Risk Factor Analysis for Peri-operative Mortality in Patients With Total Anomalous Pulmonary Venous Connection
10.3969/j.issn.1000-3614.2017.07.011
- VernacularTitle:完全性肺静脉异位引流围术期死亡危险因素分析
- Author:
Jianfeng HOU
;
Dianyuan LI
;
Jiawei QIU
;
Junzhe DU
;
Jun YAN
;
Shoujun LI
- Keywords:
Heart defects;
congenital;
Risk factors;
Intraoperative complication
- From:
Chinese Circulation Journal
2017;32(7):669-671
- CountryChina
- Language:Chinese
-
Abstract:
To analyze the risk factors for peri-operative mortality in patients with total anomalous pulmonary venous connection (TAPVC). Methods: A total of 563 TAPVD patients including atrial septal defect, ventricular septal defect and patent ductus arteriosus treated in our hospital from 1996-10 to 2012-12 were retrospectively investigated. There were 219 (38.9%) male, the mean age of patients was (4.6±9.0) years and the mean body weight was (13.2±14.6) kg. The patients were divided into 2 groups: Death group, n=34 and Survival group, n=529. Risk factors for peri-operative mortality were studied by single and multi Logistic regression analysis. Results: The overall peri-operative mortality was 6.0% (34/563). Compared with Survival group, Death group had more patients≤1 year of age (P=0.008), the higher ratio of elective surgery (P=0.002), the longer cardiopulmonary bypass time (P=0.000) and longer aorta clamping time (P=0.001). Multi Logistic regression analysis presented that the age≤1 year was the independent risk factor for TAPVC peri-operative death (OR=3.802, P=0.013) and elective surgery was the protective factor for TAPVC peri-operative death (OR=0.234, P=0.027). Conclusion: The patient's age≤1 year was the independent risk factor for TAPVC peri-operative death, while elective surgery was the protective factor for TAPVC peri-operative death.
