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Timing of Cardiac Surgical Interventions and Postoperative Mortality in Children With Severe Congenital Heart Defects Across Europe: Data From the EUROlinkCAT Study
Journal of the American Heart Association, Volume: 12, Issue: 24
Swansea University Authors:
Sue Jordan , Ieuan Scanlon
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DOI (Published version): 10.1161/jaha.122.029871
Abstract
BackgroundThe purpose of this study was to evaluate the timing of the first cardiac surgery, the number of cardiac surgeries performed, and 30‐day postoperative mortality rate for children with severe congenital heart defects (sCHDs) in their first 5 years of life.Methods and ResultsThis was a popul...
Published in: | Journal of the American Heart Association |
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ISSN: | 2047-9980 |
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Ovid Technologies (Wolters Kluwer Health)
2023
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URI: | https://cronfa.swan.ac.uk/Record/cronfa65966 |
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<?xml version="1.0" encoding="utf-8"?><rfc1807 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema"><bib-version>v2</bib-version><id>65966</id><entry>2024-04-04</entry><title>Timing of Cardiac Surgical Interventions and Postoperative Mortality in Children With Severe Congenital Heart Defects Across Europe: Data From the EUROlinkCAT Study</title><swanseaauthors><author><sid>24ce9db29b4bde1af4e83b388aae0ea1</sid><ORCID>0000-0002-5691-2987</ORCID><firstname>Sue</firstname><surname>Jordan</surname><name>Sue Jordan</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>9fcb224c6bd804a4d41a2a8570a71185</sid><firstname>Ieuan</firstname><surname>Scanlon</surname><name>Ieuan Scanlon</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2024-04-04</date><deptcode>HSOC</deptcode><abstract>BackgroundThe purpose of this study was to evaluate the timing of the first cardiac surgery, the number of cardiac surgeries performed, and 30‐day postoperative mortality rate for children with severe congenital heart defects (sCHDs) in their first 5 years of life.Methods and ResultsThis was a population‐based data linkage cohort study linking information from 9 European congenital anomaly registries to vital statistics and hospital databases. Data were extracted for 5693 children with sCHDs born from 1995 to 2004. Subgroup analyses were performed for specific types of sCHD. Children with sCHDs underwent their first surgical intervention at a median age of 3.6 (95% CI, 2.6–4.5) weeks. The timing of the first surgery for most subtypes of sCHD was consistent across Europe. In the first 5 years of life, children with hypoplastic left heart underwent the most cardiac surgeries, with a median of 4.4 (95% CI, 3.1–5.6). The 30‐day postoperative mortality rate in children aged <1 year ranged from 1.1% (95% CI, 0.5%–2.1%) for tetralogy of Fallot to 23% (95% CI, 12%–37%) for Ebstein anomaly. The 30‐day postoperative mortality rate was highest for children undergoing surgery in the first month of life. Overall 5‐year survival for sCHD was <90% for all sCHDs, except transposition of the great arteries, tetralogy of Fallot, and coarctation of the aorta.ConclusionsThere were no major differences among the 9 regions in the timing, 30‐day postoperative mortality rate, and number of operations performed for sCHD. Despite an overall good prognosis for most congenital heart defects, some lesions were still associated with substantial postoperative death.</abstract><type>Journal Article</type><journal>Journal of the American Heart Association</journal><volume>12</volume><journalNumber>24</journalNumber><paginationStart/><paginationEnd/><publisher>Ovid Technologies (Wolters Kluwer Health)</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>2047-9980</issnElectronic><keywords>cardiac surgery; congenital heart defects; pediatric cardiology</keywords><publishedDay>19</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2023</publishedYear><publishedDate>2023-12-19</publishedDate><doi>10.1161/jaha.122.029871</doi><url/><notes/><college>COLLEGE NANME</college><department>Health and Social Care School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HSOC</DepartmentCode><institution>Swansea University</institution><apcterm>Another institution paid the OA fee</apcterm><funders>horizon 733001</funders><projectreference/><lastEdited>2024-05-29T13:57:00.7121964</lastEdited><Created>2024-04-04T16:34:28.3652989</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Nursing</level></path><authors><author><firstname>Mads</firstname><surname>Damkjær</surname><orcid>0000-0001-7410-8573</orcid><order>1</order></author><author><firstname>Ester</firstname><surname>Garne</surname><orcid>0000-0003-0430-2594</orcid><order>2</order></author><author><firstname>Maria</firstname><surname>Loane</surname><orcid>0000-0002-1206-3637</orcid><order>3</order></author><author><firstname>Stine K.</firstname><surname>Urhoj</surname><orcid>0000-0002-2069-9723</orcid><order>4</order></author><author><firstname>Elisa</firstname><surname>Ballardini</surname><orcid>0000-0002-8813-1835</orcid><order>5</order></author><author><firstname>Clara</firstname><surname>Cavero‐Carbonell</surname><orcid>0000-0002-4858-6456</orcid><order>6</order></author><author><firstname>Alessio</firstname><surname>Coi</surname><orcid>0000-0002-9816-3144</orcid><order>7</order></author><author><firstname>Laura</firstname><surname>García‐Villodre</surname><orcid>0000-0001-9094-7107</orcid><order>8</order></author><author><firstname>Joanne</firstname><surname>Given</surname><orcid>0000-0003-4921-1944</orcid><order>9</order></author><author><firstname>Mika</firstname><surname>Gissler</surname><orcid>0000-0001-8254-7525</orcid><order>10</order></author><author><firstname>Anna</firstname><surname>Heino</surname><order>11</order></author><author><firstname>Sue</firstname><surname>Jordan</surname><orcid>0000-0002-5691-2987</orcid><order>12</order></author><author><firstname>Elizabeth</firstname><surname>Limb</surname><orcid>0000-0003-0830-7376</orcid><order>13</order></author><author><firstname>Amanda J</firstname><surname>Neville</surname><order>14</order></author><author><firstname>Anna</firstname><surname>Pierini</surname><orcid>0000-0003-3321-9343</orcid><order>15</order></author><author><firstname>Anke</firstname><surname>Rissmann</surname><orcid>0000-0002-9437-2790</orcid><order>16</order></author><author><firstname>Joachim</firstname><surname>Tan</surname><order>17</order></author><author><firstname>Ieuan</firstname><surname>Scanlon</surname><order>18</order></author><author><firstname>Joan K</firstname><surname>Morris</surname><orcid>0000-0002-7164-612x</orcid><order>19</order></author></authors><documents><document><filename>65966__30476__607f9755a33b4d5395acd404f9d4d8c5.pdf</filename><originalFilename>65966.VoR.pdf</originalFilename><uploaded>2024-05-29T13:45:26.1823394</uploaded><type>Output</type><contentLength>332762</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>© 2023 The Authors. 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v2 65966 2024-04-04 Timing of Cardiac Surgical Interventions and Postoperative Mortality in Children With Severe Congenital Heart Defects Across Europe: Data From the EUROlinkCAT Study 24ce9db29b4bde1af4e83b388aae0ea1 0000-0002-5691-2987 Sue Jordan Sue Jordan true false 9fcb224c6bd804a4d41a2a8570a71185 Ieuan Scanlon Ieuan Scanlon true false 2024-04-04 HSOC BackgroundThe purpose of this study was to evaluate the timing of the first cardiac surgery, the number of cardiac surgeries performed, and 30‐day postoperative mortality rate for children with severe congenital heart defects (sCHDs) in their first 5 years of life.Methods and ResultsThis was a population‐based data linkage cohort study linking information from 9 European congenital anomaly registries to vital statistics and hospital databases. Data were extracted for 5693 children with sCHDs born from 1995 to 2004. Subgroup analyses were performed for specific types of sCHD. Children with sCHDs underwent their first surgical intervention at a median age of 3.6 (95% CI, 2.6–4.5) weeks. The timing of the first surgery for most subtypes of sCHD was consistent across Europe. In the first 5 years of life, children with hypoplastic left heart underwent the most cardiac surgeries, with a median of 4.4 (95% CI, 3.1–5.6). The 30‐day postoperative mortality rate in children aged <1 year ranged from 1.1% (95% CI, 0.5%–2.1%) for tetralogy of Fallot to 23% (95% CI, 12%–37%) for Ebstein anomaly. The 30‐day postoperative mortality rate was highest for children undergoing surgery in the first month of life. Overall 5‐year survival for sCHD was <90% for all sCHDs, except transposition of the great arteries, tetralogy of Fallot, and coarctation of the aorta.ConclusionsThere were no major differences among the 9 regions in the timing, 30‐day postoperative mortality rate, and number of operations performed for sCHD. Despite an overall good prognosis for most congenital heart defects, some lesions were still associated with substantial postoperative death. Journal Article Journal of the American Heart Association 12 24 Ovid Technologies (Wolters Kluwer Health) 2047-9980 cardiac surgery; congenital heart defects; pediatric cardiology 19 12 2023 2023-12-19 10.1161/jaha.122.029871 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University Another institution paid the OA fee horizon 733001 2024-05-29T13:57:00.7121964 2024-04-04T16:34:28.3652989 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Mads Damkjær 0000-0001-7410-8573 1 Ester Garne 0000-0003-0430-2594 2 Maria Loane 0000-0002-1206-3637 3 Stine K. Urhoj 0000-0002-2069-9723 4 Elisa Ballardini 0000-0002-8813-1835 5 Clara Cavero‐Carbonell 0000-0002-4858-6456 6 Alessio Coi 0000-0002-9816-3144 7 Laura García‐Villodre 0000-0001-9094-7107 8 Joanne Given 0000-0003-4921-1944 9 Mika Gissler 0000-0001-8254-7525 10 Anna Heino 11 Sue Jordan 0000-0002-5691-2987 12 Elizabeth Limb 0000-0003-0830-7376 13 Amanda J Neville 14 Anna Pierini 0000-0003-3321-9343 15 Anke Rissmann 0000-0002-9437-2790 16 Joachim Tan 17 Ieuan Scanlon 18 Joan K Morris 0000-0002-7164-612x 19 65966__30476__607f9755a33b4d5395acd404f9d4d8c5.pdf 65966.VoR.pdf 2024-05-29T13:45:26.1823394 Output 332762 application/pdf Version of Record true © 2023 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License. true eng http://creativecommons.org/licenses/by-nc-nd/4.0/ |
