Clinical outcome score predicts the need for neurodevelopmental intervention after infant heart surgery Andrew S. Mackie, MD, SM, Gwen Y. Alton, RN,

Slides:

Advertisements

Similar presentations

Max B. Mitchell, MD The Journal of Thoracic and Cardiovascular Surgery

Advertisements

Manuel J. Antunes, MD, PhD, DSc

Stephen R. Broderick, MD, MPHS

The hybrid procedure for hypoplastic left heart syndrome: A procedure still looking for its place Carlos M. Mery, MD, MPH The Journal of Thoracic and.

Expanding options to manage traumatic thoracic vascular injuries

Thromboresistant surfaces with low-dose anticoagulation alleviate clopidogrel-related complications in patients undergoing coronary artery bypass grafting

Prospective follow-up study of children with univentricular heart: Neurodevelopmental outcome at age 12 months Anne Sarajuuri, MD, Tuula Lönnqvist, MD,

Meena Nathan, MD, Lynn A. Sleeper, ScD, Richard G. Ohye, MD, Peter C

Allograft carotid artery as a systemic-to-pulmonary conduit

Murray H. Kwon, MD The Journal of Thoracic and Cardiovascular Surgery

Intrinsic cardiac stem cells are essential for regeneration

Are preoperative B-type natriuretic peptide levels associated with outcome after pulmonary artery banding and the double switch operation in patients.

Chitra Ravishankar, MBBS, Eric Gerstenberger, MS, Lynn A

Centers for Disease Control “increased-risk” organ donor: Not so risky? Francis D. Pagani, MD, PhD The Journal of Thoracic and Cardiovascular Surgery

Form ever follows function

William M. DeCampli, MD, PhD

Functional mitral stenosis after mitral valve repair is a true anatomic problem that originates from the time of surgery Vincent Chan, MD, MPH, Thierry.

The lord of the rings Antonio Miceli, MD, PhD

Successful cardiac transplant after Berlin Heart bridge in a single ventricle heart: Use of aortopulmonary shunt as a supplementary source of pulmonary.

In type A aortic dissection repair, an effective team approach and relational coordination are more important for patients' outcomes than surgeon volume

Early postoperative body temperature and developmental outcome after open heart surgery in infants Serena M Cottrell, MRCPCH, Kevin P Morris, MD, Paul.

Randomized trial of hematocrit 25% versus 35% during hypothermic cardiopulmonary bypass in infant heart surgery Jane W. Newburger, MD, MPH, Richard A.

The variability of the mitral valve anatomy and terminology

Profiles of hemodynamics and oxygen transport derived by using continuous measured oxygen consumption after the Norwood procedure Jia Li, MD, PhD, Gencheng.

Abdul Rahman Dakkak, MD, Angelo M. Dell'Aquila, MD, Juergen R

It's not “just a shunt” but sometimes it should be…

Do we need a bibliometrician to know which way the wind is blowing?

A first start for lung transplantation?

Clinical Outcomes, Program Evolution, and Pulmonary Artery Growth in Single Ventricle Palliation Using Hybrid and Norwood Palliative Strategies Osami.

Early childhood health, growth, and neurodevelopmental outcomes after complete repair of total anomalous pulmonary venous connection at 6 weeks or younger

Confusion still exists regarding postoperative delirium and its etiology after esophagectomy Robert B. Cameron, MD The Journal of Thoracic and Cardiovascular.

Arterial lactate before initiation of venoarterial extracorporeal membrane oxygenation for postcardiotomy shock improves postimplant outcome prediction

Stephen R. Broderick, MD, MPHS

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

A derived and validated score to predict prolonged mechanical ventilation in patients undergoing cardiac surgery Vivek Sharma, MD, FRCA, Vivek Rao, MD,

Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass Benjamin Medalion, MD, Michael G. Katz, MD,

Patient characteristics are important determinants of neurodevelopmental outcome at one year of age after neonatal and infant cardiac surgery J. William.

Andrew S. Mackie, MD, SM, Shabnam Vatanpour, MS, Gwen Y

Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

Niv Ad, MD, Lawrence M. Wei, MD

Guidelines should bother us, not comfort us

Replicating the success of mitral valve repair in the aortic valve

Marc Licker, MD, John Diaper, RA

The Ross procedure: Time to reevaluate the guidelines

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Shunt right or left? Decision 2016

Warfarin or aspirin after mitral valve repair: Why work harder?

