Abstract
In this issue of The Annals of Thoracic Surgery, Bailly and colleagues1 used data from the NEonatal and Pediatric Heart Renal Outcomes Network (NEPHRON) to investigate the impact of fluid overload on neonatal cardiac surgery clinical outcomes. In the ever-changing field of pediatric cardiac critical care, a paradigm may exist where the methods of research may indeed outlast the results. At the very least, the methods of this paper has a very important history, which is praiseworthy. The journey starts in 2009, when 5 institutions founded The Pediatric Cardiac Critical Care Consortium (PC4), a quality improvement collaborative that provides the infrastructure for standardization of data collection while defining quality metrics for clinical practice.
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