Adverse events in pediatric cardiac catheterization: Initial experience of Sohag university hospital

Objective: To determine incidence and risk factors of adverse events associated with pediatric cardiac catheterization in the initial experience of our institution. Patients and methods: The retrospective cohort study was conducted on 262 children with congenital heart disease who received cardiac c...

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Main Author: Safaa Husein Ali
Format: Article
Language:English
Published: SpringerOpen 2016-03-01
Series:The Egyptian Heart Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1110260815000642
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author Safaa Husein Ali
author_facet Safaa Husein Ali
author_sort Safaa Husein Ali
collection DOAJ
description Objective: To determine incidence and risk factors of adverse events associated with pediatric cardiac catheterization in the initial experience of our institution. Patients and methods: The retrospective cohort study was conducted on 262 children with congenital heart disease who received cardiac catheterization in our catheterization between April 2010 and April 2013. Diagnostic CC was performed in 176 patients and therapeutic CC in 86 patients. All children’s electronic and paper chart records were reviewed to obtain demographic, procedural, and treatment data. The severities of AE were further classified into minor, moderate and higher severity AE including levels 3, 4 or 5 AE. Results: Of 262 patients (147 females, 55.4%), AE occurred in 31 studies (11.8%), in children ranging in age from 3 days to 16 years. There were 7 patients with higher severity AE (2.7%), 7 patients with moderate AE (2.7%) and 17 patients (6.5%) with minor AE. Vascular complications represented the majority (n = 12; 38.7%). Two children died within 24 h (0.7% of total case numbers). The risk factors for a complication included patient low body weight and the second year of our institution experience. Conclusions: Pediatric cardiac catheterization by well trained team of pediatric cardiologists in a new center is effective. The rate of occurrence of AEs approximated to those which are reported by various interventional pediatric cardiology centers around the world. The lower body weight and the second year of initial experience are risk factors for occurrence of AE.
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spelling doaj.art-8bf74322cbf14e24a0b978ea99f735442022-12-21T17:01:00ZengSpringerOpenThe Egyptian Heart Journal1110-26082016-03-01681455110.1016/j.ehj.2015.06.001Adverse events in pediatric cardiac catheterization: Initial experience of Sohag university hospitalSafaa Husein AliObjective: To determine incidence and risk factors of adverse events associated with pediatric cardiac catheterization in the initial experience of our institution. Patients and methods: The retrospective cohort study was conducted on 262 children with congenital heart disease who received cardiac catheterization in our catheterization between April 2010 and April 2013. Diagnostic CC was performed in 176 patients and therapeutic CC in 86 patients. All children’s electronic and paper chart records were reviewed to obtain demographic, procedural, and treatment data. The severities of AE were further classified into minor, moderate and higher severity AE including levels 3, 4 or 5 AE. Results: Of 262 patients (147 females, 55.4%), AE occurred in 31 studies (11.8%), in children ranging in age from 3 days to 16 years. There were 7 patients with higher severity AE (2.7%), 7 patients with moderate AE (2.7%) and 17 patients (6.5%) with minor AE. Vascular complications represented the majority (n = 12; 38.7%). Two children died within 24 h (0.7% of total case numbers). The risk factors for a complication included patient low body weight and the second year of our institution experience. Conclusions: Pediatric cardiac catheterization by well trained team of pediatric cardiologists in a new center is effective. The rate of occurrence of AEs approximated to those which are reported by various interventional pediatric cardiology centers around the world. The lower body weight and the second year of initial experience are risk factors for occurrence of AE.http://www.sciencedirect.com/science/article/pii/S1110260815000642Adverse eventCardiac catheterizationComplication
spellingShingle Safaa Husein Ali
Adverse events in pediatric cardiac catheterization: Initial experience of Sohag university hospital
The Egyptian Heart Journal
Adverse event
Cardiac catheterization
Complication
title Adverse events in pediatric cardiac catheterization: Initial experience of Sohag university hospital
title_full Adverse events in pediatric cardiac catheterization: Initial experience of Sohag university hospital
title_fullStr Adverse events in pediatric cardiac catheterization: Initial experience of Sohag university hospital
title_full_unstemmed Adverse events in pediatric cardiac catheterization: Initial experience of Sohag university hospital
title_short Adverse events in pediatric cardiac catheterization: Initial experience of Sohag university hospital
title_sort adverse events in pediatric cardiac catheterization initial experience of sohag university hospital
topic Adverse event
Cardiac catheterization
Complication
url http://www.sciencedirect.com/science/article/pii/S1110260815000642
work_keys_str_mv AT safaahuseinali adverseeventsinpediatriccardiaccatheterizationinitialexperienceofsohaguniversityhospital