Surveillance of Pediatric Cardiac Surgical Outcome Using Risk Stratifications at a Tertiary Care Center in Thailand
Objectives. To determine in-hospital mortality and complications of cardiac surgery in pediatric patients and identify predictors of hospital mortality. Methods. Records of pediatric patients who had undergone cardiac surgery in 2005 were reviewed retrospectively. The risk adjustment for congenital...
Saved in:
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2011-01-01
|
| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.4061/2011/254321 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832566803361955840 |
|---|---|
| author | Chodchanok Vijarnsorn Duangmanee Laohaprasitiporn Kritvikrom Durongpisitkul Prakul Chantong Jarupim Soongswang Paweena Cheungsomprasong Apichart Nana Somchai Sriyoschati Thawon Subtaweesin Punnarerk Thongcharoen Ungkab Prakanrattana Jiraporn Krobprachya Julaporn Pooliam |
| author_facet | Chodchanok Vijarnsorn Duangmanee Laohaprasitiporn Kritvikrom Durongpisitkul Prakul Chantong Jarupim Soongswang Paweena Cheungsomprasong Apichart Nana Somchai Sriyoschati Thawon Subtaweesin Punnarerk Thongcharoen Ungkab Prakanrattana Jiraporn Krobprachya Julaporn Pooliam |
| author_sort | Chodchanok Vijarnsorn |
| collection | DOAJ |
| description | Objectives. To determine in-hospital mortality and complications of cardiac surgery in pediatric patients and identify predictors of hospital mortality.
Methods. Records of pediatric patients who had undergone cardiac surgery in 2005 were reviewed retrospectively. The risk adjustment for congenital heart surgery (RACHS-1) method, the Aristotle basic complexity score (ABC score), and the Society of Thoracic Surgeons and the European Association for Cardiothoracic Surgery Mortality score (STS-EACTS score) were used as measures. Potential predictors were analyzed by risk analysis.
Results. 230 pediatric patients had undergone congenital cardiac surgery. Overall, the mortality discharge was 6.1%. From the ROC curve of the RACHS-1, the ABC level, and the STS-EACTS categories, the validities were determined to be 0.78, 0.74, and 0.67, respectively. Mortality risks were found at the high complexity levels of the three tools, bypass time >85 min, and cross clamp time >60 min. Common morbidities were postoperative pyrexia, bleeding, and pleural effusion.
Conclusions. Overall mortality and morbidities were 6.1%. The RACHS-1 method, ABC score, and STS-EACTS score were helpful for risk stratification. |
| format | Article |
| id | doaj-art-1f8ab32bed14489daac4da7ed4587d99 |
| institution | Kabale University |
| issn | 2090-0597 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-1f8ab32bed14489daac4da7ed4587d992025-02-03T01:03:00ZengWileyCardiology Research and Practice2090-05972011-01-01201110.4061/2011/254321254321Surveillance of Pediatric Cardiac Surgical Outcome Using Risk Stratifications at a Tertiary Care Center in ThailandChodchanok Vijarnsorn0Duangmanee Laohaprasitiporn1Kritvikrom Durongpisitkul2Prakul Chantong3Jarupim Soongswang4Paweena Cheungsomprasong5Apichart Nana6Somchai Sriyoschati7Thawon Subtaweesin8Punnarerk Thongcharoen9Ungkab Prakanrattana10Jiraporn Krobprachya11Julaporn Pooliam12Division of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDivision of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDivision of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDivision of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDivision of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDivision of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDivision of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDivision of Cardio Vascular Thoracic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDivision of Cardio Vascular Thoracic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDivision of Cardio Vascular Thoracic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDepartment of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDepartment of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandOffice for Research and Development, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandObjectives. To determine in-hospital mortality and complications of cardiac surgery in pediatric patients and identify predictors of hospital mortality. Methods. Records of pediatric patients who had undergone cardiac surgery in 2005 were reviewed retrospectively. The risk adjustment for congenital heart surgery (RACHS-1) method, the Aristotle basic complexity score (ABC score), and the Society of Thoracic Surgeons and the European Association for Cardiothoracic Surgery Mortality score (STS-EACTS score) were used as measures. Potential predictors were analyzed by risk analysis. Results. 