{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:26:35Z","timestamp":1787509595214,"version":"build-2736575974"},"reference-count":11,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Aiming at fostering local development of cardiology and cardiovascular surgery centers in developing countries, the nonprofit organization Children\u2019s 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>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 = .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 = .03), bacterial sepsis, and other infections (both P &lt; .001) were observed. At the 30-day postoperative follow-up, there was a decrease of in-hospital ( P = .16) and 30-day ( P = .14) mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2150135118825151","type":"journal-article","created":{"date-parts":[[2019,5,14]],"date-time":"2019-05-14T01:10:50Z","timestamp":1557796250000},"page":"270-275","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Impact of Partnership Between Children\u2019s HeartLink and IQIC Database With a Pediatric Cardiology and Cardiovascular Surgery Center in Brazil"],"prefix":"10.1177","volume":"10","author":[{"given":"Ulisses Alexandre","family":"Croti","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology and Cardiovascular Surgery, Hospital da Crian\u00e7a e Maternidade\u2014S\u00e3o Jos\u00e9 do Rio Preto Medical School (FAMERP), S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre Noboru","family":"Murakami","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology and Cardiovascular Surgery, S\u00e3o Jos\u00e9 do Rio Preto Medical School (FAMERP), S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos H.","family":"De Marchi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology and Cardiovascular Surgery, Hospital da Crian\u00e7a e Maternidade\u2014S\u00e3o Jos\u00e9 do Rio Preto Medical School (FAMERP), S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruna Cury","family":"Borim","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology and Cardiovascular Surgery, Hospital da Crian\u00e7a e Maternidade\u2014S\u00e3o Jos\u00e9 do Rio Preto Medical School (FAMERP), S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph A.","family":"Dearani","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Overman","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Children\u2019s Hospitals and Clinics of Minnesota, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4195-0283","authenticated-orcid":false,"given":"Patricia","family":"Hickey","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Critical Care Services, Boston Children\u2019s Hospital, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Harvard Medical School, Cambridge, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,5,13]]},"reference":[{"key":"bibr1-2150135118825151","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)32185-7"},{"key":"bibr2-2150135118825151","doi-asserted-by":"publisher","DOI":"10.1053\/j.pcsu.2004.02.009"},{"key":"bibr3-2150135118825151","first-page":"4578","volume":"7","author":"Sciarra AMP","year":"2013","journal-title":"Rev Enferm UFPE Online"},{"key":"bibr4-2150135118825151","unstructured":"Global Health and Health Policy. International Quality Improvement Collaborative. Boston, mA. 2016. http:\/\/ghhp.fas.harvard.edu\/international-quality-improvement-collaborative-childrens-hospital-boston-ma. Accessed June 18, 2018."},{"key":"bibr5-2150135118825151","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-76382010000100004"},{"key":"bibr6-2150135118825151","doi-asserted-by":"publisher","DOI":"10.5935\/1678-9741.20120026"},{"key":"bibr7-2150135118825151","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2002.122311"},{"key":"bibr8-2150135118825151","doi-asserted-by":"publisher","DOI":"10.1086\/501620"},{"key":"bibr9-2150135118825151","doi-asserted-by":"publisher","DOI":"10.5935\/1678-9741.20110034"},{"key":"bibr10-2150135118825151","unstructured":"Institute for Healthcare Improvement. Plan-Do-Study-Act (PDSA) Worksheet. 2018. http:\/\/www.ihi.org\/resources\/Pages\/Tools\/PlanDoStudyActWorksheet.aspx. Accessed June 18, 2018."},{"key":"bibr11-2150135118825151","unstructured":"Governo do Brasil. Mortalidade infantil continua em queda no Brasil. 2016. http:\/\/www.brasil.gov.br\/editoria\/saude\/2016\/11\/mortalidade-infantil-continua-em-queda-no-brasil. Accessed June 18, 2018."}],"container-title":["World Journal for Pediatric and Congenital Heart Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2150135118825151","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2150135118825151","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2150135118825151","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:22:09Z","timestamp":1777591329000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2150135118825151"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1177\/2150135118825151"],"URL":"https:\/\/doi.org\/10.1177\/2150135118825151","relation":{},"ISSN":["2150-1351","2150-136X"],"issn-type":[{"value":"2150-1351","type":"print"},{"value":"2150-136X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5]]}}}