Three Decades of Surgery for Congenital Heart Disease: Factors Associated With Mortality

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dc.contributor.author Gentles, T en
dc.contributor.author Finucane, K en
dc.contributor.author Hashemi, Ladan en
dc.contributor.author Emslie, O en
dc.contributor.author Moray, A en
dc.contributor.author O'Donnell, C en
dc.coverage.spatial Brisbane, Australia en
dc.date.accessioned 2018-10-22T22:03:35Z en
dc.date.issued 2018 en
dc.identifier.issn 1443-9506 en
dc.identifier.uri http://hdl.handle.net/2292/43097 en
dc.description.abstract Background: Although there are many reports of early and late outcomes following surgery for specific forms of congenital heart disease (CHD), there are few reports of the impact of CHD surgery in its entirety. In New Zealand, the vast majority of CHD surgery is undertaken by a single unit. Methods: Details of surgery for CHD from the Paediatric and Congenital Cardiac Service at Green Lane Hospital and Starship Children's Hospital were retrieved from departmental databases if the first operation occurred between 1985 and 2014. Mortality was verified by regular downloads from the Ministry of Health. Results: There were 6,128 patients with 8,091 operations. Survival at 10, 20, and 30 years was 90%, 88%, and 84%, respectively. Survival was worse for those operated on in the first decade (1985–1994) (p < 0.001) because of greater mortality over the first few months (Figure 1), neonates, those aged >40 years (p < 0.001), and those who underwent single ventricle palliation (p < 0.001). In this last patient group, there was a greater early hazard phase and a steeper late hazard function (Figure 2). Conclusion: Survival following CHD surgery improved over the past three decades. Despite an early hazard phase, particularly following neonatal surgery, and a higher risk for those undergoing palliative surgery, long-term survival is excellent. en
dc.publisher Elsevier en
dc.relation.ispartof the 66th Cardiac Society of Australia and New Zealand Annual Scientific Meeting, the International Society for Heart Research Australasian Section Annual Scientific Meeting and the 12th Annual Australia and New Zealand Endovascular Therapies Meeting en
dc.relation.ispartofseries Heart, Lung and Circulation en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Three Decades of Surgery for Congenital Heart Disease: Factors Associated With Mortality en
dc.type Conference Item en
dc.identifier.doi 10.1016/j.hlc.2018.06.817 en
pubs.issue S2 en
pubs.begin-page 405 en
pubs.volume 27 en
dc.rights.holder Copyright: The author en
pubs.author-url https://www.heartlungcirc.org/article/S1443-9506(18)31548-8/fulltext en
pubs.end-page 406 en
pubs.finish-date 2018-08-05 en
pubs.start-date 2018-08-02 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Abstract en
pubs.elements-id 751453 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Social & Community Health en
pubs.record-created-at-source-date 2018-08-13 en
pubs.online-publication-date 2018-07-26 en


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