Adults Undergoing Cardiac Surgery at a Children’s Hospital: An Analysis of Perioperative Morbidity

2007 ◽  
Vol 83 (2) ◽  
pp. 606-612 ◽  
Author(s):  
Joseph W. Rossano ◽  
E.O.’Brian Smith ◽  
Charles D. Fraser ◽  
E. Dean McKenzie ◽  
Anthony C. Chang ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Perioperative Morbidity ◽  
Children's Hospital ◽  
Children’S Hospital

scholarly journals Introduction: Highlights of HeartWeek 2013 at the Sixth World Congress of Paediatric Cardiology and Cardiac Surgery in Cape Town South Africa

2013 ◽  
Vol 23 (6) ◽  
pp. 784-800 ◽  
Author(s):  
Jeffrey Phillip Jacobs
Keyword(s):  
South Africa ◽  
Cardiac Surgery ◽  
Nursing Education ◽  
Cape Town ◽  
World Congress ◽  
Collaborative Project ◽  
Saint Petersburg ◽  
Paediatric Cardiology ◽  
Children's Hospital ◽  
Children’S Hospital

AbstractThis December issue of Cardiology in the Young represents the 11th annual publication generated from the two meetings that compose “HeartWeek in Florida”. “HeartWeek in Florida”, the joint collaborative project sponsored by the Cardiac Center at the Children's Hospital of Philadelphia, Pennsylvania, together with Johns Hopkins All Children's Heart Institute of Saint Petersburg, Florida, averages over 1000 attendees every year and is now recognised as one of the major planks of continuing medical and nursing education for those working in the fields of diagnosis and treatment of cardiac disease in the foetus, neonate, infant, child, and adult. “HeartWeek in Florida” combines the International Symposium on Congenital Heart Disease, organised by All Children's Hospital and Johns Hopkins Medicine and entering its 14th year, with the Annual Postgraduate Course in Pediatric Cardiovascular Disease, organised by The Children's Hospital of Philadelphia and entering its 17th year.This December, 2013 issue of Cardiology in the Young highlights the sessions from HeartWeek 2013 that were held at The Sixth World Congress of Paediatric Cardiology and Cardiac Surgery in Cape Town, South Africa. We would like to acknowledge the tremendous contributions made to medicine by John Brown, and therefore we dedicate this HeartWeek 2013 issue of Cardiology in the Young to him.

Delayed extracorporeal membrane oxygenation in children after cardiac surgery: two-institution experience

2013 ◽  
Vol 25 (2) ◽  
pp. 248-254 ◽  
Author(s):  
Punkaj Gupta ◽  
Rahul DasGupta ◽  
Derek Best ◽  
Craig B. Chu ◽  
Hassan Elsalloukh ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Extracorporeal Membrane Oxygenation ◽  
Bleeding Complications ◽  
Study Cohort ◽  
Children's Hospital ◽  
Membrane Oxygenation ◽  
Included Patient ◽  
Children’S Hospital ◽  
Surgical History ◽  
Radiographic Data

AbstractObjective: There are limited data on the outcomes of children receiving delayed (≥7 days) extracorporeal membrane oxygenation after cardiac surgery. The primary aim of this project is to identify the aetiology and outcomes of extracorporeal membrane oxygenation in children receiving delayed (≥7 days) extracorporeal membrane oxygenation after cardiac surgery. Patients and methods: We conducted a retrospective review of all children ≤18 years supported with delayed extracorporeal membrane oxygenation after cardiac surgery between the period January, 2001 and March, 2012 at the Arkansas Children’s Hospital, United States of America, and Royal Children’s Hospital, Australia. The data collected in our study included patient demographic information, diagnoses, extracorporeal membrane oxygenation indication, extracorporeal membrane oxygenation support details, medical and surgical history, laboratory, microbiological, and radiographic data, information on organ dysfunction, complications, and patient outcomes. The outcome variables evaluated in this report included: survival to hospital discharge and current survival with emphasis on neurological, renal, pulmonary, and other end-organ function. Results: During the study period, 423 patients undergoing cardiac surgery were supported with extracorporeal membrane oxygenation at two institutions, with a survival of 232 patients (55%). Of these, 371 patients received extracorporeal membrane oxygenation <7 days after cardiac surgery, with a survival of 205 (55%) patients, and 52 patients received extracorporeal membrane oxygenation ≥7 days after cardiac surgery, with a survival of 27 (52%) patients. The median duration of extracorporeal membrane oxygenation run for the study cohort was 5 days (interquartile range: 3, 10). In all, 14 patients (25%) received extracorporeal membrane oxygenation during active cardiopulmonary resuscitation with chest compressions. There were 24 patients (44%) who received dialysis while being on extracorporeal membrane oxygenation. There were eight patients (15%) who had positive blood cultures and four patients (7%) who had positive urine cultures while being on extracorporeal membrane oxygenation. There were nine patients (16%) who had bleeding complications associated with extracorporeal membrane oxygenation runs. There were 10 patients (18%) who had cerebrovascular thromboembolic events associated with extracorporeal membrane oxygenation runs. Of these, 19 patients are still alive with significant comorbidities. Conclusions: This study demonstrates that mortality outcomes are comparable among children receiving extracorporeal membrane oxygenation ≥7 days and <7 days after cardiac surgery. The proportion of patients receiving extracorporeal membrane oxygenation ≥7 days is small and the aetiology diverse.

