
Dato of dcnth
IPPV
20:00:00
1011843535
1011869705
Orwratioo ID
Oporation ID
v
XXX_l978
\}
V
\)
Dato <>f hll 'th
2014-11-07
Oatc of admission
\)
2014-12-01
03.t.C vf 8t1rgory
2014-12-02
Dat<: of di:;chnrg:1,.'
2014-12-16
Wclght
3.3 kg
J
\J
V
Dato of birth
Datc of a.dmissio11
2014-11-19
2014-11-19
Daw of surg:1.:ry
2014-12-02
Datc CJf dischurgc
Ca.se ca tcgory
ECMO
AQX Timn
AoX 'I'irnc
Dat<, of rleath
11:00:00
V
;�i:_,�;�02
06:00:()0v
OK
OK
Oiat1,11oscs
DiagrHHlug
Diagnosus
r rOCtid Itrciq
1. Valvul\Jlasty, Mitral
(prio. 1)
l• corr�ct
�
)
I• not com,ct (x)
OK
1. Coarctation of a.orta.
l
2·
VSD,
(prio.
u
2
erimembra.Type
nous)
(Paramcmbranous) ( Conovcntricular)
(prio. 2)
Prucodurcs
ion repair,
1. Coar
End to � , Extended
(prio. 1)
Is con·cct'\)
V
Volidat.iou Rulcs
OK
1. Mitral rJ.rgitation
(prio. 1) 2. Systemie venous anomaly (prio. 2)
\;
IPPV
Is va.lid'!
l!ł vnlirl?
b valid?
V
3.7 kg
CPB Time
IPPV
ulJ
\)
2014-12-02
CPBTlmt1
OK
OK
XXX-1976
Wclgbt.
�� ;i{ Cardi�Jascular
V�dkh.,tion llulcs
Vttlidat.io11 H.ulc�
Pationt locl\l ID
Is not correct (X)
102
oplastic
left
1.
t
drorne (HLHS)
heart
(prio. 1) 2. Vascular ring
(prio. 2)
Procccłurcs
1. EC� decannulation
(prio. 1)
h corrc
\j
./)
I• not rorro<:t ( ><)
102
ECHS A Congenital Database - Data Verification Form, XXX 2014
Paticmt )ocal 10
Pat.icnt )ocal ID
9999800834
1011899346
Oporn.tinu ID
OporMion ID
XXX_l980
1994-01-05
Dat� of surgt.H'Y
Dato of diN<:hn.rgo
2014-12-08
Wcight
71 kg
Ca:,c ca Lcgory
CPB
CPB Time
68.0
AoX Tim,!
Da.te of birth
2014-08-05
Datc of udmission
Doto of admission
\/
2014-12-03
Ortt-0 nf surgery
V
2014-12-03
XXX_l981
Datc of birth
V
Dn.r,c of 1'drni�ion
2014-12-02
1002717262
Opmat ion IO
XXX_l994
J
OJ\.tU nf birth
Paticnt locn.l ID
\I
2014-12-04
01\to of disdmrgc
\.)
2014-12-09
u
v
Wcight
5 kg
Caso cutogory
CPB
V
V
\J
241.0
V
150.0
IPPV
JPl'V
V
Du.te.) o( dhu:::hurgo
2014-12-10
V
Wcight.
V
CPB
v
CPB Time
132.0
AoX 'l'lmo
Datc of death
Dato of death
Dat<� of death
V
O:.tt1� of irnrgt'!:ry
2014-12-05
Caso cotogo1·y
V
AoX Timo
V 'I)i i<+
51 kg
V
CPB Time
2000-05-13
2014-0;4r4
V
Il'PV
11:00:00
11:00:00
29:00:00
Validation RuleR
VRliclation Rulcs
OK
OK
OK
l:o1 valid'?
Is v1>1id?
Validll.tifm f\.ulo�
V
OK
OK
OK
1. TOF (prio. i)1 2. Pul
monary
inNillciency
(prio. 2)
1. VSD, M lti le (prio. 1)
2. PFO (p E·o. ) 3. Patent
ductus arte · us (prio. 3)
4. Miscellaneous, Other
(prio. 4)
� '.'''i'�A,
(prio. 1)
