Predictors of intensive care unit morbidity and midterm follow-up after primary repair of tetralogy of fallot

Alexander C. Egbe, Khanh Nguyen, Alexander J.C. Mittnacht, Umesh Joashi

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Background: Our objectives were to review our institutional early and midterm experience with primary tetralogy of Fallot (TOF) repair, and identify predictors of intensive care unit (ICU) morbidity. Methods: We analyzed perioperative and midterm follow-up data for all cases of primary TOF repair from 2001 to 2012. The primary endpoint was early mortality and morbidity, and the secondary endpoint was survival and functional status at follow-up. Results: Ninety-seven patients underwent primary repair. The median age was 4.9 months (range, 1 to 9 months), and the median weight was 5.3 kg (range, 3.1 to 9.8 kg). There was no early surgical mortality. The incidence of junctional ectopic tachycardia and persistent complete heart block was 2% and 1%, respectively. The median length of ICU stay was 6 days (range, 2 to 21 days), and the median duration of mechanical ventilation was 19 hours (range, 0 to 136 hours). By multiple regression analysis, age and weight were independent predictors of the length of ICU stay, while the surgical era was an independent predictor of the duration of mechanical ventilation. At the 8-year follow-up, freedom from death and re-intervention was 97% and 90%, respectively. Conclusion: Primary TOF repair is a safe procedure with low mortality and morbidity in a medium-sized program with outcomes comparable to national standards. Age and weight at the time of surgery remain significant predictors of morbidity.

Original languageEnglish (US)
Pages (from-to)211-219
Number of pages9
JournalKorean Journal of Thoracic and Cardiovascular Surgery
Volume47
Issue number3
DOIs
StatePublished - 2014

Keywords

  • Morbidity
  • Outcomes
  • Pediatric
  • Tetralogy of fallot
  • Ventilation

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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