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Ann Thorac Surg 2000;69:S343-S357
© 2000 The Society of Thoracic Surgeons

Congenital Heart Surgery Nomenclature and Database Project: end-stage lung disease

J. William Gaynor, MDa, Nancy D. Bridges, MDb, Thomas L. Spray, MDa

a Division of Pediatric Cardiothoracic Surgery, The Cardiac Center at The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
b Division of Pediatric Cardiology, The Cardiac Center at The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

Address reprint requests to Dr Gaynor, Division of Pediatric Cardiothoracic Surgery, The Children’s Hospital of Philadelphia, 34th & Civic Center Blvd, Suite 8527, Philadelphia, PA 19104
e-mail: gaynor{at}email.chop.edu

Presented at the International Nomenclature and Databases Conferences for Pediatric Cardiac Surgery, Chicago, Illinois, 1998–1999.

Abstract

The extant nomenclature for end-stage lung disease is reviewed for the purpose of establishing a unified reporting system. The subject was debated and reviewed by members of the STS-Congenital Heart Surgery Database Committee and representatives from the European Association for Cardiothoracic Surgery. All efforts were made to include all relevant nomenclature categories, using synonyms where appropriate. Indications for lung transplantation are coded under a broad category called pulmonary failure. The proposed hierarchical scheme also allows classification of complications of lung transplantation under a category called status post lung transplant. A comprehensive database set is presented which is based on a hierarchical scheme. Data are entered at various levels of complexity and detail, which can be determined by the clinician. These data can lay the foundation for comprehensive risk stratification analyses. A minimum database set is also presented, which will allow for data sharing and would lend itself to basic interpretation of trends. Outcome tables relating diagnoses, procedures, and various risk factors are presented.






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