Review of the Registry's Fourth Year, Incorporating Lead Data and Pediatric ICD Procedures, and Use as a National Performance Measure

The National ICD Registry is a successful partnership between HRS and ACCF collecting data from 486,025 ICD implantations from 1,434 hospitals and 5,246 implanting physicians during 2006-2009. Quarterly benchmarking reports are sent to each hospital allowing assessment of their outcomes from ICD implantation compared with hospitals of similar procedure volume and a national aggregate. Several important research studies have been published highlighting the use of ICDs in the general population outside the constraints of randomized clinical trials and assessing other procedural aspects that are associated with too small of volume to be adequately represented in randomized trials. A performance measure has been developed using the National ICD Registry and approved by the National Quality Forum and will be put in general use in early 2011. Version 2.0 of the Registry started accepting data in April 2010 and now collects data on leads associated with ICD implantation and pediatric ICD implants. © 2010 Heart Rhythm Society.