Analysis of structure and risk factors for morbidity after cardiosurgical interventions in children according to “Тhe unified Russian Federation register of patients with congenital heart diseases”
Abstract
Aim of the study – to analyze occurrence, structure and risk factors for possible complications after cardiosurgical interventions performed in children entered into “The unified Russian Federation register of patients with congenital heart diseases”.
Methods. We conducted a retrospective analysis of entries from “The unified Russian Federation register of patients with congenital heart diseases” from November 2016 to October 2018; analyzed structure and risk factors for possible morbidity after surgical treatment of congenital heart defects depending on patients’ age, sex, and complexity of surgical interventions.
Results. Median age of the patients (quartiles) was 8 months (3 months – 2 years, 9 months). Most of the patients were boys (53.4%). In 87.2% of the cases repairs were performed on bypass. Postoperative morbidity was 18.75 cases per 100 hospitalizations. The incidence of complications not associated with fatal outcome was 21.1%. Mortality rate for the clinical cases entered into the Register was 3.3%.
Conclusion. Complications in the postoperative period are quite common in children after cardiosurgical interventions. Most of them are associated with deaths, regardless of the complexity of congenital malformation. A particular risk patient group are infants and those undergone surgical interventions of category higher than 3 by RACHS-1. Subsequent efforts must further examine these events to determine their degree of preventability and develop strategies to reduce them.
Keywords:national register, congenital heart diseases, cardiac surgery, complications, morbidity
For citation: Ryabtsev D.V., Lezhnev A.A., Aleksandrov A.E., Yatsyk S.P., Movsesyan R.R., Sakovich V.A., Pavlushkin A.A. Analysis of structure and risk factors for morbidity after cardiosurgical interventions in children according to “The unified Russian Federation register of patients with congenital heart diseases”. Clin Experiment Surg. Petrovsky J. 2019; 7 (4): 7–14. doi: 10.24411/2308-1198-2019-14001 (in Russian)
Received 15.05.2019. Accepted 31.10.2019.
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