230 pediatric patients had undergone congenital cardiac surgery. Overall, the mortality discharge was 6.1%. From the ROC curve of the RACHS-1, the ABC level, and the STS-EACTS categories, the validities were determined to be 0.78, 0.74, and 0.67, respectively. Mortality risks were found at the high complexity levels of the three tools, bypass time >85 min, and cross clamp time >60 min. Common morbidities were postoperative pyrexia, bleeding, and pleural effusion. Conclusions. Overall mortality and morbidities were 6.1%. The RACHS-1 method, ABC score, and STS-EACTS score were helpful for risk stratification.http://dx.doi.org/10.4061/2011/254321 |
| spellingShingle | Chodchanok Vijarnsorn Duangmanee Laohaprasitiporn Kritvikrom Durongpisitkul Prakul Chantong Jarupim Soongswang Paweena Cheungsomprasong Apichart Nana Somchai Sriyoschati Thawon Subtaweesin Punnarerk Thongcharoen Ungkab Prakanrattana Jiraporn Krobprachya Julaporn Pooliam Surveillance of Pediatric Cardiac Surgical Outcome Using Risk Stratifications at a Tertiary Care Center in Thailand Cardiology Research and Practice |
| title | Surveillance of Pediatric Cardiac Surgical Outcome Using Risk Stratifications at a Tertiary Care Center in Thailand |
| title_full | Surveillance of Pediatric Cardiac Surgical Outcome Using Risk Stratifications at a Tertiary Care Center in Thailand |
| title_fullStr | Surveillance of Pediatric Cardiac Surgical Outcome Using Risk Stratifications at a Tertiary Care Center in Thailand |
| title_full_unstemmed | Surveillance of Pediatric Cardiac Surgical Outcome Using Risk Stratifications at a Tertiary Care Center in Thailand |
| title_short | Surveillance of Pediatric Cardiac Surgical Outcome Using Risk Stratifications at a Tertiary Care Center in Thailand |
| title_sort | surveillance of pediatric cardiac surgical outcome using risk stratifications at a tertiary care center in thailand |
| url | http://dx.doi.org/10.4061/2011/254321 |
| work_keys_str_mv | AT chodchanokvijarnsorn surveillanceofpediatriccardiacsurgicaloutcomeusingriskstratificationsatatertiarycarecenterinthailand AT duangmaneelaohaprasitiporn surveillanceofpediatriccardiacsurgicaloutcomeusingriskstratificationsatatertiarycarecenterinthailand AT kritvikromdurongpisitkul surveillanceofpediatriccardiacsurgicaloutcomeusingriskstratificationsatatertiarycarecenterinthailand AT prakulchantong surveillanceofpediatriccardiacsurgicaloutcomeusingriskstratificationsatatertiarycarecenterinthailand AT jarupimsoongswang surveillanceofpediatriccardiacsurgicaloutcomeusingriskstratificationsatatertiarycarecenterinthailand AT paweenacheungsomprasong surveillanceofpediatriccardiacsurgicaloutcomeusingriskstratificationsatatertiarycarecenterinthailand AT apichartnana surveillanceofpediatriccardiacsurgicaloutcomeusingriskstratificationsatatertiarycarecenterinthailand AT somchaisriyoschati surveillanceofpediatriccardiacsurgicaloutcomeusingriskstratificationsatatertiarycarecenterinthailand AT thawonsubtaweesin surveillanceofpediatriccardiacsurgicaloutcomeusingriskstratificationsatatertiarycarecenterinthailand AT punnarerkthongcharoen surveillanceofpediatriccardiacsurgicaloutcomeusingriskstratificationsatatertiarycarecenterinthailand AT ungkabprakanrattana surveillanceofpediatriccardiacsurgicaloutcomeusingriskstratificationsatatertiarycarecenterinthailand AT jirapornkrobprachya surveillanceofpediatriccardiacsurgicaloutcomeusingriskstratificationsatatertiarycarecenterinthailand AT julapornpooliam surveillanceofpediatriccardiacsurgicaloutcomeusingriskstratificationsatatertiarycarecenterinthailand |