A Study On The Influence Of Different Factors On Surgical Outcomes In Congenital Heart Conditions
DOI:
https://doi.org/10.52783/jns.v14.3183Keywords:
Congenital heart disease, multidiscip linary approach, Risk Adjustment in Congenital Heart Surgery-1Abstract
Congenital heart disease (CHD) is present in 0.5-0.8% of live births and significantly affects neonatal and infant morbidity and mortality worldwide [1]. In low- to middle-income countries, various factors such as widespread malnutrition Background in children, financial constraints faced by families, limited awareness of the signs and symptoms of heart disease, and a tendency for cases to be diagnosed later can adversely affect the outcomes of congenital heart disease surgeries [2].
Objectives: 1. The primary objective is to identify and analyze perioperative factors that influence the outcome of surgery in children with congenital heart disease.
- To determine the prevalence of complications, morbidity, and mortality in a developing nation's pediatric cardiology intensive care unit.
- To evaluate the role of perioperative factors in determining surgical success.
Material & Methods:
Study Design: Hospital-based Cross-sectional study.
Study area: The study was conducted in the Department of Paediatrics.
Study Period: 1 year.
Study population: children undergoing CHD Surgery.
Sample size: The study consisted of a total of 340 subjects.
Sampling Technique: Simple Random technique.
Results: Post-operative sepsis, arrhythmia, pleural effusion requiring drainage, peritoneal dialysis, and low cardiac output syndrome (LCOS) were all strongly associated with prolonged ICU stay of more than 5 days. Additionally, longer duration of mechanical ventilation increased oxygen demand, ICD removal, and inotrope requirements were among the best set of variables linked to extended postoperative ICU stay.
Conclusion: Our study highlights significant advancements in managing congenital heart diseases (CHDs) in children, particularly acyanotic CHDs like VSD, emphasizing the need for targeted strategies. The low mortality rate and manageable complications reflect the success of our multidisciplinary approach, with younger age, complex CHD, and severe pulmonary hypertension identified as key predictors of stay prolonged ICU.
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