Cardiology 2013 (Full reference info)

Reference Type: Journal Article
Record Number: 708Author: Bagger, H.
Year: 2013
Title: [PCI should be decentralized. The National Board of Health and the Danish Society of Cardiology ought to take the debate]
Journal: Ugeskr Laeger
Volume: 175
Issue: 6
Pages: 380
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)
0041-5782 (Linking)
Original Publication: PCI skal decentraliseres. Sundhedsstyrelsen og Dansk Cardiologisk Selskab bor tage debatten.
Accession Number: 23530280
Keywords: *Angioplasty, Balloon, Coronary
*Cardiology Service, Hospital
Humans
Notes: Bagger, Henning
dan
Comment
Letter
Denmark
2013/03/27 06:00
Ugeskr Laeger. 2013 Feb 4;175(6):380.
URL: http://www.ncbi.nlm.nih.gov/pubmed/23530280

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.
Year: 2014
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
Volume: 35
Issue: 3
Pages: 431-40
Date: Mar
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)
0172-0643 (Linking)
DOI: 10.1007/s00246-013-0797-y
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
Lannon, Carole
Jenkins, Kathy J
Rosenthal, Geoffrey L
eng
2013/10/10 06:00
Pediatr Cardiol. 2014 Mar;35(3):431-40. doi: 10.1007/s00246-013-0797-y. Epub 2013 Oct 9.
URL: http://www.ncbi.nlm.nih.gov/pubmed/24104215
Author Address: University of Maryland School of Medicine, Baltimore, MD, USA, cbaker-smith@peds.umaryland.edu.

Pages: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155