How should we treat representative neonatal surgical diseases with congenital heart disease?
Purpose Representative neonatal surgical diseases are often complicated by congenital heart disease (CHD). We reviewed our decade of experience from the perspective of the prognosis and report on the management of infants with CHD. Methods Cases with and without CHD between 2011 and 2020 were retros...
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| Veröffentlicht in: | Pediatric surgery international 2022-09, Vol.38 (9), p.1235-1240 |
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| creator | Muto, Mitsuru Sugita, Koshiro Matsuba, Tomoyuki Kedoin, Chihiro Matsui, Mayu Ikoma, Shinichiro Murakami, Masakazu Yano, Keisuke Onishi, Shun Harumatsu, Toshio Yamada, Koji Yamada, Waka Matsukubo, Makoto Kawano, Takafumi Machigashira, Seiro Torikai, Motofumi Kaji, Tatsuru Ibara, Satoshi Imoto, Yutaka Soga, Yoshiharu Ieiri, Satoshi |
| description | Purpose
Representative neonatal surgical diseases are often complicated by congenital heart disease (CHD). We reviewed our decade of experience from the perspective of the prognosis and report on the management of infants with CHD.
Methods
Cases with and without CHD between 2011 and 2020 were retrospectively compared. Qualitative data were analyzed using a chi-square test with Yates' correction, and quantitative data were compared using Student's
t
-test.
Results
Of the 275 neonatal surgical cases, 36 had CHD (13.1%). Ventricular septal defect was the most common cardiac anomaly, followed by atrial septal defect. Esophageal atresia showed the highest complication rate of CHD (43.8%, 14/32) followed by duodenal atresia (38.5%, 10/26). The mortality rates of patients with and without CHD (22.2% [8/36] vs. 1.3% [3/239]) were significantly different (
χ
2
= 30.6,
p
|
| doi_str_mv | 10.1007/s00383-022-05178-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2691047017</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2698979746</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-d4003c70a0bf76ce23e5e738d233eae709c838808f3ae6e090b4c0ed19cf73313</originalsourceid><addsrcrecordid>eNp9kE1Lw0AQhhdRsH78AU8LXrxEZzNpdnMSKWqFghe9Cct2M2lT0qTubiz217u1iuLB0wzM8w4vD2NnAi4FgLzyAKgwgTRNYCikSjZ7bCAylEmhBO7_2g_ZkfcLAFCYFwP2Mu7W3M-7vin5mnhwZAJ3tHLkqQ0m1G_EW-paE0zDfe9mtY1LWXsynjxf12HObdfOqK23xJyMC9_n6xN2UJnG0-nXPGbPd7dPo3Eyebx_GN1MEovDNCRlFttbCQamlcwtpUhDkqjKFJEMSSisQqVAVWgoJyhgmlmgUhS2kogCj9nF7u_Kda89-aCXtbfUNCZW771O80JAJkHIiJ7_QRdd79rYbkupQhYyyyOV7ijrOu8dVXrl6qVx71qA3grXO-E6CtefwvUmhnAX8hGORtzP639SH3tfhLM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2698979746</pqid></control><display><type>article</type><title>How should we treat representative neonatal surgical diseases with congenital heart disease?</title><source>Springer Nature - Complete Springer Journals</source><creator>Muto, Mitsuru ; Sugita, Koshiro ; Matsuba, Tomoyuki ; Kedoin, Chihiro ; Matsui, Mayu ; Ikoma, Shinichiro ; Murakami, Masakazu ; Yano, Keisuke ; Onishi, Shun ; Harumatsu, Toshio ; Yamada, Koji ; Yamada, Waka ; Matsukubo, Makoto ; Kawano, Takafumi ; Machigashira, Seiro ; Torikai, Motofumi ; Kaji, Tatsuru ; Ibara, Satoshi ; Imoto, Yutaka ; Soga, Yoshiharu ; Ieiri, Satoshi</creator><creatorcontrib>Muto, Mitsuru ; Sugita, Koshiro ; Matsuba, Tomoyuki ; Kedoin, Chihiro ; Matsui, Mayu ; Ikoma, Shinichiro ; Murakami, Masakazu ; Yano, Keisuke ; Onishi, Shun ; Harumatsu, Toshio ; Yamada, Koji ; Yamada, Waka ; Matsukubo, Makoto ; Kawano, Takafumi ; Machigashira, Seiro ; Torikai, Motofumi ; Kaji, Tatsuru ; Ibara, Satoshi ; Imoto, Yutaka ; Soga, Yoshiharu ; Ieiri, Satoshi</creatorcontrib><description>Purpose
Representative neonatal surgical diseases are often complicated by congenital heart disease (CHD). We reviewed our decade of experience from the perspective of the prognosis and report on the management of infants with CHD.
