Neonatal congenital heart surgery: contemporary outcomes and risk profile
Abstract Objective Many studies still dispute the identification of independent risk factors that influence outcome after neonatal cardiac surgery. We present our study to announce the contemporary outcomes and risk profile of neonatal cardiac surgery at our institute. Methods We designed a retrospe...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-022-01830-w |
| _version_ | 1828473491916062720 |
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| author | Ahmed Abdelrahman Elassal Osman Osama AL-Radi Ragab Shehata Debis Zaher Faisal Zaher Gaser Abdelmohsen Abdelmohsen Mazen Shamsaldeen Faden Nada Ahmed Noaman Ahmed Ragab Elakaby Mohamed Esam Abdelmotaleb Ahmed Mostafa Abdulgawad Mohamed Saleh Elhudairy Abdulla Husain Jabbad Ahmed Abdelaziz Ismail Norah Bakheet Aljohani Arwa Mohammed Alghamdi Ahmed Mohamed Dohain |
| author_facet | Ahmed Abdelrahman Elassal Osman Osama AL-Radi Ragab Shehata Debis Zaher Faisal Zaher Gaser Abdelmohsen Abdelmohsen Mazen Shamsaldeen Faden Nada Ahmed Noaman Ahmed Ragab Elakaby Mohamed Esam Abdelmotaleb Ahmed Mostafa Abdulgawad Mohamed Saleh Elhudairy Abdulla Husain Jabbad Ahmed Abdelaziz Ismail Norah Bakheet Aljohani Arwa Mohammed Alghamdi Ahmed Mohamed Dohain |
| author_sort | Ahmed Abdelrahman Elassal |
| collection | DOAJ |
| description | Abstract Objective Many studies still dispute the identification of independent risk factors that influence outcome after neonatal cardiac surgery. We present our study to announce the contemporary outcomes and risk profile of neonatal cardiac surgery at our institute. Methods We designed a retrospective study of neonatal patients who underwent surgery for congenital heart diseases between June 2011 and April 2020. Demographic, operative, and postoperative data were collected from medical records and surgical databases. The primary outcome was the operative mortality (in-hospital death) and secondary outcomes included hospital length of stay, intensive care unit stay, duration of mechanical ventilation. Results In total, 1155 cardiac surgeries in children were identified; of these, 136 (11.8%) were performed in neonates. Arterial switch operations (48 cases) were the most frequent procedures. Postoperatively, 11 (8.1%) patients required extracorporeal membrane oxygenation, and 4 (2.9%) patients had complete heart block. Postoperative in-hospital mortality was 11%. The median postoperative duration of mechanical ventilation, intensive care unit stay, and hospital length of stay were 6, 18, and 24 days, respectively. Conclusion The early outcomes of neonatal cardiac surgery are encouraging. The requirement of postoperative extracorporeal membrane oxygenation support, postoperative intracranial hemorrhage, and acute kidney were identified as independent risk factors of mortality following surgery for congenital heart defects in neonates. |
| first_indexed | 2024-12-11T05:45:12Z |
| format | Article |
| id | doaj.art-a43a7ab63e2c46f18f13b5a7ed25a9dd |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-11T05:45:12Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-a43a7ab63e2c46f18f13b5a7ed25a9dd2022-12-22T01:18:59ZengBMCJournal of Cardiothoracic Surgery1749-80902022-04-011711910.1186/s13019-022-01830-wNeonatal congenital heart surgery: contemporary outcomes and risk profileAhmed Abdelrahman Elassal0Osman Osama AL-Radi1Ragab Shehata Debis2Zaher Faisal Zaher3Gaser Abdelmohsen Abdelmohsen4Mazen Shamsaldeen Faden5Nada Ahmed Noaman6Ahmed Ragab Elakaby7Mohamed Esam Abdelmotaleb8Ahmed Mostafa Abdulgawad9Mohamed Saleh Elhudairy10Abdulla Husain Jabbad11Ahmed Abdelaziz Ismail12Norah Bakheet Aljohani13Arwa Mohammed Alghamdi14Ahmed Mohamed Dohain15Cardiac Surgery Unit, Department of Surgery, King Abdulaziz UniversityCardiac Surgery Unit, Department of Surgery, King