| Autor: |
Stephen Morris, Serban Stoica, Andrew Parry, Christina Pagel, Jo Wray, David J Barron, Karen Sheehan, Kathleen Selway, Lyvonne Tume, Jane Cassidy, Alison Jones, John Stickley, David Anderson, Deborah Ridout, Peter Davis, Emma Hudson, Andrew Mclean, Warren Rodrigues, Thomas Witter, Victor T Tsang, Sheryl Snowball, Luke Maidment, Sarah Bohannon, Kate Penny-Thomas, Joanne Webb, Sinead Cummins, Natasha Khan, Teresa Dickson, Ray Samson, Isobel Mcleod, Paul Wellman, Rhian Lakhani, Carrie Cherrington, Rob Tulloh, Bill Gaynor, Rodney Franklin, Lisa Allera, Kate Bull, Trevor Ritchens, Branko Mimic, Jon Smith, Vibeke Hjortdal, Michael Vath, Tom Treasure, Anne Keatley Clarke, Bea Tuten |
| Jazyk: |
angličtina |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
BMJ Open, Vol 9, Iss 9 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
2044-6055 |
| DOI: |
10.1136/bmjopen-2018-028533 |
| Popis: |
Objectives Given the current excellent early mortality rates for paediatric cardiac surgery, stakeholders believe that this important safety outcome should be supplemented by a wider range of measures. Our objectives were to prospectively measure the incidence of morbidities following paediatric cardiac surgery and to evaluate their clinical and health-economic impact over 6 months.Design The design was a prospective, multicentre, multidisciplinary mixed methods study.Setting The setting was 5 of the 10 paediatric cardiac surgery centres in the UK with 21 months recruitment.Participants Included were 3090 paediatric cardiac surgeries, of which 666 patients were recruited to an impact substudy.Results Families and clinicians prioritised:Acute neurological event, unplanned re-intervention, feeding problems, renal replacement therapy, major adverse events, extracorporeal life support, necrotising enterocolitis, postsurgical infection and prolonged pleural effusion or chylothorax.Among 3090 consecutive surgeries, there were 675 (21.8%) with at least one of these morbidities. Independent risk factors for morbidity included neonatal age, complex heart disease and prolonged cardiopulmonary bypass (p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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