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2014, Number 2

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Evid Med Invest Salud 2014; 7 (2)

Pediatric cardiovascular surgical data base registry in Mexico. First report

Cervantes-Salazar J, Calderón-Colmenero J, Ramírez-Marroquín S, Palacios-Macedo A, Bolio CA, Vizcaíno AA, Curi-Curi P, de la Llata RM, Erdmenger OJ, González PJ, García SF, Calderón BA, Casillas CL, Villanueva RF, Sánchez RR, Osnaya MH, Necoechea AJC, Alva EC, Prado VG

Language: Spanish
References: 18
Page: 56-62
PDF size: 303.09 Kb.


ABSTRACT

Introduction: There is a worldwide trend to characterize health problems and propose alternative solutions by creating computerized databases. Objective: To present the results of a computerized data base developed for the registry of pediatric cardiac surgery with the support of Mexican Specialists Association for Congenital Heart Disease (AMECC, AC) and coordinated by the group of Cardiology and Pediatric Surgery organized by the Coordinating Committee of the National Institutes of Health and High Specialty Hospitals. Material and methods: A one-year analysis (from August 1, 2011 to July 31, 2012) of a computerized data base was performed with the support of AMECC and the participation of the most important Mexican institutions for pediatric surgical heart disease health care, particularly for the uninsured population. Results: There were seven health institutions voluntarily incorporated to the national data base registry, and in the first year of observation, 943 surgical procedures in 880 patients and 7% re-operations (n = 63), were reported. Patients up to one-year old accounted for 38%. The most frequent types of operated congenital heart diseases were: patent ductus arteriosus (n = 96), ventricular septal defect (n = 86), tetralogy of Fallot (n = 72), atrial septal defect (n = 68), and aortic coarctation (n = 54). Elective procedures were 90%, and 62% of them were performed with the use of cardiopulmonary bypass. Overall mortality was 7.5% with the following RACHS-1 score risk distribution: 1 (n = 4, 2%), 2 (n = 19, 6%), 3 (n = 22, 8%), 4 (n = 12, 19%), 5 (n = 1, 25%), 6 (n = 6, 44%) and not classifiable (n = 2, 9%). Conclusions: Although this analysis gives a representative vision of the cardiovascular surgical health care for the uninsured national pediatric population, the incorporation of other health institutions to this data base may lead us to have a most realistic overview in relation to the surgical cardiovascular health care for the up to 18 year-old population.


REFERENCES

  1. Adatia I, Kothari SS, Feinstein JA. Pulmonary hypertension associated with congenital heart disease. Pulmonary vascular disease: the global perspective. Chest. 2010; 137 (6 suppl): 52S-61S.

  2. Calderón-Colmenero J. Introducción. En: Attie F, Calderón-Colmenero J, Zabal C, Buendía A. Cardiología pediátrica. México, DF: Ed. Médica Panamericana; 2013. pp. 3-7.

  3. Kumar RK, Shrivastava S. Paediatric heart care in India. Heart. 2009; 94 (8): 984-990.

  4. Calderón-Colmenero J, Cervantes-Salazar JL, Curi-Curi P, Ramírez S. Problemática de las cardiopatías congénitas en México. Propuesta de regionalización. Arch Cardiol Méx. 2010; 80: 133-140.

  5. Samanek M. Congenital heart malformations: prevalence, severity, survival and quality of life. Cardiol Young. 2000; 10: 179-185.

  6. Dirección General de Información en Salud, Secretaría de Salud. Estadísticas vitales en niños y adolescentes mexicanos. Mortalidad infantil. Bol Med Hosp lnfant Mex. 2004; 61: 515-527.

  7. Hoffman JI, Kaplan S. The incident of congenital heart disease. J Am Coll Cardiol. 2002; 39: 1890-1900.

  8. Boneva FS, Botto LD, Moore CA, Yang Q, Correa A, Erikson JD. Mortality associated with congenital heart defects in the United States. Trends and racial disparities. Circulation. 2001; 1003: 2376-2381.

  9. Calderón-Colmenero J, de la Llata M, Vizcaíno A, Ramírez S. Atención médico-quirúrgica de las cardiopatías congénitas: una visión panorámica de la realidad en México. Encuesta 2009. Rev Invest Clin. 2011; 63 (4): 344-352.

  10. Calderón-Colmenero J, Ramírez-Marroquín S, Cervantes-Salazar J. Métodos de estratificación de riesgo en la cirugía de cardiopatías congénitas. Arch Cardiol Méx. 2008; 78: 60-67.

  11. Mavroudis C, Jacobs JP. Congenital heart surgery nomenclature and data base project: overview and minimum data set. Ann Thorac Surg. 2000; 69: S1-S372.

  12. Mavroudis C, Jacobs JP. Congenital heart disease outcome analysis: methodology and rationale. J Thorac Cardiovasc Surg. 2002; 123: 6-7.

  13. Daenen VV, Lacourt-Gayet F, Aberg T. Optimal structure of a congenital heart surgery department in Europe by EACTS congenital heart disease committee. Eur J Cardiothorac Surg. 2003; 24: 334-351.

  14. Igual A, Saura E. Cirugía cardiovascular en España en el año 2001. Registro de intervenciones de cardiopatías congénitas. Cir Cardiov. 2003; 10: 81-91.

  15. Jacobs J, Jacobs ML, Maruszewski B, Kurosowa H, Lacour-Gayet FG, Robinson D et al. Current status of the European Association for Cardiothoracic Surgery and the Society of Thoracic Surgeons Congenital Heart Surgery data base. Ann Thorac Surg. 2005; 80: 2278-2284.

  16. Luft HS, Lunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. N Engl J Med. 1979; 301 (25): 1364-1369.

  17. Chang RKR, Klitzner TS. Can regionalization decrease the number of deaths for children who undergo cardiac surgery? A theoretical analysis. Pediatrics. 2002; 109 (2): 173-181.

  18. American Academy of Pediatrics. Guidelines for Pediatric Cardiovascular Center. Pediatrics. 2002; 109: 544-549.




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