Cardiology 2013 (Full reference info)
March 9, 2014
Reference Type: Journal Article
Record Number: 708Author: Bagger, H.
Title: [PCI should be decentralized. The National Board of Health and the Danish Society of Cardiology ought to take the debate]
Journal: Ugeskr Laeger
Date: Feb 4
Short Title: [PCI should be decentralized. The National Board of Health and the Danish Society of Cardiology ought to take the debate]
Alternate Journal: Ugeskrift for laeger
ISSN: 1603-6824 (Electronic)
Original Publication: PCI skal decentraliseres. Sundhedsstyrelsen og Dansk Cardiologisk Selskab bor tage debatten.
Accession Number: 23530280
Keywords: *Angioplasty, Balloon, Coronary
*Cardiology Service, Hospital
Notes: Bagger, Henning
Ugeskr Laeger. 2013 Feb 4;175(6):380.
Reference Type: Journal Article
Record Number: 495Author: Baker-Smith, C. M., Wilhelm, C. M., Neish, S. R., Klitzner, T. S., Beekman Iii, R. H., Kugler, J. D., Martin, G. R., Lannon, C., Jenkins, K. J. and Rosenthal, G. L.
Title: Predictors of prolonged length of intensive care unit stay after stage I palliation: a report from the national pediatric cardiology quality improvement collaborative
Journal: Pediatr Cardiol
Short Title: Predictors of prolonged length of intensive care unit stay after stage I palliation: a report from the national pediatric cardiology quality improvement collaborative
Alternate Journal: Pediatric cardiology
ISSN: 1432-1971 (Electronic)
Accession Number: 24104215
Abstract: The objective of this study is to identify predictors of prolonged intensive care unit (ICU) length of stay (LOS) for single ventricle patients following Stage I palliation. We hypothesize that peri-operative factors contribute to prolonged ICU stay among children with hypoplastic left heart syndrome (HLHS) and its variants. In 2008, as a part of the Joint Council on Congenital Heart Disease initiative, the National Pediatric Cardiology-Quality Improvement Collaborative established a data registry for patients with HLHS and its variants undergoing staged palliation. Between July 2008 and August 2011, 33 sites across the United States submitted discharge data essential to this analysis. Data describing the patients, their procedures, and their hospital experience were entered. LOS estimates were generated. Prolonged LOS in the ICU was defined as stay greater than or equal to 26 days (i.e., 75th percentile). Statistical analyses were carried out to identify pre-operative, operative, and post-operative predictors of prolonged LOS in the ICU. The number of patients with complete discharge data was 303, and these subjects were included in the analysis. Univariate and multivariate analyses were performed. Multivariate analysis revealed that lower number of enrolled participants (e.g., 1-10) per site, the presence of pre-operative acidosis, increased circulatory arrest time, the occurrence of a central line infection, and the development of respiratory insufficiency requiring re-intubation were associated with prolonged LOS in the ICU. Prolonged LOS in the ICU following Stage I palliation in patients with HLHS and HLHS variant anatomy is associated with site enrollment, circulatory arrest time, pre-operative acidosis, and some post-operative complications, including central line infection and re-intubation. Further study of these associations may reveal strategies for reducing LOS in the ICU following the Norwood and Norwood-variant surgeries.
Notes: Baker-Smith, Carissa M
Wilhelm, Carolyn M
Neish, Steven R
Klitzner, Thomas S
Beekman Iii, Robert H
Kugler, John D
Martin, Gerard R
Jenkins, Kathy J
Rosenthal, Geoffrey L
Pediatr Cardiol. 2014 Mar;35(3):431-40. doi: 10.1007/s00246-013-0797-y. Epub 2013 Oct 9.
Author Address: University of Maryland School of Medicine, Baltimore, MD, USA, firstname.lastname@example.org.