Predictors of Post-Operative Hospital Length of Stay Following Complete Repair of Tetralogy of Fallot in a Pediatric Cohort in the North of England.
Pediatr Cardiol
; 45(1): 92-99, 2024 Jan.
Article
en En
| MEDLINE
| ID: mdl-37698700
ABSTRACT
We sought to estimate the median post-operative length of stay (PLOS) and predictors of PLOS following tetralogy of Fallot (ToF) repair at a specialist surgical center in the North of England. The local National Congenital Heart Disease Audit dataset was used to identify patients aged < 2 years who underwent surgical repair for ToF between 1 January 1986 and 13 May 2022. Coefficients representing the median change in PLOS (days) according to predictors were estimated using Quantile regression. There were 224 patients (59.4% male, median age = 9 months, interquartile range (IQR) 5-13 months) with a median PLOS of 9 days (IQR 7-13). In the univariable regression, age (months) and weight (kg) at operation (ß = - 0.17, 95% CI - 0.33, - 0.01) and (ß = - 0.53, 95% CI - 0.97, - 0.10), previous (cardiac or thoracic) procedure (ß = 5, 95% CI2.38, 7.62), procedure urgency (elective vs urgent) (ß = 2.8, 95% CI0.39, 5.21), bypass time (mins) (ß = 0.03, 95% CI0.01, 0.05), cross-clamp time (mins) (ß = 0.03, 95% CI0.01, 0.06) and duration of post-operative intubation (days) (ß = 0.81, 95% CI0.67, 0.96), were significantly associated with PLOS. Previous procedure and intubation time remained significant in multivariable analyses. Some patient and operative factors can predict PLOS following complete ToF repair. Information on PLOS is important for health professionals to support parents in preparing for their child's discharge and to make any necessary practical arrangements. Health commissioners can draw on evidence-based guidance for resource planning. The small sample size may have reduced the power to detect small effect sizes, but this regional study serves as a foundation for a larger national study.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Tetralogía de Fallot
/
Procedimientos Quirúrgicos Cardíacos
Tipo de estudio:
Guideline
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Child
/
Female
/
Humans
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Male
/
Newborn
País/Región como asunto:
Europa
Idioma:
En
Revista:
Pediatr Cardiol
Año:
2024
Tipo del documento:
Article
País de afiliación:
Reino Unido