NAC449.61246. Maintenance of registry to record results for each patient.

A registry must be maintained at an approved hospital and used for recording the results of open-heart surgery for each patient. This registry must include or indicate, for each such patient:

     1. The patient’s patient identification number.

     2. The patient’s race.

     3. The patient’s age.

     4. The patient’s sex.

     5. Any history of hypertension, smoking, diabetes mellitus, cerebrovascular disease, coronary bypass, myocardial infarction, chronic obstructive pulmonary disease or renal disease.

     6. The period during which the surgery is performed.

     7. The period during which the heart-lung bypass machine is used.

     8. The period during which a crossclamp is in place.

     9. The patient’s ASA acquity classification.

     10. The patient’s New York Heart Association functional classification.

     11. A record of any angioplasty performed or thrombolytic therapy.

     12. A record of any use of an intra-aortic balloon pump.

     13. Whether the patient is an elective, emergency or transfer case.

     14. The number of days he or she is intubated.

     15. The number of days he or she is in the cardiac surgery unit.

     16. The length of the patient’s hospital stay.

     17. The location to which he or she is discharged.

     18. A record of his or her 30-day follow-up examination.

     19. A record of his or her ventricular function (ejection fraction).

     20. The description of the surgical procedure and, if applicable, the number of vessels involved and the type of graft (mammary or saphenous).

     21. A record of any complications, including:

     (a) Additional surgery for bleeding;

     (b) Peri-operative myocardial infarction;

     (c) Infections of the sternum, leg or intra-aortic balloon pump site; or

     (d) Stroke.

     (Added to NAC by Bd. of Health, eff. 8-31-89)