Table of Contents Author Guidelines Submit a Manuscript
Cardiology Research and Practice
Volume 2011, Article ID 254321, 9 pages
http://dx.doi.org/10.4061/2011/254321
Clinical Study

Surveillance of Pediatric Cardiac Surgical Outcome Using Risk Stratifications at a Tertiary Care Center in Thailand

1Division of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
2Division of Cardio Vascular Thoracic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
3Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
4Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
5Office for Research and Development, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand

Received 22 October 2010; Revised 5 January 2011; Accepted 12 February 2011

Academic Editor: Jeffrey P. Jacobs

Copyright © 2011 Chodchanok Vijarnsorn et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. S. L. Rohde, M. Matebele, P. Pohlner, D. Radford, D. Wall, and J. F. Fraser, “Excellent cardiac surgical outcomes in paediatric indigenous patients, but follow-up difficulties,” Heart Lung and Circulation, vol. 19, no. 9, pp. 517–522, 2010. View at Publisher · View at Google Scholar · View at Scopus
  2. L. A. Larrazabal, K. J. Jenkins, K. Gauvreau et al., “Improvement in congenital heart surgery in a developing country: the Guatemalan experience,” Circulation, vol. 116, no. 17, pp. 1882–1887, 2007. View at Publisher · View at Google Scholar · View at Scopus
  3. J. Vélez, N. Sandoval, E. Cadavid, and J. Zapata, “Cooperative study of operatory mortality in the correction of congenital cardiopathies in Colombia,” Revista Colombiana de Cardiologia, vol. 11, pp. 397–400, 2005. View at Google Scholar
  4. A. F. Rossi and D. Khan, “Point of care testing: improving pediatric outcomes,” Clinical Biochemistry, vol. 37, no. 6, pp. 456–461, 2004. View at Publisher · View at Google Scholar · View at Scopus
  5. K. F. Welke, B. S. Diggs, T. Karamlou, and R. M. Ungerleider, “Comparison of pediatric cardiac surgical mortality rates from national administrative data to contemporary clinical standards,” Annals of Thoracic Surgery, vol. 87, no. 1, pp. 216–223, 2009. View at Publisher · View at Google Scholar · View at Scopus
  6. R.-K. R. Chang, S. Rodriguez, M. Lee, and T. S. Klitzner, “Risk factors for deaths occurring within 30 days and 1 year after hospital discharge for cardiac surgery among pediatric patients,” American Heart Journal, vol. 152, no. 2, pp. 386–393, 2006. View at Publisher · View at Google Scholar
  7. M. J. Silka, B. G. Hardy, V. D. Menashe, and C. D. Morris, “A population-based prospective evaluation of risk of sudden cardiac death after operation for common congenital heart defects,” Journal of the American College of Cardiology, vol. 32, no. 1, pp. 245–251, 1998. View at Publisher · View at Google Scholar
  8. K. F. Welke, B. S. Diggs, and T. Karamlou, “Chance, bias, and confounding: Threats to valid measurement of quality in the context of pediatric cardiac surgery,” Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual, vol. 13, no. 1, pp. 79–83, 2010. View at Publisher · View at Google Scholar · View at Scopus
  9. V. T. Tsang, K. L. Brown, M. J. Synnergren et al., “Monitoring risk-adjusted outcomes in congenital heart surgery: does the appropriateness of a risk model change with time?” Annals of Thoracic Surgery, vol. 87, no. 2, pp. 584–587, 2009. View at Publisher · View at Google Scholar · View at Scopus
  10. O. O. Al-Radi, F. E. Harrell Jr., C. A. Caldarone et al., “Case complexity scores in congenital heart surgery: a comparative study of the Aristotle Basic Complexity score and the Risk Adjustment in Congenital Heart Surgery (RACHS-1) system,” Journal of Thoracic and Cardiovascular Surgery, vol. 133, no. 4, pp. 865–875, 2007. View at Publisher · View at Google Scholar · View at Scopus
  11. K. J. Jenkins, K. Gauvreau, J. W. Newburger, T. L. Spray, J. H. Moller, and L. I. Iezzoni, “Consensus-based method for risk adjustment for surgery for congenital heart disease,” Journal of Thoracic and Cardiovascular Surgery, vol. 123, no. 1, pp. 110–118, 2002. View at Publisher · View at Google Scholar · View at Scopus
