内华达州的复杂新生儿先天性心脏手术。
Complex neonatal congenital heart surgery in Nevada.
机构信息
Congenital Heart Center Nevada, Las Vegas, Nevada, USA.
Department of Pediatrics, Division of Pediatric Cardiology, Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, Nevada, USA.
出版信息
J Card Surg. 2022 Oct;37(10):3209-3213. doi: 10.1111/jocs.16749. Epub 2022 Jul 6.
OBJECTIVE
We reviewed our center's surgical mortality rates for those who underwent a Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery (STAT) category 4 or 5 neonatal cardiovascular surgery.
METHODS
We identified all patients who underwent a STAT category 4 or 5 neonatal index cardiovascular surgical procedure between July 2015 and July 2021.
RESULTS
We identified 239 patients. We divided them into two groups: (1) 42 (17.6%) ≤2.5 kg, and (2) 197 (82.4%) were >2.5 kg at the time of neonatal surgery. Of those ≤2.5 kg, 18/42 (42.9%) had syndromes or associated noncardiac malformations versus 34/197 (17.3%) of those >2.5 kg, p = .0093. Thirty-day discharge mortality for those ≤2.5 kg was 3/42 (7.1%) versus l0/197 (5.1%) for those >2.5 kg, p = .83.
CONCLUSIONS
Weight at the time of surgery, presence of syndromes, and associated noncardiac malformations did not affect mortality in those undergoing complex neonatal STAT 4 or 5 category cardiovascular surgery.
目的
我们回顾了本中心接受胸外科医师学会-欧洲心血管外科学会（STAT）分类 4 或 5 新生儿心血管手术患者的手术死亡率。
方法
我们确定了所有在 2015 年 7 月至 2021 年 7 月期间接受 STAT 分类 4 或 5 新生儿指数心血管手术的患者。
结果
我们共确定了 239 名患者。我们将他们分为两组：（1）42 名（17.6%）体重≤2.5kg，（2）197 名（82.4%）体重>2.5kg。在体重≤2.5kg 的患者中，18/42（42.9%）有综合征或相关的非心脏畸形，而体重>2.5kg 的患者中，34/197（17.3%）有综合征或相关的非心脏畸形，p=0.0093。体重≤2.5kg 的患者的 30 天出院死亡率为 3/42（7.1%），而体重>2.5kg 的患者为 10/197（5.1%），p=0.83。
结论
手术时的体重、综合征的存在和相关的非心脏畸形并未影响接受复杂新生儿 STAT 4 或 5 类心血管手术的患者的死亡率。
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