Publication: Surveillance of pediatric cardiac surgical outcome using risk stratifications at a tertiary care center in Thailand
Issued Date
2011-09-16
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ISSN
20900597
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2-s2.0-80052668555
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Mahidol University
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SCOPUS
Bibliographic Citation
Cardiology Research and Practice. Vol.1, No.1 (2011)
Suggested Citation
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 Surveillance of pediatric cardiac surgical outcome using risk stratifications at a tertiary care center in Thailand. Cardiology Research and Practice. Vol.1, No.1 (2011). doi:10.4061/2011/254321 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/12315
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Title
Surveillance of pediatric cardiac surgical outcome using risk stratifications at a tertiary care center in Thailand
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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.