Cooperação Internacional no Brasil: Children's HeartLink

Croti, Ulisses Alexandre; Braile, Domingo Marcolino

doi:10.1590/s0102-76382010000100004

Cited by 5 publications

(7 citation statements)

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“…Fundamentally, the partnership aims at fostering local development of cardiology and cardiovascular surgery with responsibility and mutual collaboration. 5 CHL selected American hospitals known for quality of care such as Mayo Clinic and Children's Hospitals and Clinics of Minnesota, and invited medical volunteers to become educational mentors for the Brazilian multidisciplinary team. One of the opportunities offered to measure improvement was the IQIC database participation in 2010.…”

Section: Introductionmentioning

confidence: 99%

“…7 The information sent through the REDCap platform was audited annually by the IQIC team during physical center visits or via Web seeking to identify failures, report results, and compare our own data over the years, as well as with other database participants. 5 The objective of the study was to analyze the outcomes of the partnership between CHL and IQIC database with a single pediatric cardiology and cardiovascular surgery center for seven years providing continuous follow-up to guide actions aiming at morbidity and mortality reduction in patients with pediatric and congenital heart diseases.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Partnership Between Children’s HeartLink and IQIC Database With a Pediatric Cardiology and Cardiovascular Surgery Center in Brazil

Croti

Murakami

Marchi

et al. 2019

World J Pediatr Congenit Heart Surg

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Background: Aiming at fostering local development of cardiology and cardiovascular surgery centers in developing countries, the nonprofit organization Children's HeartLink (CHL) encourages centers to participate in the International Quality Improvement Collaborative Database for Congenital Heart Disease (IQIC). The definition of parameters and data to evaluate patient treatment provides an opportunity to improve quality of care, reducing morbidity and mortality. The objective of the study was to analyze the outcomes of the partnership between CHL and IQIC database with a single pediatric cardiology and cardiovascular surgery center for seven years providing continuous follow-up to guide actions aiming at morbidity and mortality reduction in patients with pediatric and congenital heart diseases. Methods: Data were collected from January 2011 to December 2017 independently and with external audits and included preoperative information (demographic data, nutritional status, chromosomal abnormalities), Risk Adjustment for Congenital Heart Surgery (RACHS-1) score, and postoperative information such as infections or complications within the first 30 days or until hospital discharge and/or death. Results: In the preoperative period, there was a trend toward an increase in the number of newborn patients. The postoperative period showed significant surgical procedure variations between groups for RACHS-1 risk category (P ¼ .003), prevalence of risk categories 2 and 3, and an increase in risk categories 4, 5, and 6, mainly in the last two years. Decreases in surgical site infection (P ¼ .03), bacterial sepsis, and other infections (both P < .001) were observed. At the 30-day postoperative follow-up, there was a decrease of inhospital (P ¼ .16) and 30-day (P ¼ .14) mortality. Conclusion: The partnership between CHL and this seven-year analysis of IQIC database demonstrated structural and human flaws, whose resolution led to significant decrease in infection and reduction in mortality despite an increase in the complexity of our pediatric and congenital heart disease population.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of Partnership Between Children’s HeartLink and IQIC Database With a Pediatric Cardiology and Cardiovascular Surgery Center in Brazil

Croti

Murakami

Marchi

et al. 2019

World J Pediatr Congenit Heart Surg

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“…Partnership and participation of the Cardiology and Pediatric Cardiovascular Surgery Service of São José do Rio Preto (SECCAP) and the Base Hospital of the Medical School of São José do Rio Preto (FAMERP) in the IQIC program started in 2009, at the suggestion and request of the American organization CHL. Its primary objective was a suitable control of data to enable effective actions to improve the care provided to children with heart diseases in Brazil [ 5 ] .…”

Section: Introductionmentioning

confidence: 99%

Information technology implementing globalization on strategies for quality care provided to children submitted to cardiac surgery: International Quality Improvement Collaborative Program – IQIC

Sciarra¹,

Croti²,

Batigália³

2014

Revista Brasileira De Cirurgia Cardiovascular

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IntroductionCongenital heart diseases are the world's most common major birth defect, affecting one in every 120 children. Ninety percent of these children are born in areas where appropriate medical care is inadequate or unavailable.ObjectiveTo share knowledge and experience between an international center of excellence in pediatric cardiac surgery and a related program in Brazil.MethodsThe strategy used by the program was based on long-term technological and educational support models used in that center, contributing to the creation and implementation of new programs. The Telemedicine platform was used for real-time monthly broadcast of themes. A chat software was used for interaction between participating members and the group from the center of excellence.ResultsProfessionals specialized in care provided to the mentioned population had the opportunity to share to the knowledge conveyed.ConclusionIt was possible to observe that the technological resources that implement the globalization of human knowledge were effective in the dissemination and improvement of the team regarding the care provided to children with congenital heart diseases.

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“…Since then, we have introduced changes in order to identify predictors of morbidity and mortality, establish appropriate routines and improve the quality of care for children with heart disease -congenital and acquired in childhood -in our environment [1].…”

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confidence: 99%

“…One of the opportunities offered by the Children's HeartLink Foundation was participation in International Quality Improvement Collaborative for Congenital Heart Surgery in Developing Countries, program form the Boston Children's Hospital -Harvard Medical School -United States, coordinated by Dr. Kathy Jenkins [1].…”

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confidence: 99%