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- Title
Fontan completion during winter season is not associated with higher mortality or morbidity in the early post-operative period.
- Authors
Nordmeyer, Sarah; Krettek, Sabeth; Nordmeyer, Johannes; Schafstedde, Marie; Rehm, Konstantin; Photiadis, Joachim; Berger, Felix; Ovroutski, Stanislav
- Abstract
<bold>Objectives: </bold>The aim of our study was to compare post-operative outcome after total cavopulmonary connection between patients operated during winter and summer season.<bold>Methods: </bold>We retrospectively studied 211 patients who underwent extracardiac total cavopulmonary connection completion at our institution between 1995 and 2015 (median age 4 (1-42) years). Seventy (33%) patients were operated during winter (November to March) and 141 (67%) patients during summer season (April to October).<bold>Results: </bold>Patients operated during winter and summer season showed no difference in early mortality (7% versus 5%, p = 0.52) and severe morbidity like need for early Fontan takedown (1% versus 1%, p = 0.99) and need for mechanical circulatory support (9% versus 4%, p = 0.12). The post-operative course and haemodynamic outcome were comparable between both groups of patients (ICU (4 versus 3 days, p = 0.44) and hospital stay (15 versus 14 days, p = 0.28), prolonged pleural effusions (36% versus 31%, p = 0.51), need for dialysis (16% versus 11%, p = 0.37), ascites (37% versus 33%, p = 0.52), supraventricular tachyarrhythmia (16% versus 13%, p = 0.56) and chylothorax (26% versus 16%, p = 0.12), change of antibiotic treatment (47% versus 36%, p = 0.06), prolonged inotropic support (24% versus 14%, p = 0.05), intubation time (15 versus 12 hours, p = 0.33), and incidence of fast-track extubation (11% versus 22%, p = 0.06).<bold>Conclusion: </bold>Outcomes after total cavopulmonary connection completion during winter and summer season were comparably related to mortality, severe morbidity, or longer hospital stay in the early post-operative period. These results suggest that total cavopulmonary connection completion during winter season is as safe as during summer season.
- Subjects
GERMANY; POSTOPERATIVE period; SUMMER; EXTUBATION; PLEURAL effusions; DISEASES; MECHANICAL hearts; MORTALITY; LENGTH of stay in hospitals; SURGICAL complications; CONGENITAL heart disease; RETROSPECTIVE studies; SEASONS; TREATMENT effectiveness; RISK assessment; CARDIOPULMONARY bypass; HEMODYNAMICS
- Publication
Cardiology in the Young, 2020, Vol 30, Issue 5, p629
- ISSN
1047-9511
- Publication type
journal article
- DOI
10.1017/S1047951120000670