Related Experiment Video
Updated: Sep 10, 2025
04:55
Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model
Published on: May 26, 2023
879
Risk Factors for One-Year Postdischarge Mortality: An Analysis From the World Database for Pediatric and Congenital
Brian P Bateson1, James D St Louis1, Sivakumar Sivalingam2
1Department of Surgery, Augusta University, Augusta, GA, USA.
World Journal for Pediatric & Congenital Heart Surgery
|August 25, 2025
Summary
This study analyzed one-year mortality in pediatric heart surgery patients using the World Database for Pediatric and Congenital Heart Surgery (WDPCHS). Key risk factors like STAT 5, chromosomal abnormalities, and multiple preoperative issues significantly increase mortality risk.
Area of Science:
- Pediatric Cardiology
- Cardiac Surgery
- Public Health
Background:
- The World Database for Pediatric and Congenital Heart Surgery (WDPCHS) is a critical resource for understanding outcomes in pediatric and congenital heart surgery.
- Defining one-year mortality incidence and identifying associated risk factors is crucial for improving patient care and surgical strategies.
Purpose of the Study:
- To determine the incidence of one-year mortality after congenital heart disease surgery.
- To identify significant preoperative and postoperative risk factors associated with one-year mortality.
Main Methods:
- Utilized data from the WDPCHS database between January 2017 and September 2022 for tier 1 surgeries.
- Defined out-of-hospital death as occurring between 30 days and one year postoperatively.
- Employed chi-square tests and multivariable logistic regression to analyze risk factors and associations.
Main Results:
- Overall one-year mortality was 1.47% among 9764 patients alive at hospital discharge.
- Highest mortality rates were observed in STAT 5 cases (22.88%) and following the Norwood procedure (22.88%).
- Significant risk factors for one-year mortality included non-Trisomy 21 genetic syndromes, multiple preoperative risk factors, and multiple postoperative complications.
Conclusions:
- Specific risk factors, including STAT 5 classification, non-Trisomy 21 chromosomal abnormalities, and multiple preoperative risk factors, are strongly associated with increased one-year mortality.
- Targeted surveillance for patients with these identified risk factors is recommended to enhance one-year outcomes.
- The WDPCHS provides valuable data for identifying critical risk factors in congenital heart surgery.
Related Concept Videos
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
27
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
27
01:27Heart Failure I: Introduction
54
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
54
01:21Cardiac Catheterization II: Right Heart Catheterization
164
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
164
01:27Mitral Stenosis IV: Nursing Management
45
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
45
01:23Peripheral Artery Disease V: Postoperative Nursing Management
25
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
25
01:28Cardiac Catheterization I: Pre-Procedure Overview
153
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
153