The origins of open heart surgery at the University of Minnesota 1951 to 1956 Richard A. DeWall, MD The Journal of Thoracic and Cardiovascular Surgery

A randomized, double-blind, placebo-controlled pilot trial of triiodothyronine in neonatal heart surgery Andrew S. Mackie, MD, SM, Karen L. Booth, MD,

Bryan M. Burt, MD The Journal of Thoracic and Cardiovascular Surgery

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

The future of cardiac surgery training: A survival guide

Ventricular assistant in restrictive cardiomyopathy: Making the right connection Robert D.B. Jaquiss, MD The Journal of Thoracic and Cardiovascular Surgery

The continuing challenge of congenital heart disease in China

The Robin Hood principle in the treatment of congenital heart disease: Taking technologic developments intended for adults and using it in kids Paul.

After neoadjuvant chemoradiation therapy, predicted pulmonary function may be reduced by 10% Benny Weksler, MD, MBA The Journal of Thoracic and Cardiovascular.

“The more things change…”: The challenges ahead

Commentary: Judgment day: Should you add atrial fibrillation ablation?

Outcomes of neonates requiring prolonged stay in the intensive care unit after surgical repair of congenital heart disease Makoto Mori, MD, Courtney.

Ryan R. Davies, MD The Journal of Thoracic and Cardiovascular Surgery

Apples remain apples NO matter what

Preoperative PFTs: The answer is blowing in the wind

The relationship between perioperative temperature and adverse outcomes after off- pump coronary artery bypass graft surgery Edward L. Hannan, PhD, Zaza.

A randomized clinical trial of regional cerebral perfusion versus deep hypothermic circulatory arrest: Outcomes for infants with functional single ventricle

Did you like Terminator 3 better than Terminator 2

Edward Y. Chan, MD, Michael J. Reardon, MD

Zone zero thoracic endovascular aortic repair is all about “location, location, location” Kevin L. Greason, MD The Journal of Thoracic and Cardiovascular.

Deciding how much to pay for effective care

Presentation transcript:

Clinical outcome score predicts the need for neurodevelopmental intervention after infant heart surgery Andrew S. Mackie, MD, SM, Gwen Y. Alton, RN, MN, Irina A. Dinu, PhD, Ari R. Joffe, MD, Stephen J. Roth, MD, MPH, Jane W. Newburger, MD, MPH, Charlene M.T. Robertson, MD The Journal of Thoracic and Cardiovascular Surgery Volume 145, Issue 5, Pages 1248-1254.e2 (May 2013) DOI: 10.1016/j.jtcvs.2012.04.029 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Distribution of modified clinical outcome scores among subjects undergoing a single ventricle palliative procedure (n = 29) (26 Norwood, 2 Blalock-Taussig shunt, and 1 pulmonary artery band with atrial septectomy) vs a biventricular repair (n = 70). The Journal of Thoracic and Cardiovascular Surgery 2013 145, 1248-1254.e2DOI: (10.1016/j.jtcvs.2012.04.029) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Relationship between mean Psychomotor Developmental Index (PDI) score and clinical outcome score. Vertical bars represent 1 standard deviation. The Journal of Thoracic and Cardiovascular Surgery 2013 145, 1248-1254.e2DOI: (10.1016/j.jtcvs.2012.04.029) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Relationship between postoperative time to lactate ≤2.0 mmol/L and clinical outcome score (rho = 0.36; P = .0003). The Journal of Thoracic and Cardiovascular Surgery 2013 145, 1248-1254.e2DOI: (10.1016/j.jtcvs.2012.04.029) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Relationship between highest postoperative inotrope score and clinical outcome score (rho = 0.61; P < .0001). The Journal of Thoracic and Cardiovascular Surgery 2013 145, 1248-1254.e2DOI: (10.1016/j.jtcvs.2012.04.029) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Relationship between postoperative intensive care unit (ICU) length of stay and clinical outcome score (rho = 0.73; P < .0001). The Journal of Thoracic and Cardiovascular Surgery 2013 145, 1248-1254.e2DOI: (10.1016/j.jtcvs.2012.04.029) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions