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The validity and applicability of different clinical risk scoring models in a variety of settings of interventional cardiology is evaluated in a retrospective and continuing prospective single-center registry at University Hospital Düsseldorf. Risk-adapted safety interventions are additionally tested.
Beginning with a retrospective assessment of 2014-2017 and continuing with a prospective registry, clinical outcomes of interventional cardiac catheterization procedures at University Hospital Düsseldorf in a variety of settings (elective and emergency coronary procedures, structural and rhythmologic cardiac interventions etc.), will be evaluated. Different risk scoring models are recommended for risk stratification by cardiovascular societies (e.g. GRACE, CRUSADE, NCDR, ACEF, EUROScore scores) and will be evaluated for their applicability to contemporary and local clinical practice in interventional cardiology. Risk-adapted safety interventions (e.g. intensified monitoring, vascular access closure, renal protective measures) will be applied to all patients and will be evaluated for their impact on clinical outcomes.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| risk score | Other | risk score |
| Measure | Description | Time Frame |
|---|---|---|
| mortality | In-hospital mortality will be assessed and primarily reported | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Bleeding (according to BARC bleeding definition) | in-hospital and long-term minor and major bleeding up to five years post procedure will be assessed and reported | 30 days and up to 5 years post procedure |
| Acute and chronic kidney injury (according to KDIGO definitions) |
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Inclusion Criteria:
Exclusion Criteria:
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All consenting adult patients undergoing cardiac catheterization at University Hospital Düsseldorf, Germany
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| Name | Affiliation | Role |
|---|---|---|
| Malte Kelm, MD | Heinrich-Heine University, Duesseldorf | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Division of Cardiology, Pulmonary Disease and Vascular Medicine | Düsseldorf | 40225 | Germany |
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| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D012307 | Risk Factors |
| ID | Term |
|---|---|
| D012306 | Risk |
| D011336 | Probability |
| D013223 | Statistics as Topic |
| D004812 | Epidemiologic Methods |
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in-hospital and long-term acute and chronic kidney injury up to five years post procedure will be assessed and reported |
| 30 days and up to 5 years post procedure |
| TIA and Stroke | in-hospital and long-term cerebrovascular events (TIA and stroke) up to five years post procedure will be assessed and reported | 30 days and up to 5 years post procedure |
| Quality of life (assessed by standardized QoL surveys) | in-hospital and long-term impact of interventional procedures on quality of life up to five years post procedure will be assessed and reported | 30 days and up to 5 years post procedure |
| Long-term mortality | long-term mortality up to five years post procedure will be assessed and report | up to 5 years post procedure |
| D008919 |
| Investigative Techniques |
| D015984 | Causality |
| D015981 | Epidemiologic Factors |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D017531 | Health Care Evaluation Mechanisms |
| D011634 | Public Health |
| D004778 | Environment and Public Health |