Long-term outcomes after pediatric cardiac surgery: A 20-year single-institution study

被引:0
作者
Delgado, Luis Eduardo Silva [1 ]
Cueva, Erika Thalia Vasquez [1 ]
Delgado, Katherine Silva [1 ]
Quispe, Jorge Luis Maguina [1 ]
Silva, Eduardo [2 ]
机构
[1] Peruvian Univ Appl Sci, Sch Med, Lima, Peru
[2] Inst Nacl Salud Nino INSN, Pediat Cardiovasc Intens Care Unit, Ave Brasil 600, Brena 150105, Lima, Peru
来源
PERFUSION-UK | 2025年
关键词
risk factors; cardiopulmonary bypass; survival; pediatrics; cardiac surgery; CONGENITAL HEART-SURGERY; RISK-FACTORS; MORTALITY; SURVIVAL; CHILDREN; DISEASE; DEATH;
D O I
10.1177/02676591251328926
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose This study evaluated the long-term outcomes and factors associated with survival in patients undergoing cardiac surgery with cardiopulmonary bypass at a children's cardiac center.Methods A retrospective cohort study was conducted between 2001 and 2020 Outcomes included early or late survival and associated risk factors for survival.Results Survival had a mean of 16.78 years (95% CI 16.50-17.06). The survival rates at 1, 5, 10, and 19 years were 91, 88, and 88%, respectively. Cox regression analysis indicated that age HR = 0.39, 95% CI [0.26-0.59], the RACHS-1 scale HR = 9.92, 95% CI [3.67-26.79], open chest HR = 1, 90, 95% CI [1.20-3.00], cardiac arrest HR = 3.91, 95% CI [2.40-6.36] and peritoneal dialysis HR = 6.71, 95% CI [4, 33-10.38], were independently associated with worse survival.Conclusions long-term survival of children who undergo cardiac surgery at our single center was satisfactory. Age, higher RACHS score, delayed sternal closure, cardiac arrest, and peritoneal dialysis were strong predictors of adverse outcomes affecting early and long-term survival of pediatric cardiac surgery.
引用
收藏
页数:8
相关论文
共 50 条
[41]   A 20-year histopathologic study of pediatric nevi at an academic institution [J].
Moustafa, Danna ;
Duncan, Lyn M. ;
Hawryluk, Elena B. .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2021, 84 (01) :39-40
[42]   Long-Term Outcomes Following Pediatric Out-of-Hospital Cardiac Arrest [J].
Michiels, Erica A. ;
Dumas, Florence ;
Quan, Linda ;
Selby, Leah ;
Copass, Michael ;
Rea, Thomas .
PEDIATRIC CRITICAL CARE MEDICINE, 2013, 14 (08) :755-760
[43]   The role of radiotherapy in adult medulloblastoma: long-term single-institution experience and a review of the literature [J].
Balducci, M. ;
Chiesa, S. ;
Chieffo, D. ;
Manfrida, S. ;
Dinapoli, N. ;
Fiorentino, A. ;
Micciche, F. ;
Frascino, V. ;
Anile, C. ;
Valentini, V. ;
De Bari, B. .
JOURNAL OF NEURO-ONCOLOGY, 2012, 106 (02) :315-323
[44]   Analyzing Impact of Multimorbidity on Long-Term Outcomes after Emergency General Surgery: A Retrospective Observational Cohort Study [J].
Rosen, Claire B. ;
Roberts, Sanford E. ;
Wirtalla, Chris J. ;
Ramadan, Omar, I ;
Keele, Luke J. ;
Kaufman, Elinore J. ;
Halpern, Scott D. ;
Kelz, Rachel R. .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2022, 235 (05) :724-735
[45]   Long-term outcomes after a transcranial microsurgical approach to craniopharyngiomas: a 20-year clinical follow-up study [J].
Shi, Xiang'en ;
Wang, Long ;
Wu, Bin ;
Zhang, Yongli ;
Zhou, Zhongqing .
NEUROSURGICAL REVIEW, 2023, 46 (01)
[46]   Long-term outcomes after allogeneic hematopoietic stem cell transplantation for metachromatic leukodystrophy: the largest single-institution cohort report [J].
Boucher, Alexander A. ;
Miller, Weston ;
Shanley, Ryan ;
Ziegler, Richard ;
Lund, Troy ;
Raymond, Gerald ;
Orchard, Paul J. .
ORPHANET JOURNAL OF RARE DISEASES, 2015, 10
[47]   Long-Term Outcomes and Risk Factors of Mortality After Reoperation on the Aortic Root: A Single-Center 20-Year Experience [J].
Bozini, Nikoleta ;
Piber, Nicole ;
Vitanova, Keti ;
Sideris, Konstantinos ;
Herold, Ulf ;
Guenzinger, Ralf ;
Georgescu, Teodora ;
Amabile, Andrea ;
Krane, Markus ;
Prinzing, Anatol .
JOURNAL OF CLINICAL MEDICINE, 2025, 14 (11)
[48]   Long-term outcomes of congenital diaphragmatic hernia: A single institution experience [J].
Gerall, Claire D. ;
Stewart, Latoya A. ;
Price, Jessica ;
Kabagambe, Sandra ;
Sferra, Shelby R. ;
Schmaedick, Maggie J. ;
Hernan, Rebecca ;
Khlevner, Julie ;
Krishnan, Usha S. ;
De, Aliva ;
Aspelund, Gudrun ;
Duron, Vincent P. .
JOURNAL OF PEDIATRIC SURGERY, 2022, 57 (04) :563-569
[49]   Long-term outcomes of CNS WHO grade 2 oligodendroglioma in adult patients: a single-institution experience [J].
Byeon, Yukyeng ;
Lee, Chaejin ;
Jeon, Juhee ;
Kim, Gung Ju ;
Chong, Sangjoon ;
Kim, Young-Hoon ;
Cho, Young Hyun ;
Hong, Seok Ho ;
Hong, Chang-Ki ;
Kim, Jeong Hoon ;
Song, Sang Woo .
DISCOVER ONCOLOGY, 2024, 15 (01)
[50]   Long-term Outcomes of Tetralogy of Fallot A Study From the Pediatric Cardiac Care Consortium [J].
Smith, Clayton A. ;
McCracken, Courtney ;
Thomas, Amanda S. ;
Spector, Logan G. ;
St Louis, James D. ;
Oster, Matthew E. ;
Moller, James H. ;
Kochilas, Lazaros .
JAMA CARDIOLOGY, 2019, 4 (01) :34-41