Robert K Williams, Ian H Black, Diantha B Howard, David C Adams, Donald M Mathews, Alexander F Friend, H W Bud Meyers
Cognitive outcome after spinal anesthesia and surgery during infancy
Anesthesia and analgesia
transposition great arteries common cyanotic congenital heart defect surgical correction usually occurs first week life presence restrictive interatrial communication severe hypoxemia warrants urgent intervention balloon atrial septostomy medical stabilization prior surgery main objective study compare characteristics outcomes mortality risks patients transposition great arteries underwent balloon atrial septostomy hospitalization versus transposition great arteries patients undergone procedure retrospective analysis administrative data data kids inpatient database complemented national inpatient sample dataset years 19982014 includes data participating hospitals 47 us states district columbia neonates admitted transposition great arteries none total 17392 neonates diagnosis transposition great arteries captured databases used maletofemale ratio 21 rate balloon atrial septostomy patients transposition great arteries 277 without significant change years significant difference mortality balloon atrial septostomy balloon atrial septostomy 63 vs 67 p 029 neonates balloon atrial septostomy twofold increase length stay compared balloon atrial septostomy 16 vs 7 p 00001 stroke present 11 balloon atrial septostomy group versus 06 balloon atrial septostomy odds ratio 185 95 ci 129265 p 00001 extracorporeal membrane oxygenation used balloon atrial septostomy group 51 vs 31 p 00001 difference mortality rate balloon atrial septostomy balloon atrial septostomy patients prevalence diagnosis stroke study higher patients underwent balloon atrial septostomy furthermore comparison inhospital mortality balloon atrial septostomy balloon atrial septostomy revealed increased mortality risk balloon atrial septostomy patients transferred institution balloon atrial septostomy patients supported extracorporeal membrane oxygenation balloon atrial septostomy patients diagnosed stroke finally length stay charges higher balloon atrial septostomy patients