Charles W. Shepard, MD, Lazaros K. Kochilas, MD, Ronald M

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Presentation transcript:

Repair of major congenital cardiac defects in low-birth-weight infants: Is delay warranted?  Charles W. Shepard, MD, Lazaros K. Kochilas, MD, Ronald M. Rosengart, MD, Ann M. Brearley, PhD, MS, Roosevelt Bryant, MD, James H. Moller, MD, James D. St. Louis, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 140, Issue 5, Pages 1104-1109 (November 2010) DOI: 10.1016/j.jtcvs.2010.08.013 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Risk assessment for congenital heart surgery scores had similar distribution in both groups, with mean score of 2.65 for less than 1.5-kg group and 2.55 for 1.5- to 2.5-kg group. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 1104-1109DOI: (10.1016/j.jtcvs.2010.08.013) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Rates of 30-day and in-hospital survival by weight group, with 179 infants in the less than 1.5-kg group and 271 infants in the 1.5- to 2.5-kg group. Error bars indicate 95% confidence intervals for survival proportions. Fisher’s exact tests gave no evidence of differences in 30-day survival (P = .3522) or in-hospital survival (P = .2630) between the weight groups. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 1104-1109DOI: (10.1016/j.jtcvs.2010.08.013) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Rates of 30-day survival by era for the 2 weight groups. Fisher’s exact tests gave no evidence of a time trend in 30-day survival (P > .5). Increasing number of patients undergoing surgery over time might have resulted from increased number of programs participating in Pediatric Cardiac Care Consortium (PCCC) database over time. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 1104-1109DOI: (10.1016/j.jtcvs.2010.08.013) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Rates of 30-day survival by operative category for the 2 weight groups. (Operations involving a pacemaker were separated from the “no CPB” group for Figure 4.) Error bars indicate 95% confidence intervals for survival proportions. Fisher’s exact tests gave no evidence of difference in 30-day survival between the 2 weight groups for any of the 3 operative categories (P > .14). The Journal of Thoracic and Cardiovascular Surgery 2010 140, 1104-1109DOI: (10.1016/j.jtcvs.2010.08.013) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions