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    The Retrospective Evaluation of the Patients in Pediatric Cardiac Intensive Care Unit of Cardiac Surgery Center
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    Research Article
    VOLUME: 6 ISSUE: 1
    P: 18-23
    April 2019

    The Retrospective Evaluation of the Patients in Pediatric Cardiac Intensive Care Unit of Cardiac Surgery Center

    J Pediatr Emerg Intensive Care Med 2019;6(1):18-23
    DOI: 10.4274/cayd.galenos.2018.60783
    Erkut Öztürk 1
    Taner Kasar 1
    Okan Yıldız 2
    Alper Güzeltaş 1
    Sertaç Haydin 2
    1. Sağlık Bilimleri Üniversitesi, Mehmet Akif Ersoy Göğüs Kalp ve Damar Cerrahisi Eğitim Araştırma Hastanesi, Çocuk Kardiyolojisi Kliniği, İstanbul, Türkiye
    2. Sağlık Bilimleri Üniversitesi, Mehmet Akif Ersoy Göğüs Kalp ve Damar Cerrahisi Eğitim Araştırma Hastanesi, Çocuk Kalp Cerrahisi Kliniği, İstanbul, Türkiye
    No information available.
    No information available
    Received Date: 31.05.2018
    Accepted Date: 04.12.2018
    Publish Date: 21.03.2019
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    ABSTRACT

    Introduction:

    In this study, demographic and epidemiologic features, clinic and prognosis of patients admitted to the pediatric cardiac intensive care (PCICU) unit of a cardiac surgery center were analysed retrospectively.

    Methods:

    Patients followed in the PCICU between January 2017 and January 2018 were included in the study. Patient files were analysed for medical data. The patients were divided into 4 major categories as postoperative patients (group 1), patients followed after cardiac catheterization (group 2), patients followed due to arrythmias (group 3), and others (myocarditis, pneumonia, tamponade) (group 4). The demographic variables, such as age and gender, echocardiographic diagnosis, kind and condition of the transfer, reason for PCICU follow-up, and discharge status were evaluated in detail.

    Results:

    Eighty hundred ninety five patients were followed in the PCICU during the study period.The median age was 5.5 months (1 day-18 years). 53% of patients (n=474) were male and 47% (n=421) were female. The ortanca weight of the patients was 7.2 kg (1.8-80 kg). 16% of the patients were younger than 1 month of age and 54% of the patients were under the age of 6 months. 12% (n=107) of the patients had a diagnosis of a genetic condition such as Down syndrome, DiGeorge syndrome, etc. 40% of the patients were non-residents. 25% was transferred by air ambulance or ground ambulance. 22% of the patients were foreigners. There were 610 patients in group 1, 130 patients in group 2, 55 patients in group 3, and 100 patients in group 4. The RACHS-1 scores in group 1 were as follows: 0.8% undetermined, 11.2% category 1, 42.9% category 2, 29.6% category 3, 12.6% category 4,(-) category 5, and 2.6% category 6. Overall mortality was 5.9% (n=53) and morbidity was 22% (n=197).

    Conclusion:

    We believe that by the means of this kind of epidemiological studies, we may detect the types of cardiac problems in children who needed intensive care follow-up and help to decrease mortality and morbidity in childhood due to congenital cardiac diseases in our country.

    Keywords: Cardiac intensive care, children, epidemiology

    References

    1
    Van der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol. 2011;58:2241-7.
    2
    Jacobs JP, Jacobs ML, Mavroudis C, Backer CL, Lacour-Gayet FG, Tchervenkov CI, et al. Nomenclature and databases for the surgical treatment of congenital cardiac disease: an updated primer and an analysis of opportunities for improvement. Cardiol Young. 2008;18:38-62.
    3
    Undar A, Bakır İ, Haydin S, Erek E, Ödemiş E, et al. Türkiye'de doğumsal kalp hastalıkları cerrahisinin bugünü ve yarını.Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2012;20:181-5.
    4
    Gaies MG, Gurney JG, Yen AH, Napoli ML, Gajarski RJ, et al. Vasoactive-inotropic score as a predictor of morbidity and mortality in infants after cardiopulmonary bypass. Pediatr Crit Care Med. 2010;11:234-8.
    5
    Jenkins KJ, Gauvreau K, Newburger JW, Spray TL, Moller JH, et al. Consensus-based method for risk adjustment for surgery for congenital heart disease. J Thorac Cardiovasc Surg. 2002;123:110-8.
    6
    Lacour-Gayet F, Clarke D, Jacobs J, Comas J, Daebritz S, Daenen W, et al. The Aristotle score: a complexity-adjusted method to evaluate surgical results. Eur J Cardiothorac Surg. 2004;25:911-24.
    7
    Warren J, Fromm RE Jr, Orr RA. Guidelines for the inter and intrahospital transport of critically ill patients. Crit Care Med. 2004;32:256-62.
    8
    Soysal DD, Karaböcüoğlu M, Citak A, Uçsel R, Köroğlu T, et al. Interhospital transport of pediatric patients requiring emergent care: current status in Turkey. Ulus Travma Acil Cerrahi Derg. 2004;10:168-72.
    9
    Orhan O, Gündoğar SS. Suriyeli Sığınmacıların Türkiye’ye Etkileri. ORSAM Raporu. 2015.
    10
    Korkmaz AÇ. Sığınmacıların Sağlık ve Hemşirelik Hizmetlerine Yarattığı Sorunlar Sağlık ve Hemşirelik Yönetimi Dergisi. 2014;1:37-42.
    11
    Oğuz S, Tuygun N, Polat E, Akça H, Karacan CD. Savaş ve çocuk: Suriye iç savaşının sınırdan 750 km uzaktaki bir çocuk acil servisine etkisi. J Pediatr Emerg Intensive Care Med. 2016;3:135-9.
    12
    Ozturk E, Yıldız O, Cine N, Tuzun B, Onan S, Ergul Y, et al. The Use of Neonatal Extracorporeal Life Support in Pediatric Cardiac Intensive Care Unit. Matern Fetal Neonatal Med. 2017;30:1397-401.
    13
    Okan Y, Sertac H, Erkut O, Taner K, Selen OI, Firat AH, et al. Initial Clinical Experiences With Novel Diagonal ECLS System in Pediatric Cardiac Patients. Artif Organs. 2017;41:717-26.
    14
    ECLS Registry Report. International Summary. January, 2017. Extracorporeal Life Support Organization Web site. www.elso.org.Accessed August 2017.
    15
    Al-Radi OO, Harrell FE Jr, Caldarone CA, McCrindle BW, Jacobs JP, et al. Case complexity scores in congenital heart surgery: a comparative study of the Aristotle Basic Complexity score and the Risk Adjustment in Congenital Heart Surgery (RACHS-1) system. J Thorac Cardiovasc Surg. 2007;133:865-75.
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