Factors associated with neonatal cardiac surgery outcomes
Massini-Aguilera, Italo; López-Taylor, Jaime; Medina-Andrade, Miguel A; Ramírez-Cedillo, David; Jiménez-Fernández, Carlos A; Olmos-Sánchez, Halina; Peña-Juárez, Rocío Alejandra
ABSTRACT
Introduction: neonatal cardiac surgery has evolved remarkably in recent years. However, it continues to be a challenge due to morbidity and mortality in this group of patients; since not only the type of heart disease influences but also the factors of this group such as the immaturity of the organs, weight, gestational age among others.
Objective: to know which are the main associated factors that influence the results of surgical procedures in this group.
Material: we carried out a descriptive, cross-sectional study where we evaluated the main factors associated with surgical results in the neonatal stage.
Results: a total of 233 patients were evaluated, of which 59.7% correspond to the male gender. Main factors that were associated with mortality were the transfer time greater that 10 days with mortality of 68% (p = 0.005), the time in thar surgery was performed in the five-day group (p = 0.000) and critical heart disease with a mortality of 81% (p = 0.000).
Conclusions: it is necessary to improve prenatal care, transfer times and planning the time of surgical intervention for the adequate care of these patients.
