Early Outcomes of Neonatal Cardiac Surgery in India
Indian Pediatr
;
2020 Feb; 57(2): 129-132
Article
| IMSEAR
| ID: sea-199476
ABSTRACT
Objective:
To assess outcomes and factors influencing outcomes in neonates requiringcardiac surgery in India.Methods:
This study reports on review of hospital data from atertiary care cardiac surgical institute from January-2009 to December-2015.Results:
A totalof 200 neonates were included; of them, 5% of the cases were antenatally diagnosed andmost of them had unmonitored transport (111, 55.5%). The overall mortality rate was 13.5%,(n=27) and 178 (89%) underwent complete defect repair. There was a significant associationof mortality with shock, the number of inotropes, intra-operative procedure, residual lesion,aortic cross-clamp and deep hypothermic circulatory arrest time (all P<0.05). Logisticregression analysis showed ventilation duration, cardiac-bypass time, shock, and residualcardiac lesion as independent predictors of mortality.Conclusion:
Cardiac defects werefound to have late detection and most transports were unmonitored. Complete surgical repairand shorter cardiac bypass time can potentially improve neonatal cardiac surgicaloutcomes:
Full text:
Available
Index:
IMSEAR (South-East Asia)
Type of study:
Prognostic study
Journal:
Indian Pediatr
Year:
2020
Type:
Article
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