Investigation of Postoperative Mortality-Morbidity Rates in Patients Who Underwent Repair of Total Atrioventricular Septal Defect Using Modified Single-Patch or Double-PatchTechniques: A Retrospective, Single-Center, 14-Year Study

Öz

This study was conducted retrospectively to determine the mortality and morbidity rates of patients with complete atrioventricular septal defect (AVSD) who had undergone corrective surgery. The research is a single-center and retrospective type study. There search was conducted at the Pediatric Cardiac Surgery Department of Uludağ University Faculty of Medicine Hospital. Research data were collected between 10.03.2023 and 10.04.2023. The sample of the study consisted of 111 patients. Research data were analyzed using the SPSS program. Categorical variables were analyzed with the Chi-square test and numerical variables were analyzed with the Mann-Whitney U test for binary groups. A p-value of <0.05 was considered significant in the analysis. In thestudy, it was found that 52.3% of the patients were female, 80.2% had Down syndrome, and the average age was 16.82±24.57 months. It was found that three patients had valve insufficiency in the 14th postoperative year. The mortality rate was found to be 13.5% in the study. Mortality was highest (93.4%) in the 1st month. Significant differences were found in variables such as intubation duration, intensive care stay, development of postoperative pneumonia, pulmonary hypertension + pneumonia + jet, and treatment-resistant supraventricular tachycardia (SVT) due to mortality status. The meanage of the patients was found to be high compared to other studies. It was concluded that the low intubation durations of the patients in the study, as well as complications such as postoperative pneumonia and pulmonary hypertension, could affect mortality.

Anahtar Kelimeler

• avsd
• modified single patch
• double patch

Modifiye Tek Yama Ya Da Çift Yama Teknikleri ile Total Atriyoventriküler Septal Defekt Onarımı Yapılmış Olan Hastaların Postoperatif Mortalite-Morbidite Oranlarının İncelenmesi: Retrospektif, Tek Merkezli, 14 Senelik Bir Çalışma

Öz

Bu çalışma rektospektif olarak tüm düzeltme operasyonu geçirmiş total atriyoventriküler septal defekt(AVSD)’li hastaların mortalite ve morbidite oranlarının belirlenmesi amacıyla yapıldı.Araştırma tek merkezli ve retrospektif türde bir araştırmadır. Araştırma Uludağ Üniversitesi Tıp Fakültesi Hastanesi Pediatrik Kardiyak Cerrahi Bilim dalında yapıldı. Operasyon için hasta ebeveynlerinden yazılı onam alındı. Araştırma verileri 10.03.2023-10.04.2023 tarihleri arasında toplandı. Araştırmanın örneklemini 111 hasta oluşturdu. Araştırma verileri SPSS programı ile analiz edildi. Kategorik değişkenler Ki-Kare testi ile, sürekli değişkenler, ikili gruplar için Mann-Whitney U testi ile analiz edildi. Analizlerde p<0,05 değeri anlamlı kabul edildi. Çalışmada hastaların %52,3’ünün kız, %80,2’sinin down sendromlu olduğu ve yaş ortalamasının 16,82±24,57 ay olduğu saptandı. Postoperatif 14. yılda kalp kapağı yetersizliğinin üç hastaya düştüğü saptandı. Çalışmada mortalite oranı %13,5 bulundu. Mortalitenin en çok (%93,4) 1. ayda olduğu saptandı. Mortalite durumuna göre entübasyon süresi, yoğun bakım kalış süresi, postoperatif pnömoni gelişimi, pulmoner hipertansiyon + pnömoni + jet ve tedaviye dirençli supraventriküler taşikardi (SVT) nedenli arrest değişkenlerinde anlamlı farklılık olduğu saptandı. Hastaların yaş ortalaması yapılan çalışmalara göre yüksek bulundu. Çalışmada hastaların entübasyon sürelerinin düşük olması, postoperatif pnömoni ve pulmoner hipertansiyon gibi komplikasyonların mortaliteyi etkileyebileceği sonucuna varıldı.

Anahtar Kelimeler

• avsd
• modifiye tek yama
• çift yama

Kaynakça

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