Registry Construction for Perioperative Data in Patients Undergoing Cardiovascular Surgery

Primary outcomes

1. Baseline characteristics

   Time frame: Before surgery

   • Sex
   • Age
   • Height
   • Weight
   • Body mass index
   • Underlying disease Family history
   • Previous operation history
   • Current medication Preoperative hemodialysis
   • Preoperative cardiopulmonary resuscitation
   • Preoperative mechanical ventilation
   • Preoperative intra-aortic balloon pump
   • Preoperative intravenous drug and dose
   • Alcohol history, smoking history
   • Drug allergy
   • Functional capacity, ASA classification, NYHA class
   • EuroSCORE, STS score, SOFA score

2. Preoperative data

   Time frame: Before surgery

   • Vital sign including systolic blood pressure, diastolic blood pressure, mean blood pressure, pulse pressure, heart rate, SpO2, body temperature, consciousness, GCS (Glasgow Coma Scale), central venous pressure, pulmonary arterial pressure, and respiratory rate
   • Laboratory data including CBC (Hb, Hct, WBC, platelet), Electrolyte (Na, K, Ca, Mg), coagulation (PT INR, aPTT, fibrinogen), ABGA (Hct, pH, pCO2, pO2, HCO3-, BE, SaO2), BUN/Creatinine, OT/PT, Total bilirubin, CRP, cardiac enzyme (Troponin I, CK, CK-MB), albumin, glucose, HbA1C, lactate, and creatinine clearance
   • ABGA (Hct, pH, pCO2, pO2, HCO3-, BE, SaO2, Na, K, iCa, Glucose, Lactic acid)
   • Imaging data including chest X-ray, chest CT, Brain MRI/A, coronary angiography, CT angiography, cardiac MRI, myocardiac SPECT, and abdomen CT
   • ECG (rhythm, QTc interval), PFT, Echocardiography (Ejection fraction, RWMA, Pulmonary HTN, Valve abnormality), and esophagogastroduodenoscopy

3. Intraoperative and postoperative data

   Time frame: During surgery and until 48 hours after surgery

   • Vital sign
   • ECG analysis
   • Stroke volume variation, pulse pressure variation
   • Cardiac index, cardiac output, stroke volume, mixed venous oxygen saturation
   • Airway and respiratory indicators
   • Bispectral index
   • Patient state index (PSi)
   • Tissue oxygen saturation of brain and limbs
   • Tissue oxygen saturation (StO2) during vascular occlusion test (VOT)
   • Transcutaneous CO2 (PtcCO2), transcutaneous O2 (PtcO2)
   • Sublingual SDF imaging (MicroScan; MicroVision Medical, Amsterdam, the Netherlands)
   • Pupil reactivity assessment scale
   • Coagulation: ROTEM, Multiplate
   • Laboratory data
   • ABGA
   • Cardiac enzyme

4. Operation data

   Time frame: During surgery

   • Type of operation
   • Emergency or elective
   • Types and doses of anesthetics, anesthesia time, surgery time
   • Location of arterial lines
   • Infused fluid and dose, estimated blood loss, blood transfusion, and urine output
   • Coronary artery bypass surgery: type of bypass artery, bypass time for each artery
   • Cardiopulmonary bypass A. Cardiopulmonary bypass protocol B. Types and doses of used drug, rewarming time, duration of CPB, time of aortic clamping, transfusion dose
   • Aortic arch surgery: total circulatory arrest, circulatory arrest duration, cerebral perfusion
   • Intraoperative TEE finding
   • Assist device including IABP, ECMO, LVAD, and RVAD
   • Rescue drug usage and dose
   • Tranexamic acid and vitamin K usage
   • Drug reaction or specific event

5. Postoperative ICU data

   Time frame: 1 year after surgery

   • Imaging data including chest X-ray, chest CT, Brain MR/CT, Echocardiography
   • Mechanical ventilation duration
   • ICU stay duration
   • Hospital stay duration
   • Postoperative pain control, sedatives
   • Drug usage and dose (Epinephrine, norepinephrine, dobutamine, dopamine, milrinone, vasopressin, nitroglycerin, phenylephrine, calcium chloride, lidocaine, amiodarone, digoxin, diltiazem, bicarbonate, and adenosine)
   • Assist device including IABP, ECMO, LVAD, and RVAD
   • Infused fluid and dose (crystalloid, colloid), estimated blood loss, blood transfusion (RBC, FFP, Platelet, cryoprecipitate, self-blood salvage), urine output at ICU admission, 24 hours / 48 hours after ICU admission.

6. Complications

   Time frame: 1 year after surgery

   • Cardiac complications
   • Respiratory complications
   • Neurologic complications
   • Renal complications
   • Infectious complications
   • Gastrointestinal complications
   • Adverse drug reaction
   • Bleeding complications
   • Thrombotic complications
   • Postoperative multiorgan failure (SOFA score)
   • Mortality including in hospital mortality
   • Re-operation