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Title: Surveillance of pediatric cardiac surgical outcome using risk stratifications at a tertiary care center in Thailand
Authors: Chodchanok Vijarnsorn
Duangmanee Laohaprasitiporn
Kritvikrom Durongpisitkul
Prakul Chantong
Jarupim Soongswang
Paweena Cheungsomprasong
Apichart Nana
Somchai Sriyoschati
Thawon Subtaweesin
Punnarerk Thongcharoen
Ungkab Prakanrattana
Jiraporn Krobprachya
Julaporn Pooliam
Mahidol University
Keywords: Medicine
Issue Date: 16-Sep-2011
Citation: Cardiology Research and Practice. Vol.1, No.1 (2011)
Abstract: Objectives. To determine in-hospital mortality and complications of cardiac surgery in pediatric patients and identify predictors of hospital mortality. Methods. Records of pediatric patients who had undergone cardiac surgery in 2005 were reviewed retrospectively. The risk adjustment for congenital heart surgery (RACHS-1) method, the Aristotle basic complexity score (ABC score), and the Society of Thoracic Surgeons and the European Association for Cardiothoracic Surgery Mortality score (STS-EACTS score) were used as measures. Potential predictors were analyzed by risk analysis. Results. 230 pediatric patients had undergone congenital cardiac surgery. Overall, the mortality discharge was 6.1%. From the ROC curve of the RACHS-1, the ABC level, and the STS-EACTS categories, the validities were determined to be 0.78, 0.74, and 0.67, respectively. Mortality risks were found at the high complexity levels of the three tools, bypass time 85min, and cross clamp time 60min. Common morbidities were postoperative pyrexia, bleeding, and pleural effusion. Conclusions. Overall mortality and morbidities were 6.1%. The RACHS-1 method, ABC score, and STS-EACTS score were helpful for risk stratification. Copyright © 2011 Chodchanok Vijarnsorn et al.
ISSN: 20900597
Appears in Collections:Scopus 2011-2015

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