Accepted for/Published in: JMIR Cardio
Date Submitted: Dec 16, 2024
Open Peer Review Period: Jan 13, 2025 - Mar 10, 2025
Date Accepted: Oct 10, 2025
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Development and Implementation of a Web-Based Platform for the Chilean Cardiac Surgery Registry
ABSTRACT
Background:
Cardiac surgeries in Chile lack a national registry for systematic data collection and analysis, limiting insights into procedural outcomes and patient demographics. In response to this gap, we developed a web-based platform to support the documentation of high-complexity cardiac surgeries.
Objective:
Design, develop and implement a cardiac surgery data collection and analysis platform that conforms to international standards to support clinical decision-making and research initiatives.
Methods:
A web-based platform was developed using the Model-View-Controller (MVC) architecture, incorporating input from healthcare professionals and based on the fourth European Association for Cardio-Thoracic Surgery (EACTS) adult cardiac surgical database report. The platform captures over 160 clinical variables across 15 categories spanning pre-operative, intra-operative, and post-operative stages.
Results:
The most important result of this study is the creation of the first online platform for documenting cardiac surgeries in Chile. Since its implementation in 2014, the platform has documented over 4,800 cardiac surgeries, establishing it as the largest database for a single institution in Latin America. The platform offers real-time access to data, supports planning and resource allocation, and enables the systematic evaluation of clinical outcomes. Integrating the EURO SCORE II risk model facilitates a standardized mortality risk assessment.
Conclusions:
The platform contributes to cardiac surgery data collection in Chile, enabling evidence-based clinical decision-making and public health planning. It has documented cardiac surgeries for 10 years and has become the official hospital registry tool. By 2025, its application will be extended to two more centers, with the expectation that it will soon become the national database of cardiac surgeries. Future developments should improve scalability, interoperability and data analysis to establish a national registry and further align Chilean cardiac surgery practices with international standards.
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.