Methods
Cases with and without CHD between 2011 and 2020 were retrospectively compared. Qualitative data were analyzed using a chi-square test with Yates' correction, and quantitative data were compared using Student's
t
-test.
Results
Of the 275 neonatal surgical cases, 36 had CHD (13.1%). Ventricular septal defect was the most common cardiac anomaly, followed by atrial septal defect. Esophageal atresia showed the highest complication rate of CHD (43.8%, 14/32) followed by duodenal atresia (38.5%, 10/26). The mortality rates of patients with and without CHD (22.2% [8/36] vs. 1.3% [3/239]) were significantly different (
χ
2
= 30.6,
p
< 0.0001). Of the eight deaths with CHD, six patients had cyanotic complex CHD. Notably, four of these patients died from progression of inappropriate hemodynamics in the remote period after definitive non-cardiac surgery.
Conclusion
Considering its high-mortality, the presence of CHD, especially cyanotic heart disease, is an important issue to consider in the treatment of neonatal surgical diseases. Pediatric surgeons should be alert for changes in hemodynamics after surgery, as these may affect mortality.</description><identifier>ISSN: 1437-9813</identifier><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-022-05178-z</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cardiovascular disease ; Congenital diseases ; Hemodynamics ; Medicine ; Medicine & Public Health ; Mortality ; Newborn babies ; Original Article ; Pediatric Surgery ; Pediatrics ; Surgery</subject><ispartof>Pediatric surgery international, 2022-09, Vol.38 (9), p.1235-1240</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-d4003c70a0bf76ce23e5e738d233eae709c838808f3ae6e090b4c0ed19cf73313</citedby><cites>FETCH-LOGICAL-c352t-d4003c70a0bf76ce23e5e738d233eae709c838808f3ae6e090b4c0ed19cf73313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-022-05178-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-022-05178-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids></links><search><creatorcontrib>Muto, Mitsuru</creatorcontrib><creatorcontrib>Sugita, Koshiro</creatorcontrib><creatorcontrib>Matsuba, Tomoyuki</creatorcontrib><creatorcontrib>Kedoin, Chihiro</creatorcontrib><creatorcontrib>Matsui, Mayu</creatorcontrib><creatorcontrib>Ikoma, Shinichiro</creatorcontrib><creatorcontrib>Murakami, Masakazu</creatorcontrib><creatorcontrib>Yano, Keisuke</creatorcontrib><creatorcontrib>Onishi, Shun</creatorcontrib><creatorcontrib>Harumatsu, Toshio</creatorcontrib><creatorcontrib>Yamada, Koji</creatorcontrib><creatorcontrib>Yamada, Waka</creatorcontrib><creatorcontrib>Matsukubo, Makoto</creatorcontrib><creatorcontrib>Kawano, Takafumi</creatorcontrib><creatorcontrib>Machigashira, Seiro</creatorcontrib><creatorcontrib>Torikai, Motofumi</creatorcontrib><creatorcontrib>Kaji, Tatsuru</creatorcontrib><creatorcontrib>Ibara, Satoshi</creatorcontrib><creatorcontrib>Imoto, Yutaka</creatorcontrib><creatorcontrib>Soga, Yoshiharu</creatorcontrib><creatorcontrib>Ieiri, Satoshi</creatorcontrib><title>How should we treat representative neonatal surgical diseases with congenital heart disease?</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><description>Purpose
Representative neonatal surgical diseases are often complicated by congenital heart disease (CHD). We reviewed our decade of experience from the perspective of the prognosis and report on the management of infants with CHD.
Methods
Cases with and without CHD between 2011 and 2020 were retrospectively compared. Qualitative data were analyzed using a chi-square test with Yates' correction, and quantitative data were compared using Student's
t
-test.
Results
Of the 275 neonatal surgical cases, 36 had CHD (13.1%). Ventricular septal defect was the most common cardiac anomaly, followed by atrial septal defect. Esophageal atresia showed the highest complication rate of CHD (43.8%, 14/32) followed by duodenal atresia (38.5%, 10/26). The mortality rates of patients with and without CHD (22.2% [8/36] vs. 1.3% [3/239]) were significantly different (
χ
2
= 30.6,
p
< 0.0001). Of the eight deaths with CHD, six patients had cyanotic complex CHD. Notably, four of these patients died from progression of inappropriate hemodynamics in the remote period after definitive non-cardiac surgery.
