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Risk factors for mortality in Reoperations for Pediatric and Congenital Heart Surgery in a Developing Country

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dc.contributor.advisorSandoval-Reyes, Nestor
dc.creatorVilla Hincapie, Carlos
dc.creatorCarreño Jaimes, Marisol
dc.creatorObando Lopez, Carlos E
dc.creatorCamacho Mackenzie, Jaime
dc.creatorUmaña Mallarino, Juan Pablo
dc.creatorSandoval Reyes, Nestor
dc.creator.degreeEspecialista en Cirugía Cardiovascular
dc.date.accessioned2017-04-26T12:44:35Z
dc.date.available2017-04-26T12:44:35Z
dc.date.created2017-03-23
dc.date.issued2017
dc.description.abstractBackground: The survival of patients with congenital heart disease has increased in the recent years, because of enhanced diagnostic capabilities, better surgical techniques and improved perioperative care. Many patients will require reoperations as part of staged procedures, or to treat grafts deterioration and residual or recurrent lesions. Reoperations favor the formation of cardiac adhesions and consequently increase surgery time, however, the impact on morbidity and operative mortality is certain. The objective of the study was to describe the risk factors for mortality in pediatric patients undergoing a reoperation for congenital heart disease. Methods: Historic cohort of patients who underwent reoperations after pediatric cardiac surgery from January 2009 to December 2015. Operations with previous surgical approach different to sternotomy were excluded from the analysis. Results: In seven years, 3.086 surgeries were performed, 481 were reoperations and 238 patients fulfilled the inclusion criteria. Mean number of prior surgeries was 1.4 ± 0.6. Median age at the time of reoperation was 6.4 years. The most common surgical procedures were staged palliation for functionally univentricular heart (17.6%). Median cross clamp time was 66 minutes. Younger age at the moment of resternotomy, longer cross clamp time and a STAT risk category greater than 3 were risk factors for mortality. The number of resternotomies was not associated to mortality. Mortality prior to hospital discharge was 4.6% and mortality after discharge but prior to 30 days after surgery was 0.54%. Operative Mortality was 5.1%. Conclusions: Resternotomy in pediatric cardiac surgery is a safe procedure in our center.eng
dc.description.embargo2019-08-01 06:01:01: Script de automatizacion de embargos. info:eu-repo/date/embargoEnd/2019-04-26spa
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.48713/10336_13332
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/13332
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Cirugía Cardiovascularspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.spa
dc.source.bibliographicCitation1. Jacobs JP, Mavroudis C, Quintessenza JA, Chai PJ, Pasquali SK, Hill KD et al. Reoperations for pediatric and congenital heart disease: an analysis of the Society of Thoracic Surgeons(STS) congenital heart surgery database. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2014;17(1):2-8
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectCongenital Heart Diseasespa
dc.subjectCongenital Heart Surgeryspa
dc.subjectReoperationspa
dc.subjectSurgeryspa
dc.subjectComplicationsspa
dc.subject.ddcEnfermedades
dc.subject.decsPediatríaspa
dc.subject.decsMortalidadspa
dc.subject.decsCardiopatías congénitasspa
dc.subject.keywordCongenital Heart Diseaseeng
dc.subject.keywordCongenital Heart Surgeryeng
dc.subject.keywordReoperationeng
dc.subject.keywordComplicationseng
dc.subject.keywordSurgeryeng
dc.titleRisk factors for mortality in Reoperations for Pediatric and Congenital Heart Surgery in a Developing Countryspa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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