Factor Information
Data ID 1344
Factor Morbidity
Description Both univariate and multivariate analysis showed that HTK was associated with decreased early mortality (OR=0.151, P=0.035) and decreased morbidity (OR=0.167, P=0.000). Univariate and multivariate analysis showed that HTK is a statistically significant independent predictor of decreased early mortality and morbidity (P<0.05).
Biomarker NA
Classification A3 (clinical factor - disease & symptom)
Association
Application treatment and risk assessment
Objective The purpose of this study was to compare myocardial protection of HTK and St. Thomas’ crystalloid cardioplegic solution in high-risk patients with severe pulmonary arterial hypertension associated with complex congenital heart disease.
p Value <0.001
OR 0.167
Conclusion HTK solution seems to be an effective and safe alternative to St. Thomas’ solution for cardioplegic reperfusion in high-risk patients with complex congenital heart disease.
Risk Factor protective factor
CHD Type
ID 521
CHD Type isolated CHD
CHD Subtype D-TGA/VSD/CHD with PAH
Reference
PMID 27191607
Year 2016
Title Histidine-tryptophan-ketoglutarate solution decreases mortality and morbidity in high-risk patients with severe pulmonary arterial hypertension associated with complex congenital heart disease: an 11-year experience from a single institution.
Sample
Population Infants
Source Data
Region Beijing, China
Method Univariate and multivariate analysis
Race Asian
Disease History N/A
Treatment History arterial switch operation
Group histidine-tryptophan-ketoglutarate (HTK) group(Treatment) St group: control group, myocardial protection with conventional St. Thomas’ cold potassium crystalloid cardioplegic solution(Control)
Number 18(total:75) 17(total:26)
Age 3.4±0.4 years 1.9±0.4 years
Gender (Male: Female) N/A N/A
Marker Level 18 (24%) 17 (65.4%)