Abstract | OBJECTIVE: DESIGN: This retrospective chart review involved children with HLHS or TGA who underwent neonatal surgical repair in a single Children's Hospital. Statistical analysis (SPSS 22.0) included chi-square test, t-test, and binary logistic regression. RESULTS: Our study cohort (n=117) comprised 28 children with HLHS and 89 with TGA who were followed for a mean (standard deviation, SD) duration of 4.7 (3.2) years. Unplanned readmissions (n=153) occurred in 46 (39.3%) children, a mean (SD) number of 1.3 (2.8) for a median (interquartile range, IQR) of 8 (2-28) days per patient. Indications were respiratory (57.5%), gastrointestinal (18.3%), and cardiac (12.4%) in nature. On binary regression, with birth weight, race, and gestational age as covariates, among children with HLHS, increasing gestational age tended to be associated with a lower risk of readmissions (odds ratio [OR] 0.138; 95% confidence interval [CI]: 0.018-1.031, p=0.054]. The mean (SD) number of emergency room visits (n=261) was 3.2 (9.7) in 42 (35.9%) infants for minor illnesses (64%) or gastrointestinal (13.8%) problems. CONCLUSION: The majority of children with HLHS and TGA have unplanned readmissions. Home-care surveillance programs may reduce health-care utilization in this population.
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Authors | Amira Soliman, Sanjeev Aggarwal, Girija Natarajan |
Journal | American journal of perinatology
(Am J Perinatol)
Vol. 32
Issue 12
Pg. 1133-8
(Oct 2015)
ISSN: 1098-8785 [Electronic] United States |
PMID | 26445142
(Publication Type: Journal Article)
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Copyright | Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA. |
Topics |
- Chi-Square Distribution
- Child, Preschool
- Emergency Medical Services
(statistics & numerical data)
- Female
- Gestational Age
- Humans
- Hypoplastic Left Heart Syndrome
(surgery)
- Infant
- Infant Mortality
- Infant, Newborn
- Logistic Models
- Male
- Odds Ratio
- Patient Readmission
(statistics & numerical data)
- Retrospective Studies
- Risk Factors
- Transposition of Great Vessels
(surgery)
- Treatment Outcome
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