title |
Timing of Cardiac Surgical Interventions and Postoperative Mortality in Children With Severe Congenital Heart Defects Across Europe: Data From the EUROlinkCAT Study |
spellingShingle |
Timing of Cardiac Surgical Interventions and Postoperative Mortality in Children With Severe Congenital Heart Defects Across Europe: Data From the EUROlinkCAT Study Sue Jordan Ieuan Scanlon |
title_short |
Timing of Cardiac Surgical Interventions and Postoperative Mortality in Children With Severe Congenital Heart Defects Across Europe: Data From the EUROlinkCAT Study |
title_full |
Timing of Cardiac Surgical Interventions and Postoperative Mortality in Children With Severe Congenital Heart Defects Across Europe: Data From the EUROlinkCAT Study |
title_fullStr |
Timing of Cardiac Surgical Interventions and Postoperative Mortality in Children With Severe Congenital Heart Defects Across Europe: Data From the EUROlinkCAT Study |
title_full_unstemmed |
Timing of Cardiac Surgical Interventions and Postoperative Mortality in Children With Severe Congenital Heart Defects Across Europe: Data From the EUROlinkCAT Study |
title_sort |
Timing of Cardiac Surgical Interventions and Postoperative Mortality in Children With Severe Congenital Heart Defects Across Europe: Data From the EUROlinkCAT Study |
author_id_str_mv |
24ce9db29b4bde1af4e83b388aae0ea1 9fcb224c6bd804a4d41a2a8570a71185 |
author_id_fullname_str_mv |
24ce9db29b4bde1af4e83b388aae0ea1_***_Sue Jordan 9fcb224c6bd804a4d41a2a8570a71185_***_Ieuan Scanlon |
author |
Sue Jordan Ieuan Scanlon |
author2 |
Mads Damkjær Ester Garne Maria Loane Stine K. Urhoj Elisa Ballardini Clara Cavero‐Carbonell Alessio Coi Laura García‐Villodre Joanne Given Mika Gissler Anna Heino Sue Jordan Elizabeth Limb Amanda J Neville Anna Pierini Anke Rissmann Joachim Tan Ieuan Scanlon Joan K Morris |
format |
Journal article |
container_title |
Journal of the American Heart Association |
container_volume |
12 |
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24 |
publishDate |
2023 |
institution |
Swansea University |
issn |
2047-9980 |
doi_str_mv |
10.1161/jaha.122.029871 |
publisher |
Ovid Technologies (Wolters Kluwer Health) |
college_str |
Faculty of Medicine, Health and Life Sciences |
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|
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facultyofmedicinehealthandlifesciences |
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Faculty of Medicine, Health and Life Sciences |
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facultyofmedicinehealthandlifesciences |
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Faculty of Medicine, Health and Life Sciences |
department_str |
School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing |
document_store_str |
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description |
BackgroundThe purpose of this study was to evaluate the timing of the first cardiac surgery, the number of cardiac surgeries performed, and 30‐day postoperative mortality rate for children with severe congenital heart defects (sCHDs) in their first 5 years of life.Methods and ResultsThis was a population‐based data linkage cohort study linking information from 9 European congenital anomaly registries to vital statistics and hospital databases. Data were extracted for 5693 children with sCHDs born from 1995 to 2004. Subgroup analyses were performed for specific types of sCHD. Children with sCHDs underwent their first surgical intervention at a median age of 3.6 (95% CI, 2.6–4.5) weeks. The timing of the first surgery for most subtypes of sCHD was consistent across Europe. In the first 5 years of life, children with hypoplastic left heart underwent the most cardiac surgeries, with a median of 4.4 (95% CI, 3.1–5.6). The 30‐day postoperative mortality rate in children aged <1 year ranged from 1.1% (95% CI, 0.5%–2.1%) for tetralogy of Fallot to 23% (95% CI, 12%–37%) for Ebstein anomaly. The 30‐day postoperative mortality rate was highest for children undergoing surgery in the first month of life. Overall 5‐year survival for sCHD was <90% for all sCHDs, except transposition of the great arteries, tetralogy of Fallot, and coarctation of the aorta.ConclusionsThere were no major differences among the 9 regions in the timing, 30‐day postoperative mortality rate, and number of operations performed for sCHD. Despite an overall good prognosis for most congenital heart defects, some lesions were still associated with substantial postoperative death. |
published_date |
2023-12-19T13:57:00Z |
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1800391801160335360 |
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11.021648 |