Impact of Perioperative Tachydysrhythmias on Mortality and Length of Stay in Complete Repair of Tetralogy of Fallot: A Multicenter Retrospective Cohort Study from the Pediatric Health Information System
| Autor: | Beverly J. Spray, Parthak Prodhan, Elijah H. Bolin, Aziez Ahmed |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pediatrics
medicine.medical_specialty Inpatient mortality Time Factors Pediatric health business.industry Infant Retrospective cohort study Perioperative Length of Stay medicine.disease Multiple risk factors Health Information Systems Postoperative Complications Treatment Outcome medicine Tetralogy of Fallot Humans Pharmacology (medical) Cardiac Surgical Procedures Cardiology and Cardiovascular Medicine business Child Retrospective Studies |
| Zdroj: | Cardiology. 146(3) |
| ISSN: | 1421-9751 |
| Popis: | Introduction: Tachydysrhythmias (TDS) frequently occur after complete repair of tetralogy of Fallot (TOF). However, not much is known about the effect of TDS on morbidity and mortality after TOF repair. We sought to assess the associations between TDS and mortality and morbidity after repair of TOF using a multicentre database. Materials and Methods: We identified all children aged 0–5 years in the Pediatric Health Information System who underwent TOF repair between 2004 and 2015. Codes for TDS were used to identify cases. Outcome variables were inpatient mortality and total length of stay (LOS). Univariate and multiple logistic and linear regression analyses were used to identify the effects of multiple risk factors, including TDS, on mortality and LOS. Results: A total of 7,749 patients met inclusion criteria, of which 1,493 (19%) had codes for TDS. There was no association between TDS and inpatient mortality. However, TDS were associated with 1.1 days longer LOS and accounted for 2% of the variation observed in LOS. Conclusion: After complete repair of TOF, TDS were not associated with mortality and appeared to have only a modest effect on LOS. |
| Databáze: | OpenAIRE |
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