Complete Repair of Tetralogy of Fallot in the Neonatal Versus Non-neonatal Period: A Meta-analysis

被引:45
作者
Loomba, Rohit S. [1 ]
Buelow, Matthew W. [1 ]
Woods, Ronald K. [1 ]
机构
[1] Med Coll Wisconsin, Childrens Hosp Wisconsin, Div Cardiol & Cardiothorac Surg, 9000 Wisconsin Ave, Milwaukee, WI 53226 USA
关键词
Tetralogy of fallot; Repair; Timing; Neonatal; Hypoxia; Cyanosis; BLALOCK-TAUSSIG SHUNT; PULMONARY STENOSIS; INFANTS; IMPACT; AGE; OUTCOMES; SURGERY; ATRESIA; RISK; NEED;
D O I
10.1007/s00246-017-1579-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
It is unclear if neonatal tetralogy of Fallot repair offers better outcomes compared to repair later in infancy. We therefore conducted a meta-analysis comparing outcomes of neonatal and non-neonatal repair. Manuscripts were identified and reviewed for quality and bias with favorably scored manuscripts being included in the final meta-analysis. Several perioperative and postoperative variables were compared. A total of 8 studies with 3858 patients were included in the analysis. Of these patients, 19% underwent neonatal repair. Neonatal repair was associated with increased mortality, longer intensive care unit stays, and longer total hospital length of stay.
引用
收藏
页码:893 / 901
页数:9
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