Conclusion
Considering its high-mortality, the presence of CHD, especially cyanotic heart disease, is an important issue to consider in the treatment of neonatal surgical diseases. Pediatric surgeons should be alert for changes in hemodynamics after surgery, as these may affect mortality.</description><subject>Cardiovascular disease</subject><subject>Congenital diseases</subject><subject>Hemodynamics</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mortality</subject><subject>Newborn babies</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Surgery</subject><issn>1437-9813</issn><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kE1Lw0AQhhdRsH78AU8LXrxEZzNpdnMSKWqFghe9Cct2M2lT0qTubiz217u1iuLB0wzM8w4vD2NnAi4FgLzyAKgwgTRNYCikSjZ7bCAylEmhBO7_2g_ZkfcLAFCYFwP2Mu7W3M-7vin5mnhwZAJ3tHLkqQ0m1G_EW-paE0zDfe9mtY1LWXsynjxf12HObdfOqK23xJyMC9_n6xN2UJnG0-nXPGbPd7dPo3Eyebx_GN1MEovDNCRlFttbCQamlcwtpUhDkqjKFJEMSSisQqVAVWgoJyhgmlmgUhS2kogCj9nF7u_Kda89-aCXtbfUNCZW771O80JAJkHIiJ7_QRdd79rYbkupQhYyyyOV7ijrOu8dVXrl6qVx71qA3grXO-E6CtefwvUmhnAX8hGORtzP639SH3tfhLM</recordid><startdate>20220901</startdate><enddate>20220901</enddate><creator>Muto, Mitsuru</creator><creator>Sugita, Koshiro</creator><creator>Matsuba, Tomoyuki</creator><creator>Kedoin, Chihiro</creator><creator>Matsui, Mayu</creator><creator>Ikoma, Shinichiro</creator><creator>Murakami, Masakazu</creator><creator>Yano, Keisuke</creator><creator>Onishi, Shun</creator><creator>Harumatsu, Toshio</creator><creator>Yamada, Koji</creator><creator>Yamada, Waka</creator><creator>Matsukubo, Makoto</creator><creator>Kawano, Takafumi</creator><creator>Machigashira, Seiro</creator><creator>Torikai, Motofumi</creator><creator>Kaji, Tatsuru</creator><creator>Ibara, Satoshi</creator><creator>Imoto, Yutaka</creator><creator>Soga, Yoshiharu</creator><creator>Ieiri, Satoshi</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20220901</creationdate><title>How should we treat representative neonatal surgical diseases with congenital heart disease?</title><author>Muto, Mitsuru ; 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Representative neonatal surgical diseases are often complicated by congenital heart disease (CHD). We reviewed our decade of experience from the perspective of the prognosis and report on the management of infants with CHD.
Methods
Cases with and without CHD between 2011 and 2020 were retrospectively compared. Qualitative data were analyzed using a chi-square test with Yates' correction, and quantitative data were compared using Student's
t
-test.
Results
Of the 275 neonatal surgical cases, 36 had CHD (13.1%). Ventricular septal defect was the most common cardiac anomaly, followed by atrial septal defect. Esophageal atresia showed the highest complication rate of CHD (43.8%, 14/32) followed by duodenal atresia (38.5%, 10/26). The mortality rates of patients with and without CHD (22.2% [8/36] vs. 1.3% [3/239]) were significantly different (
χ
2
= 30.6,
p
< 0.0001). Of the eight deaths with CHD, six patients had cyanotic complex CHD. Notably, four of these patients died from progression of inappropriate hemodynamics in the remote period after definitive non-cardiac surgery.
Conclusion
Considering its high-mortality, the presence of CHD, especially cyanotic heart disease, is an important issue to consider in the treatment of neonatal surgical diseases. Pediatric surgeons should be alert for changes in hemodynamics after surgery, as these may affect mortality.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1007/s00383-022-05178-z</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1437-9813 |
| ispartof | Pediatric surgery international, 2022-09, Vol.38 (9), p.1235-1240 |
| issn | 1437-9813 0179-0358 1437-9813 |
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| source | Springer Nature - Complete Springer Journals |
| subjects | Cardiovascular disease Congenital diseases Hemodynamics Medicine Medicine & Public Health Mortality Newborn babies Original Article Pediatric Surgery Pediatrics Surgery |
| title | How should we treat representative neonatal surgical diseases with congenital heart disease? |
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