Abdulaziz UniversityCardiac Surgery Unit, Department of Surgery, King Abdulaziz UniversityDepartment of Pediatric Cardiology, King Abdulaziz UniversityDepartment of Pediatric Cardiology, King Abdulaziz UniversityDepartment of Anesthesia and Critical Care, King Abdulaziz UniversityDepartment of Anesthesia and Critical Care, King Abdulaziz UniversityPediatrics Department, Faculty of Medicine (Boys), Al-Azhar UniversityPediatric Cardiac Intensive Care Unit, King Abdulaziz UniversityPediatric Cardiac Intensive Care Unit, King Abdulaziz UniversityPediatric Cardiac Intensive Care Unit, King Abdulaziz UniversitySixth Grade, Faculty of Human Medicine, King Abdulaziz UniversityDepartment of Anesthesia and Pain Management, Faculty of Medicine, Cairo UniversityCardiac Surgery Unit, Patient Coordination Unit, King Abdulaziz UniversityCardiac Surgery Unit, Patient Coordination Unit, King Abdulaziz UniversityDepartment of Pediatric Cardiology, King Abdulaziz UniversityAbstract Objective Many studies still dispute the identification of independent risk factors that influence outcome after neonatal cardiac surgery. We present our study to announce the contemporary outcomes and risk profile of neonatal cardiac surgery at our institute. Methods We designed a retrospective study of neonatal patients who underwent surgery for congenital heart diseases between June 2011 and April 2020. Demographic, operative, and postoperative data were collected from medical records and surgical databases. The primary outcome was the operative mortality (in-hospital death) and secondary outcomes included hospital length of stay, intensive care unit stay, duration of mechanical ventilation. Results In total, 1155 cardiac surgeries in children were identified; of these, 136 (11.8%) were performed in neonates. Arterial switch operations (48 cases) were the most frequent procedures. Postoperatively, 11 (8.1%) patients required extracorporeal membrane oxygenation, and 4 (2.9%) patients had complete heart block. Postoperative in-hospital mortality was 11%. The median postoperative duration of mechanical ventilation, intensive care unit stay, and hospital length of stay were 6, 18, and 24 days, respectively. Conclusion The early outcomes of neonatal cardiac surgery are encouraging. The requirement of postoperative extracorporeal membrane oxygenation support, postoperative intracranial hemorrhage, and acute kidney were identified as independent risk factors of mortality following surgery for congenital heart defects in neonates.https://doi.org/10.1186/s13019-022-01830-wCongenital heart surgeryNeonatalOutcomeRisk |
| spellingShingle | Ahmed Abdelrahman Elassal Osman Osama AL-Radi Ragab Shehata Debis Zaher Faisal Zaher Gaser Abdelmohsen Abdelmohsen Mazen Shamsaldeen Faden Nada Ahmed Noaman Ahmed Ragab Elakaby Mohamed Esam Abdelmotaleb Ahmed Mostafa Abdulgawad Mohamed Saleh Elhudairy Abdulla Husain Jabbad Ahmed Abdelaziz Ismail Norah Bakheet Aljohani Arwa Mohammed Alghamdi Ahmed Mohamed Dohain Neonatal congenital heart surgery: contemporary outcomes and risk profile Journal of Cardiothoracic Surgery Congenital heart surgery Neonatal Outcome Risk |
| title | Neonatal congenital heart surgery: contemporary outcomes and risk profile |
| title_full | Neonatal congenital heart surgery: contemporary outcomes and risk profile |
| title_fullStr | Neonatal congenital heart surgery: contemporary outcomes and risk profile |
| title_full_unstemmed | Neonatal congenital heart surgery: contemporary outcomes and risk profile |
| title_short | Neonatal congenital heart surgery: contemporary outcomes and risk profile |
| title_sort | neonatal congenital heart surgery contemporary outcomes and risk profile |
| topic | Congenital heart surgery Neonatal Outcome Risk |
| url | https://doi.org/10.1186/s13019-022-01830-w |
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