Academic Journal

Mexican registry of pediatric cardiac surgery: First report

التفاصيل البيبلوغرافية
العنوان: Mexican registry of pediatric cardiac surgery: First report
المؤلفون: Cervantes-Salazar,Jorge, Calderón-Colmenero,Juan, Ramírez-Marroquín,Samuel, Palacios-Macedo,Alexis, Bolio Cerdán,Alejandro, Vizcaíno Alarcón,Alfredo, Curi-Curi,Pedro, Llata,Manuel de la, Erdmenger Orellana,Julio, González,Julieta, García Soriano,Federico, Calderón,Alejandro, Casillas,Luis, Villanueva,Filiberto, Sánchez Ramírez,Roberto, Osnaya,Héctor, Necoechea,Juan Carlos, Alva Espinoza,Carlos, Prado Villegas,Guillermo
المصدر: Boletín médico del Hospital Infantil de México v.71 n.5 2014
بيانات النشر: Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez
سنة النشر: 2014
مصطلحات موضوعية: Cardiac surgery, Congenital heart diseases, National registry
الوصف: Background: Currently, there is a spreading worldwide tendency to characterize health issues and to propose alternative solutions via the creation of computerized databases. The aim of this study was to present the results in a computerized database of pediatric cardiac surgeries developed under the auspices of the Mexican Association of Specialists in Congenital Heart Diseases (Asociación Mexicana de Especialistas en Cardiopatías Congénitas A.C) and coordinated by the collegiate group of Pediatric Cardiology and Surgery as petitioned by the National Institutes of Health and High Specialty Hospitals Coordinating Commission. Methods: We analyzed all cases registered in the database during a 1-year observation period (August 1, 2011 to July 31, 2012) by all major Health Ministry-dependent institutes and hospitals offering surgical services related to pediatric cardiopathies to the non-insured population. Results: Seven institutions participated voluntarily in completing the database. During the analyzed period, 943 surgeries in 880 patients with 7% reoperations (n = 63) were registered. Thirty-eight percent of the surgeries were performed in children <1 year of age. The five most common cardiopathies were patent ductus arteriosus (n = 96), ventricular septal defect (n = 86), tetralogy of Fallot (n = 72), atrial septal defect (n = 68), and aortic coarctation (n = 54). Ninety percent of surgeries were elective and extracorporeal circulation was used in 62% of surgeries. Global mortality rate was 7.5% with the following distribution in the RACHS-1 score categories: 1 (n = 4, 2%), 2 (n = 19, 6%), 3 (n = 22, 8%), 4 (n = 12, 19%), 5 (n = 1, 25%), 6 (n = 6, 44%), and non-classifiable (n = 2, 9%). Conclusions: This analysis provides a representative view of the surgical practices in cardiovascular diseases in the pediatric population at the national non-insured population level. However, incorporating other health institutions to the national registry database will render a more accurate panorama of the national ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: text/html
اللغة: English
الاتاحة: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1665-11462014000500005
Rights: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.92194DE6
قاعدة البيانات: BASE