Unplanned reinterventions are associated with postoperative mortality in neonates with critical congenital heart disease.

The Journal of Thoracic and Cardiovascular Surgery
Mjaye L MazwiJohn M Costello

Abstract

Neonates with critical congenital heart disease remain at risk of adverse outcomes after cardiac surgery. Residual or undiagnosed anatomic lesions might be contributory. The present study aimed to describe the incidence and type of cardiac lesions that lead to early, unplanned cardiac reintervention, identify the risk factors for unplanned reintervention, and explore the associations between unplanned reinterventions and hospital mortality. The present single-center retrospective cohort study included 943 consecutive neonates with critical congenital heart disease who underwent cardiac surgery from 2002 to 2008. An unplanned cardiac reintervention was defined as a cardiac reoperation or interventional cardiac catheterization performed during the same hospitalization as the initial operation. Multivariate logistic regression analyses were used to identify the risk factors for unplanned cardiac reintervention and hospital mortality. Of the 943 neonates, 104 (11%) underwent an unplanned cardiac reintervention. The independent predictors of unplanned reintervention included prenatal diagnosis, lower birth weight, need for mechanical ventilation before the initial cardiac operation, lower attending surgeon experience, and greater Ri...Continue Reading

References

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Citations

Feb 29, 2016·The Annals of Thoracic Surgery·Francesca FiorentinoSerban Stoica
Mar 3, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·George T NicholsonChristopher J Petit
Mar 18, 2015·Journal of the American College of Cardiology·Timothy F FeltesPeter Koenig
Jan 21, 2014·The American Journal of Cardiology·Lydia K WrightMatthew E Oster
Jan 16, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Dan Mihai DorobantuSerban Constantin Stoica
Mar 31, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Melissa L BatesLuke J Lamers
Feb 8, 2018·Cardiology in the Young·Priya N BhatAndrew Y Shin
Mar 15, 2015·Circulation·Timothy F FeltesUNKNOWN American Heart Association
Sep 2, 2018·Prenatal Diagnosis·Abhishek ChakrabortySethuraman Swaminathan
Dec 27, 2018·Cardiology in the Young·Sudheer R GorlaSethuraman Swaminathan
Jun 5, 2019·Circulation. Cardiovascular Interventions·Dylan ThibaultKevin D Hill
Aug 20, 2014·Current Opinion in Pediatrics·Stacy A S KillenAnn Kavanaugh-McHugh
Dec 21, 2020·The Journal of Thoracic and Cardiovascular Surgery·T Konrad Rajab, Minoo N Kavarana
May 22, 2021·The Annals of Thoracic Surgery·Won Young LeeTae-Jin Yun

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