2. PulmoWy artery
stenosis
(hypoplasia),
Main (trnnk) (prio. 2)
3. Puhuonary steno
sis, Valvar (prio. 3)
4.
Secundum
ASD,
(prio. 4) 5. Patent ductus
arteriosus (prio. 5)
Djngno�:,
1. Valve sur�Othcr,
Pulmo�o.1)
Procc:dnrci=.
ls rorrr.ct ( v')
Procc<.lurutt
l� nnl, c:orroc:t (X)
C <..i vJw
,
1. VSD, M�lt1plc, Repair
(prio. 1) 2�Uso rcpair,
Patch (prio. 2)
1.,orroct(
Is not correct (X)
fj
i
Proce-du res
1. PA,
(piasty),
(prio. 1)
isl)I
rlecbnstruction
Win (trunk)
Is correct, ( ../)
Is nnL c.orrf!C:t (X)
\J
103
\J
103
ECHSA Congenital Database - Data Verification For m, XXX 2014
l'nthm1. lornl ID
P,u.lunt lo<:aJ ID
1011900018
1002879855
1011434889
XXX-1996
XXX-1982
Opcrat.ion [D
Opcrat.ion ID
Oahi of hlrt.h
011tc or hlrth
XXX-1995
2014-12-03
Dato of admi�sion
2014-12-03
Oo.Lu <,f !lurgcry
2014-12-08
Ont.c of discłmrgn
2014-12-26
Wulght
3.96 kg
J
\J
242.0
AoX Tinw
\/
132.0
D:tt.«J of death
lPPV
��
Wc•l11ht
77 kg
Cas(1 <:tlt.egory
CPB
CPB 't'lmc
V
\)
\J
\)
177.0
AoX Time
b vałid"f
OK
Diagnoscg
1. TGA, l� (prio. 1)
ASD,
ecundum
(prio. 2)
2.
Pr<><.�ud11ru�
1. Arteri
�swit.ch operation (A' ) (prio. 1)
2. ASD repair, Primary
closure (prio. 2)
b nut. corr<.•ct. (X)
\J
G
2014-04-23
Dato of admisfłion
Dł\l.C orgnrg<Jry
2014-12-0
9
2014-12-10
Da.tu of diNchorgc
2014-12-15
Wuight.
9.8 kg
\;
u
\/li
\}
�� PB C\J·diovascular
CPB Time
AoX Tirtu'l
IPPV
09:00:00
I• valld?
OK
Dia.gnoscs
1. P
nary artery
�
(hypoplasia),
stenosis
Main (trunk) (prio. 1)
Proccdnrc�
construction
1. PA,
�
(płasty),
ain (trunk)
(prio. 1)
( v') I 1
\j
V
Va.H<lo.tion Rulci:.
No of problems:
1. Please make sur that
the body weigh of the
following pa cnts are
correct. Al , if the they
are corr t plea.se check
the cl e of birth and the
dat(:: of surgery.
'" correct
Duto of birth
Dal.c of death
Dllte of d""'·h
Valiclation l'ł.ulcs
OK
\)
Datc of di:sc;hnrgc
IPPV
Vtt..lidatlon llulo,•
I• corn,ct ( ..,(
Oatc or s1ugory
v
Cl'B 1'\n·u�
\J
\J
2014-12-08
2014-12-16
CPB
V
Dato of admission
\)
V
V
C1tsc catc.•gor.v
Operation ID
2000-08-08
2014-12-09
\J
Pntiont loc,\l l D
b uot. correct. (Y)
\J
104
OK
Is valid?
OK
Diugnosc�
1. D!} TGA type
(prio. l . Aortic arch
2)
(prio.
hypoplas·
3. Coarctation of aorta
(prio. 3) 4. Systemie
venous anomaly (prio. 4)
failure
5.
Conduit
(prio. 5)
ero�o,�
rearctation
1.
Ltch aortoplasty
pair,
(prio. 1 J
I• corn,, v')
,� nnt c;.orrnC'.t (X)
104

`v \J V

Transkrypt

Podobne dokumenty

Document 289515