Preoperative Home Monitoring for Neonates and Young Infants With Tetralogy of Fallot
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View abstract on PubMed
Summary
This summary is machine-generated.Home monitoring programs help detect early signs of trouble in infants with tetralogy of Fallot (ToF), preventing urgent surgeries. Lower oxygen saturation and small pulmonary valve annulus Z-scores increase the risk of unplanned operations.
Area Of Science
- Pediatric Cardiology
- Congenital Heart Disease Management
- Home Healthcare Technologies
Background
- Home monitoring programs (HMPs) are established for high-risk postoperative patients with congenital heart diseases.
- HMPs have been extended to preoperative patients with tetralogy of Fallot (ToF).
Purpose Of The Study
- Evaluate HMPs for preoperative ToF patients.
- Focus on early detection of hypoxic spells and prevention of preoperative attrition.
- Identify risk factors for urgent operations during home monitoring and their long-term effects.
Main Methods
- 100 consecutive preoperative ToF patients enrolled in an HMP.
- Cox regression analysis used to assess risk factors for unplanned urgent operations.
Main Results
- 20 patients (20%) required unplanned urgent operations, at a median age of 1.2 months.
- Risk factors for urgent operations included smaller pulmonary valve annulus Z-score and lower minimum SpO2.
- All patients eventually underwent complete repair, with similar long-term outcomes regardless of operation timing.
Conclusions
- Preoperative ToF patients frequently need urgent unplanned operations.
- Lower minimum SpO2 and insufficient pulmonary valve annulus growth are key risk factors.
- HMPs aid in managing ToF patients and identifying those at higher risk for urgent intervention.
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