Research Article

The Registry and Follow-Up of Complex Pediatric Therapies Program of Western Canada: A Mechanism for Service, Audit, and Research after Life-Saving Therapies for Young Children

Table 5

Variables found associated with outcomes of specific groups of neonates having complex cardiac surgery for congenital heart disease followed by the Complex Pediatric Therapies Follow-up Program.*

Group (years, n)Associated with survivalAssociated with MDIAssociated with PDI

ASO (1996–2004; 𝑛 = 8 8 ) [54]β€”EGA, preoperative lactate and days ventilated, days in hospital
ASO (1996–2003; 𝑛 = 6 5 ; 5-year outcomes of FSIQ) [55]β€”Mother’s years of schooling, EGA, postoperative d1 lactate
TAPVC (1996–2004; 𝑛 = 3 2 ) [60]β€”SESWeight at surgery, postoperative d1 lactate
Norwood MBTS (1996–2002; 𝑛 = 6 2 ) [58]Postoperative d2-5 lactate and base deficitSES, hospital daysSex
Norwood RVPA (2002–2005; 𝑛 = 3 2 ) [58]Postoperative d2-5 lactatePreoperative Pa02 and days ventilated, DHCA timeCPR anytime, hospital days
Norwood (1996–2005, no ECLS, 𝑛 = 8 2 ) [62]Postoperative d2-5 nadir haemoglobin levelFirst postoperative day of negative fluid balanceSex, first postoperative day of negative fluid balance
IAA (1996–2006; 𝑛 = 2 7 ) [66]β€”Chromosomal abnormality, Apgar score, DHCA usedChromosomal abnormality
Cardiac ECLS (2002–2004; 𝑛 = 3 9 ) [63]Single ventricle, lactate on admission, days ventilatedChromosomal abnormality, time for lactate to fall on ECLS, highest inotrope score first 5d on ECLS β€”
Heart transplant (1999–2006; 𝑛 = 3 3 ) [67]Congenital heart diseaseCongenital heart diseaseCongenital heart disease

ASO: arterial switch operation for transposition of the great arteries; TAPVC: total anomalous pulmonary venous correction; MBTS: modified Blalock-Taussig shunt; RVPA: right ventricle-to-pulmonary artery shunt; IAA: correction of interrupted aortic arch; ECLS: extracorporeal life support; E-CPR: ECLS started during ongoing chest compressions for refractory cardiac arrest; EGA: early gestational age; MDI: Mental Developmental Index; PDI: Psychomotor Developmental Index; *Variables that are potentially modifiable are in italicized font.