Clinical registries will have an increasingly important role to play in healthcare as information technology infrastructures develop, and the demand for health-care quality improvement and trans- parency increases. Clinical registries can be used to improve the quality of patient care, underpin research, improve cost-effectiveness and provide information for regulatory purposes. Clinical registries are well established in cardiac surgery, and form a vital part of the European Association for Cardiothoracic Surgery (EACTS) Quality Improvement Programme (QUIP) for adult cardiac surgery.
The Society for Cardiothoracic Surgery in Great Britain and Ireland (SCTS) National Adult Cardiac Surgery Audit (NACSA) registry, which was established in 1996, is now managed by the National Institute for Cardiovascular Outcomes Research (NICOR). During a 3-year position (2011-13) at the University of Manchester, working with the SCTS and cardiac surgeons Prof. Ben Bridgewater and Dr. Stuart Grant, we leveraged the NACSA registry for research and clinical audit.