eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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vol. 3

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The analysis of outcomes in 2542 procedures performed in one supraregional referral congenital heart surgical centre between 2001 and 2005

Andrzej Kansy
Bohdan Maruszewski
Piotr Burczyński
Andrzej Pastuszko
Mariusz Birbach
Wojciech Lipiński
Małgorzata Mirkowicz-Małek
Krzysztof Mozol
Michał Kozłowski
Małgorzata Manowska
Zdzisław Tobota

Kardiochirurgia i Torakochirurgia Polska 2006; 3 (4): 372–376
Online publish date: 2007/01/10
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Aim: The aim of this study was the analysis of early outcomes of the congenital heart procedures performed in 100% of children with congenital heart disease between 2001 and 2005. Material and methods: All surgical data underwent analysis according to International Nomenclature for Congenital Heart Disease of the EACTS/STS. The international Aristotle Score method was applied to evaluate the complexity and surgical performance (Basic Score). Patients were divided by age into: all, infants (excl. neonates) and neonates. Procedures were divided into CPB and non-CPB groups and into simple and complex. The outcomes underwent evaluation in the whole material and by years. Results: Out of 2542 procedures 1210 (47.6%) were performed under 1 year of age, including 394 neonates. There were 1656 (65.1%) CPB and 886 (34.9%) non-CPB procedures. 67.7% of CPB procedures performed are defined as “simple” and 32.3% as “complex”. Mean Aristotle Basic Score was 6.17 (95% CI 6.1-6.3). Median age of all patients who underwent 2542 CHS procedures was 13.8 months, 20.1-11.2, p<0.0002. Overall early mortality was 3.9% (5.1-2.8%). CPB procedures carried 4.5% mortality (5.26-3.85%). “Simple” CPB procedures – 0.6%. Mortality in non-CPB procedures was 2.7% (4.8-0.6%). The mortalities in age groups were as follows: all – 3.9%, infants 3.8%, neonates 13.7%. Post-operative median IPPV time was 9 hours in all patients, 82.5 in neonates and 16 in infants. Conclusions: The continuous analysis of outcomes in day-to-day surgical practice has become the duty of the modern congenital heart surgeon.

international nomenclature for congenital heart disease, early results of congenital heart surgery procedures, continuous analysis of outcomes

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