  12. K. J. Jenkins, “Risk adjustment for congenital heart surgery: the RACHS-1 method,” Pediatric Cardiac Surgery Annual, vol. 7, pp. 180–184, 2004. View at Google Scholar
  13. N. Kang, T. Cole, V. Tsang, M. Elliott, and M. De Leval, “Risk stratification in paediatric open-heart surgery,” European Journal of Cardio-thoracic Surgery, vol. 26, no. 1, pp. 3–11, 2004. View at Publisher · View at Google Scholar · View at Scopus
  14. F. Lacour-Gayet, D. Clarke, J. Jacobs et al., “The Aristotle score for congenital heart surgery,” Pediatric Cardiac Surgery Annual, vol. 7, pp. 185–191, 2004. View at Google Scholar
  15. F. Lacour-Gayet, D. Clarke, J. Jacobs et al., “The Aristotle score: a complexity-adjusted method to evaluate surgical results,” European Journal of Cardio-thoracic Surgery, vol. 25, no. 6, pp. 911–924, 2004. View at Publisher · View at Google Scholar · View at Scopus
  16. S. M. O'Brien, D. R. Clarke, J. P. Jacobs et al., “An empirically based tool for analyzing mortality associated with congenital heartsurgery,” Journal of Thoracic and Cardiovascular Surgery, vol. 138, no. 5, pp. 1139–1153, 2009. View at Publisher · View at Google Scholar · View at Scopus
  17. J. P. Jacobs, M. L. Jacobs, F. G. Lacour-Gayet et al., “Stratification of complexity improves the utility and accuracy of outcomes analysis in a Multi-Institutional Congenital Heart Surgery Database: application of the Risk Adjustment in Congenital Heart Surgery (RACHS-1) and Aristotle Systems in the Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database,” Pediatric cardiology, vol. 30, no. 8, pp. 1117–1130, 2009. View at Google Scholar · View at Scopus
  18. K. F. Welke, I. Shen, and R. M. Ungerleider, “Current assessment of mortality rates in congenital cardiac surgery,” Annals of Thoracic Surgery, vol. 82, no. 1, pp. 164–171, 2006. View at Publisher · View at Google Scholar
  19. L. G. Bazzani and J. P. Marcin, “Case volume and mortality in pediatric cardiac surgery patients in California, 1998-2003,” Circulation, vol. 115, no. 20, pp. 2652–2659, 2007. View at Publisher · View at Google Scholar · View at Scopus
  20. M. L. Jacobs, J. P. Jacobs, K. J. Jenkins, K. Gauvreau, D. R. Clarke, and F. Lacour-Gayet, “Stratification of complexity: the Risk Adjustment for Congenital Heart Surgery-1 method and the Aristotle Complexity Score—past, present, and future,” Cardiology in the Young, vol. 18, pp. 163–168, 2008. View at Google Scholar · View at Scopus
  21. D. Boethig, K. J. Jenkins, H. Hecker, W. R. Thies, and T. Breymann, “The RACHS-1 risk categories reflect mortality and length of hospital stay in a large German pediatric cardiac surgery population,” European Journal of Cardio-thoracic Surgery, vol. 26, no. 1, pp. 12–17, 2004. View at Publisher · View at Google Scholar · View at Scopus
  22. S. H. Larsen, J. Pedersen, J. Jacobsen, S. P. Johnsen, O. K. Hansen, and V. Hjortdal, “The RACHS-1 risk categories reflect mortality and length of stay in a Danish population of children operated for congenital heart disease,” European Journal of Cardio-thoracic Surgery, vol. 28, no. 6, pp. 877–881, 2005. View at Publisher · View at Google Scholar · View at Scopus
  23. S. M. O'Brien, J. P. Jacobs, D. R. Clarke et al., “Accuracy of the aristotle basic complexity score for classifying the mortality and morbidity potential of congenital heart surgery operations,” Annals of Thoracic Surgery, vol. 84, no. 6, pp. 2027–2037, 2007. View at Publisher · View at Google Scholar
  24. A. Saxena, “Congenital cardiac surgery in the less privileged regions of the world,” Expert Review of Cardiovascular Therapy, vol. 7, no. 12, pp. 1621–1629, 2009. View at Publisher · View at Google Scholar · View at Scopus
  25. M. N. Awori and S. W. O. Ogendo, “RACHS-1 System in risk stratification for congenital heart disease surgery outcome,” East African Medical Journal, vol. 85, no. 1, pp. 36–38, 2008. View at Google Scholar · View at Scopus
  26. J. R. Leon-Wyss, A. Veshti, O. Veras et al., “Pediatric cardiac surgery: a challenge and outcome analysis of the Guatemala effort,” Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual, vol. 12, no. 1, pp. 8–11, 2009. View at Publisher · View at Google Scholar · View at Scopus