72 B. L. Mejak et al.: J Extra Corpor Technol 2025, 57, 66 – 73
Figure 4. Perfusionist comparison report – Averages showing averages of CPB fluid balance for a list of perfusionists from a given institution.
and adults, and following ASDs( 72 %) and Fontans( 60 %) [ 9 ]. Early extubation in the operating room is associated with reduced morbidity, length of stay, and improved patient experience [ 10 ].
The Advanced Cardiac Therapies Improving Outcomes Network( ACTION) is another widely successful collaborative that combines multicenter data in pediatric heart failure patients from 68 sites to improve outcomes. ACTION assessed 9 years of data from 838 ventricular assist device patients to develop a prognostic tool to predict mortality. Boucek et al. found that identifying risk factors for mortality before VAD implantation, such as TPN, dialysis, and mechanical ventilation, can assist in patient selection for primary mechanical support placement [ 11 ]. Hollander utilized ACTION registry data to conclude higher mortality rates in continuous flow devices compared to pulsatile VADs [ 12 ].
The PLN will also not limit itself solely to registry publications. October of 2024 will see an inaugural meeting of member centers to discuss registry format, data, future research projects, and, most importantly, the unblinded viewing of center data to promote discussion and clinical practice improvements. As a new registry, the PLN aims to grow its membership in the US and internationally.
In conclusion, the developers of the PLN registry, in partnership with other strategic registries, hope to foster learning and collaboration surrounding the practice of pediatric and congenital perfusion in a grand effort to ultimately improve the care delivered to all patients.
Acknowledgements
On behalf of the PediPERForm Learning Network, we would like to thank all the perfusionists and other professionals who have contributed to the development of the PediPERForm collaborative, as we could not have done this without the help of the community.
Funding
PLN would also like to extend gratitude to the Cincinnati Heart Foundation for its generous start-up and ongoing grant to support this endeavor.
Conflicts of interest
Outside of this work, Donald S. Likosky receives research funding from the Agency for Healthcare Research and Quality and the National Institutes of Health and serves as a consultant for the American Society of Extracorporeal Technology. Donald S. Likosky receives partial