Stage I Norwood: Optimal technical performance improves outcomes irrespective of preoperative physiologic status or case complexity

Journal of Thoracic and Cardiovascular Surgery

Volumn 139, Issue 4, 2010, Pages 962-968

  Karamichalis, John M ^a,b   Thiagarajan, Ravi R ^a,b   Liu, Hua ^a   Mamic, Petra ^b   Gauvreau, Kimberlee ^a   Bacha, Emile A ^a,b  

^a BOSTON CHILDREN S HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DISEASE SEVERITY; EXTRACORPOREAL OXYGENATION; HEART SURGERY; HUMAN; INFANT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MORTALITY; NEWBORN; OUTCOME ASSESSMENT; PERFORMANCE; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; PREOPERATIVE PERIOD; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SCORING SYSTEM; STAGE 1 NORWOOD PROCEDURE; STROKE; SURGICAL TECHNIQUE;

CARDIOVASCULAR SURGICAL PROCEDURES; HEART DEFECTS, CONGENITAL; HOSPITAL MORTALITY; HUMANS; INFANT; INFANT, NEWBORN; RETROSPECTIVE STUDIES; RISK ASSESSMENT; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME;

EID: 77949488078     PISSN: 00225223     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jtcvs.2009.10.011     Document Type: Article

References (15)

1. Bacha E.A., Larrazabal L.A., Pigula F.A., Gauvreau K., Jenkins K.J., Colan S.D., et al. Measurement of technical performance in surgery for congenital heart disease: the stage I Norwood procedure. J Thorac Cardiovasc Surg 136 (2008) 993-997
2. Stasik C.N., Goldberg C.S., Bove E.L., Devaney E.J., and Ohye R.G. Current outcomes and risk factors for the Norwood procedure. J Thorac Cardiovasc Surg 131 (2006) 412-417
3. Ashburn D.A., McCrindle B.W., Tchervenkov C.I., Jacobs M.L., Lofland G.K., Bove E.L., et al. Outcomes after the Norwood operation in neonates with critical aortic stenosis or aortic valve atresia. J Thorac Cardiovasc Surg 125 (2003) 1070-1082
4. Forbess J.M., Cook N., Roth S.J., Serraf A., Mayer J.E., and Jonas R.A. Ten-year experience with palliative surgery for hypoplastic left heart syndrome. Risk factors related to stage I mortality. Circulation 92 (1995) 262-266
5. Artrip J.H., Campbell D.N., Ivy D.D., Almodovar M.C., Chan K.C., Mitchell M.B., et al. Birth weight and complexity are significant factors for the management of hypoplastic left heart syndrome. Ann Thorac Surg 82 (2006) 1252-1259
6. Lacour-Gayet F., Clarke D., Jacobs J., Comas J., Daebritz S., Daenen W., et al. The Aristotle score: a complexity-adjusted method to evaluate surgical results. Eur J Cardiothorac Surg 25 (2004) 911-924
7. Jacobs J.P., Lacour-Gayet F.G., Jacobs M.L., Clarke D.R., Tchervenkov C.I., Gaynor J.W., et al. Initial application in the STS congenital database of complexity adjustment to evaluate surgical case mix and results. Ann Thorac Surg 79 (2005) 1635-1649
8. Aristotle Institute [Internet]. Denver: The Institute; c2009. Available at http://www.aristotleinstitute.org/. Accessed July 10, 2009.
9. Pollack M.M., Ruttimann U.E., and Getson P.R. Pediatric risk of mortality (PRISM) score. Crit Care Med 16 (1988) 1110-1116
10. Pollack M.M., Patel K.M., and Ruttimann U.E. PRISM III: an updated pediatric risk of mortality score. Crit Care Med 24 (1996) 743-752
11. Birkmeyer N.J., and Birkmeyer J.D. Strategies for improving surgical quality-should payers reward excellence or effort?. N Engl J Med 354 8 (2006) 864-870
12. Larrazabal L.A., del Nido P.J., Jenkins K.J., Gauvreau K., Lacro S., Colan S.D., et al. Measurement of technical performance in congenital heart surgery: a pilot study. Ann Thorac Surg 83 (2007) 179-184
13. Pratt W., Callery M.P., and Vollmer C.M. Optimal surgical performance attenuates physiologic risk in high-acuity operations. J Am Coll Surg 207 (2008) 717-730
14. Zobel G., Rodl S., Rigler B., Metzler H., Dagar D., Grubbauer H., and Beitzke A. Prospective evaluation of clinical scoring systems in infants and children with cardiopulmonary insufficiency after cardiac surgery. J Cardiovasc Surg 34 (1993) 333-337
15. Mildh L., Pettilä V., Sairanen H., and Rautiainen P. Predictive value of paediatric risk of mortality score and risk adjustment for congenital heart surgery score after paediatric open-heart surgery. Interact Cardiovasc Thorac Surg 6 (2007) 628-631