Factor Information
Data ID 2476
Factor risk factors for all the events (early and late death): preoperative mechanical ventilation
Description The univariate risk factors for all the events (early and late death) included urgency status (hazard ratio [HR] 2.7; 95% confidence interval [CI] 1.21–6.15) and preoperative mechanical ventilation (HR 4.47; 95% CI 1.97–10.9). Multivariate analysis for all events (early and late deaths) identified preoperative mechanical ventilation as an indepedent risk factor for mortality (HR 4.47; 95% CI 1.97–10.1).
Biomarker NA
Classification A12 (clinical factor - treatment)
Association
Application risk assessment
Objective early and late deaths
HR 4.47
Conclusion We demonstrated that heart transplantation for patients with CHD can be performed with the expectation of excellent results. Previous procedures, including the Fontan operation, do not reduce survival. Mortality is related to preoperative patient condition. We advocate early referral of complex CHD patients for transplant assessment and for inclusion in waiting lists before the detrimental effects of end-stage failure manifest themselves.
Risk Factor risk factor
CHD Type
ID 603
CHD Type isolated CHD/non-isolated CHD
CHD Subtype UVH/TA/DILV, PA/DILV, PS/DILV/UVH, TGA/HLHS/DOLV/UAVC/PA, IVS/TOF/PA, VSD/TGA/TGA/AVC/EA/SD/MD/AD, CoA/CoA, VSD/TAPVR/CACA/TOF, AVC/MAD
Reference
PMID 22733841
Year 2013
Title Is heart transplantation for complex congenital heart disease a good option? A 25-year single centre experience.
Sample
Population All
Source N/A
Region Bergamo, Italy
Method N/A
Race European
Disease History Fontan failure
Treatment History Heart transplantation
Group N/A(Treatment) N/A(Control)
Number 85 N/A
Age 17 ± 13 years (median 15 years; range 0.2–58.5 years). N/A
Gender (Male: Female) 55:30 N/A
Marker Level N/A N/A