Characteristics and outcomes of children with ductal-dependent congenital heart disease and esophageal atresia/tracheoesophageal fistula: A multi-institutional analysis

作者: Kriti Puri , Shaine A. Morris , Carlos M. Mery , Yunfei Wang , Brady S. Moffett

DOI: 10.1016/J.SURG.2017.09.010

关键词: Generalized estimating equationLow birth weightPediatricsCase-control studyHeart diseaseRetrospective cohort studyMedicineAtresiaTracheoesophageal fistulaFistula

摘要: Abstract Background Extracardiac birth defects are associated with worse outcomes in congenital heart disease (CHD). The impact of esophageal atresia/trachea-esophageal fistula (EA/TEF) on after surgery for ductal-dependent CHD is unknown. Methods Retrospective matched cohort study using the Pediatric Health Information System database from 07/2004 to 06/2015. Hospitalizations and EA/TEF, undergoing were included as cases. Admissions without EA/TEF 3:1 age at admission Risk Adjustment Congenital Heart Surgery-1 classification. Comparisons performed generalized estimating equations. Results There 124 cases 372 controls. Cases 32 (25.8%) low-risk, 86 (69.3%) intermediate-risk, 6 (4.8%) high-risk patients. had more females compared controls (53.2% vs 41.1%, P = .022). likely be premature (28.2% 13.7%, P = .001) low weight (29.8% 11.8%, P  Conclusion In children CHD, increased morbidity, mortality resource utilization. A majority patients undergo repair prior surgery. (Surgery 2017;160:XXX-XXX.)

参考文章(24)
Zuhal Akçören, Beril Talim, Süheyla Ozkutlu, Safak Güçer, Melda Cağlar, Gülsev Kale, Tolga Ince, Noncardiac malformations in congenital heart disease: a retrospective analysis of 305 pediatric autopsies. Turkish Journal of Pediatrics. ,vol. 47, pp. 159- 166 ,(2005)
Ryan Robert Davies, Christian Pizarro, Decision-Making for Surgery in the Management of Patients with Univentricular Heart. Frontiers in Pediatrics. ,vol. 3, pp. 61- 61 ,(2015) , 10.3389/FPED.2015.00061
Monique Radman, Ricardo Mack, Joaquin Barnoya, Aldo Castañeda, Monica Rosales, Anthony Azakie, Nilesh Mehta, Roberta Keller, Sanjeev Datar, Peter Oishi, Jeffrey Fineman, None, The effect of preoperative nutritional status on postoperative outcomes in children undergoing surgery for congenital heart defects in San Francisco (UCSF) and Guatemala City (UNICAR) The Journal of Thoracic and Cardiovascular Surgery. ,vol. 147, pp. 442- 450 ,(2014) , 10.1016/J.JTCVS.2013.03.023
Matthew E. Oster, Matthew J. Strickland, William T. Mahle, Impact of prior hospital mortality versus surgical volume on mortality following surgery for congenital heart disease The Journal of Thoracic and Cardiovascular Surgery. ,vol. 142, pp. 882- 886 ,(2011) , 10.1016/J.JTCVS.2011.04.011
Taiyu Hayashi, Ryo Inuzuka, Yusuke Shiozawa, Takahiro Shindo, Nobutaka Shimizu, Tatsuo Katori, Treatment Strategy and Long-Term Prognosis for Patients With Esophageal Atresia and Congenital Heart Diseases Pediatric Cardiology. ,vol. 34, pp. 64- 69 ,(2013) , 10.1007/S00246-012-0386-5
Eva Maria B. Delmo Walter, Michael Hübler, Vladimir Alexi-Meskishvili, Oliver Miera, Yuguo Weng, Antonio Loforte, Felix Berger, Roland Hetzer, Staged Surgical Palliation in Hypoplastic Left Heart Syndrome and Its Variants Journal of Cardiac Surgery. ,vol. 24, pp. 383- 391 ,(2009) , 10.1111/J.1540-8191.2008.00759.X
J. L. Encinas, A. L. Luis, L. F. Avila, L. Martinez, L. Guereta, L. Lassaletta, Juan A. Tovar, Impact of preoperative diagnosis of congenital heart disease on the treatment of esophageal atresia. Pediatric Surgery International. ,vol. 22, pp. 150- 153 ,(2006) , 10.1007/S00383-005-1595-2
Jung-Won Kim, Mijeung Gwak, Won-Jung Shin, Hyun-Jung Kim, Jeong Jin Yu, Pyung-Hwan Park, Preoperative factors as a predictor for early postoperative outcomes after repair of congenital transposition of the great arteries. Pediatric Cardiology. ,vol. 36, pp. 537- 542 ,(2015) , 10.1007/S00246-014-1046-8
W. T. Mahle, T. L. Spray, G. Wernovsky, J. W. Gaynor, B. J. Clark, Survival after reconstructive surgery for hypoplastic left heart syndrome: A 15-year experience from a single institution. Circulation. ,vol. 102, pp. 136- 141 ,(2000) , 10.1161/01.CIR.102.SUPPL_3.III-136
David E. Fixler, Wendy N. Nembhard, Jason L. Salemi, Mary K. Ethen, Mark A. Canfield, Mortality in First 5 Years in Infants With Functional Single Ventricle Born in Texas, 1996 to 2003 Circulation. ,vol. 121, pp. 644- 650 ,(2010) , 10.1161/CIRCULATIONAHA.109.881904