Trends in mortality rate in patients with congenital heart disease undergoing noncardiac surgical procedures at children’s hospitals

Abstract Advances made in pediatric cardiology, cardiac surgery and critical care have significantly improved the survival rate of patients with congenital heart disease (CHD) leading to an increase in children with CHD presenting for noncardiac surgical procedures. This study aims (1) to describe t...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Viviane G. Nasr, Steven J. Staffa, David Faraoni, James A. DiNardo
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/7e5bb744afd3459fae8342086388590c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7e5bb744afd3459fae8342086388590c
record_format	dspace
spelling	oai:doaj.org-article:7e5bb744afd3459fae8342086388590c2021-12-02T15:23:03ZTrends in mortality rate in patients with congenital heart disease undergoing noncardiac surgical procedures at children’s hospitals10.1038/s41598-021-81161-32045-2322https://doaj.org/article/7e5bb744afd3459fae8342086388590c2021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81161-3https://doaj.org/toc/2045-2322Abstract Advances made in pediatric cardiology, cardiac surgery and critical care have significantly improved the survival rate of patients with congenital heart disease (CHD) leading to an increase in children with CHD presenting for noncardiac surgical procedures. This study aims (1) to describe the trend and perioperative mortality rates in patients with CHD undergoing noncardiac surgical procedures at children’s hospitals over the past 5 years and (2) to describe the patient characteristics and the most common type of surgical procedures. The Pediatric Health Information System (PHIS) is an administrative database that contains inpatient, observation, and outpatient surgical data from 52 freestanding children’s hospitals. Thirty-nine of the 52 hospitals submitted data on all types of patient encounters for the duration of the study from 2015 to 2019. The total numbers of non-cardiac surgical encounters among patients with history of a CHD diagnosis significantly increased each year from 38,272 in 2015 to 45,993 in 2019 (P < 0.001). Despite the increase in case numbers, there has been a significant decline in mortality rates to the most recent incidence of 1.06% in 2019. Careful patient selection and medical optimization of patients aligned with specific expertise at dedicated children’s hospitals may lead to improvement in mortality rate. Future studies comparing the outcomes of patients with cardiac disease based on hospital type and volume as well as type of providers may help determine the future of care including potential need for regionalization of noncardiac care for this vulnerable patient population.Viviane G. NasrSteven J. StaffaDavid FaraoniJames A. DiNardoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Viviane G. Nasr Steven J. Staffa David Faraoni James A. DiNardo Trends in mortality rate in patients with congenital heart disease undergoing noncardiac surgical procedures at children’s hospitals
description	Abstract Advances made in pediatric cardiology, cardiac surgery and critical care have significantly improved the survival rate of patients with congenital heart disease (CHD) leading to an increase in children with CHD presenting for noncardiac surgical procedures. This study aims (1) to describe the trend and perioperative mortality rates in patients with CHD undergoing noncardiac surgical procedures at children’s hospitals over the past 5 years and (2) to describe the patient characteristics and the most common type of surgical procedures. The Pediatric Health Information System (PHIS) is an administrative database that contains inpatient, observation, and outpatient surgical data from 52 freestanding children’s hospitals. Thirty-nine of the 52 hospitals submitted data on all types of patient encounters for the duration of the study from 2015 to 2019. The total numbers of non-cardiac surgical encounters among patients with history of a CHD diagnosis significantly increased each year from 38,272 in 2015 to 45,993 in 2019 (P < 0.001). Despite the increase in case numbers, there has been a significant decline in mortality rates to the most recent incidence of 1.06% in 2019. Careful patient selection and medical optimization of patients aligned with specific expertise at dedicated children’s hospitals may lead to improvement in mortality rate. Future studies comparing the outcomes of patients with cardiac disease based on hospital type and volume as well as type of providers may help determine the future of care including potential need for regionalization of noncardiac care for this vulnerable patient population.
format	article
author	Viviane G. Nasr Steven J. Staffa David Faraoni James A. DiNardo
author_facet	Viviane G. Nasr Steven J. Staffa David Faraoni James A. DiNardo
author_sort	Viviane G. Nasr
title	Trends in mortality rate in patients with congenital heart disease undergoing noncardiac surgical procedures at children’s hospitals
title_short	Trends in mortality rate in patients with congenital heart disease undergoing noncardiac surgical procedures at children’s hospitals
title_full	Trends in mortality rate in patients with congenital heart disease undergoing noncardiac surgical procedures at children’s hospitals
title_fullStr	Trends in mortality rate in patients with congenital heart disease undergoing noncardiac surgical procedures at children’s hospitals
title_full_unstemmed	Trends in mortality rate in patients with congenital heart disease undergoing noncardiac surgical procedures at children’s hospitals
title_sort	trends in mortality rate in patients with congenital heart disease undergoing noncardiac surgical procedures at children’s hospitals
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/7e5bb744afd3459fae8342086388590c
work_keys_str_mv	AT vivianegnasr trendsinmortalityrateinpatientswithcongenitalheartdiseaseundergoingnoncardiacsurgicalproceduresatchildrenshospitals AT stevenjstaffa trendsinmortalityrateinpatientswithcongenitalheartdiseaseundergoingnoncardiacsurgicalproceduresatchildrenshospitals AT davidfaraoni trendsinmortalityrateinpatientswithcongenitalheartdiseaseundergoingnoncardiacsurgicalproceduresatchildrenshospitals AT jamesadinardo trendsinmortalityrateinpatientswithcongenitalheartdiseaseundergoingnoncardiacsurgicalproceduresatchildrenshospitals
_version_	1718387334384189440

Trends in mortality rate in patients with congenital heart disease undergoing noncardiac surgical procedures at children’s hospitals

Ejemplares similares