Digital solution for follow-up in congenital cardiac surgery

2021 ◽  
pp. 1-9
Author(s):  
Laura Carlson ◽  
Jacqueline O’Brien ◽  
Nitin Gujral ◽  
Vincent Chiang ◽  
Pedro del Nido ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Health Status ◽  
Post Discharge ◽  
Web Based ◽  
Cardiac Anomalies ◽  
Children's Hospital ◽  
Congenital Cardiac Surgery ◽  
Phone Calls ◽  
Children’S Hospital

Abstract Background: In this era of public scrutiny, there is an ongoing need for innovative methods for patient follow-up. Objectives: As part of a quality initiative, we developed an automated post-operative follow-up system for patients following discharge after cardiac surgery at Boston Children’s Hospital. Methods: Discharge Communication (DisCo) is a web-based system developed at Boston Children’s Hospital. An automated text and e-mail with a link to a health status survey are sent at 30 days and 1 year post-discharge in English/Spanish. If there is no response, surveys are completed via phone calls to the patient/patient’s physician or chart review. Responses are stored in the DisCo database and the patient’s medical record. Patients who underwent cardiac surgery and survived to hospital discharge from October, 2016 received the surveys. Results: Overall, 3345 30-day and 2563 1-year surveys were sent between October, 2016 and June, 2020. Of 3345 30-day surveys, there were 3191 responses (95%). Of 2563 1-year surveys, there were 1807 responses (71%). Most patients/families responded directly to the link at 30 days (65% for paediatrics/75% for adults) and at 1 year (72% for paediatrics/78% for adults). Multi-variable logistic regression revealed that higher complexity of cardiac lesion, presence of major non-cardiac anomalies and presence of major residua were associated with readmission and catheter/surgical reinterventions. Non-cardiac anomalies were associated with increased need for services for learning, development or behaviour. Conclusions: DisCo provides a successful web-based health status assessment of patients following congenital cardiac surgery. It helps to identify high-risk patients who need closer follow-up.

scholarly journals Vital Design

2019 ◽  
Vol 141 (04) ◽  
pp. 30-35
Author(s):  
Kayt Sukel
Keyword(s):  
Cardiac Surgery ◽  
Children's Hospital ◽  
Research Department ◽  
Children’S Hospital ◽  
Long Time ◽  
Surgery Research ◽  
The Relationship

Engineering and medicine has been intertwined for a very long time and in the recent years the relationship has been getting stronger and more important to the advance of healthcare. Surgeons and engineers are collaborating are using 3-D models to plan complex procedures. To do that, engineers must speak a language surgeons can understand. This article looks at how Boston Children's Hospital has invested in the Cardiac Surgery Research department and wants engineers engaged “in the room where it happens.” Then they can observe, study, and communicate with surgeons to truly understand their problems and the type of solutions that they would want to use.

The evolution of cardiac care for children in Washington, DC

2021 ◽  
Vol 31 (8) ◽  
pp. 1220-1227
Author(s):  
Richard A. Jonas ◽  
Gerard R. Martin
Keyword(s):  
Cardiac Surgery ◽  
Circulatory Arrest ◽  
Washington Dc ◽  
Full Time ◽  
Surface Cooling ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
The 1960S ◽  
Hospital Staffing ◽  
Surgery Department

AbstractCardiac surgery for CHD was pioneered in Washington, DC by Charles Hufnagel and Edgar Davis working at Georgetown University and Children’s Hospital of the District of Columbia. Children’s Hospital, now Children’s National Hospital, had been established just 5 years after the end of the Civil War. In the 1950s, Davis and Hufnagel undertook many open-heart operations using the technique of surface cooling, hypothermia, and circulatory arrest. Hufnagel and Lewis Scott, who founded the cardiology department at Children’s, were trained in Boston by Gross and Nadas. Judson Randolph, also a trainee of Gross, introduced cardiac surgery using cardiopulmonary bypass and established the General Pediatric Surgery department at Children’s in the 1960s. The transition of hospital staffing from community-based private physicians to full-time hospital employees was often controversial but was complete by the turn of the millennium. The 21st century has seen continuing growth of the new Children’s National Heart Institute and consolidation of several congenital cardiac programmes in Washington, DC.

A first qualitative snapshot: cardiac surgery and recovery in 10 children in the Red Cross War Memorial Children’s Hospital, Cape Town, South Africa (2011–2016)

2017 ◽  
Vol 28 (2) ◽  
pp. 322-328 ◽  
Author(s):  
Lauraine Vivian ◽  
George Comitis ◽  
Claudia Naidu ◽  
Cynthia Hunter ◽  
John Lawrenson
Keyword(s):  
Cardiac Surgery ◽  
Elective Surgery ◽  
Cape Town ◽  
Metropolitan Region ◽  
Red Cross ◽  
Children's Hospital ◽  
Care Specialist ◽  
Children’S Hospital ◽  
Final Round

AbstractThis article describes our qualitative research on the follow-up of 10 children, 5 years into recovery after cardiac surgery. The research was driven by a multi-disciplinary team of medical anthropologists, cardiologists, and an intensive care specialist and was based at the Red Cross War Memorial Children’s Hospital where they underwent surgeries. The research sought to answer two questions; first, could we successfully maintain contact with and follow up the children; the second – which will be answered in future papers – asked what life was like for them and their families during surgery and later recovery. The results are presented as a discussion on the themes that arose in our engagement and analysis and not as clinical evidence. These showed that elective surgery although significantly delayed was successful, and all children were followed up at their medical appointments. The researchers, however, were unable to establish follow-up with all families over the duration of the study. In the final round of interviews in the respondents’ homes, of 10 children, we remained in contact with seven. The discussion argues that effective communication and access to these children was often compromised by their coming from the poorer communities in the Cape Town metropolitan region, making them even more vulnerable during their recovery periods.

Sign in / Sign up

Export Citation Format

Share Document