| Journal: | Boletín médico del Hospital Infantil de México |
| Database: | PERIÓDICA |
| System number: | 000381231 |
| ISSN: | 1665-1146 |
| Authors: | Cervantes Salazar, Jorge1 Calderón Colmenero, Juan2 Ramírez Marroquín, Samuel1 Palacios Macedo, Alexis3 Bolio Cerdán, Alejandro4 Vizcaíno Alarcón, Alfredo4 Curi Curi, Pedro5 Llata Romero, Manuel de la6 Erdmenger Orellana, Julio4 González, Julieta7 Garcia Soriano, Federico7 Calderón, Alejandro8 Casillas, Luis9 Villanueva, Filiberto10 Sánchez Ramírez, Roberto6 Osnaya, Héctor3 Necoechea, Juan Carlos1 Alva Espinoza, Carlos5 Prado Villegas, Guillermo5 |
| Institutions: | 1Instituto Nacional de Cardiología Ignacio Chávez, México, Distrito Federal. México 2Asociación Mexicana de Especialistas en Cardiopatías Congénitas A.C., México, Distrito Federal. México 3Instituto Nacional de Pediatría, México, Distrito Federal. México 4Hospital Infantil de México "Federico Gómez", México, Distrito Federal. México 5Secretaría de Salud, Hospital Regional de Alta Especialidad de Ixtapaluca, Ixtapaluca, Estado de México. México 6Secretaría de Salud, Dirección General de Coordinación de los Hospitales Regionales de Alta Especialidad, México, Distrito Federal. México 7Hospital Miguel Hidalgo, Aguascalientes. México 8Secretaría de Salud, Centro Regional de Alta Especialidad de Chiapas, Tuxtla Gutiérrez, Chiapas. México 9Hospital Regional de Alta Especialidad de la Península de Yucatán, Mérida, Yucatán. México 10Hospital Regional de Alta Especialidad de Oaxaca, Oaxaca. México |
| Year: | 2014 |
| Season: | Sep-Dic |
| Volumen: | 71 |
| Number: | 5 |
| Pages: | 286-291 |
| Country: | México |
| Language: | Español |
| Document type: | Estadística o encuesta |
| Approach: | Descriptivo |
| English abstract | Currently, there is a spreading worldwide tendency to characterize health issues and to propose alternative solutions via the creation of computerized databases. The aim of this study was to present the results in a computerized database of pediatric cardiac surgeries developed under the auspices of the Mexican Association of Specialists in Congenital Heart Diseases (Asociación Mexicana de Especialistas en Cardiopatías Congénitas A.C) and coordinated by the collegiate group of Pediatric Cardiology and Surgery as petitioned by the National Institutes of Health and High Specialty Hospitals Coordinating Commission. Methods: We analyzed all cases registered in the database during a 1-year observation period (August 1, 2011 to July 31, 2012) by all major Health Ministry-dependent institutes and hospitals offering surgical services related to pediatric cardiopathies to the non-insured population. Results: Seven institutions participated voluntarily in completing the database. During the analyzed period, 943 surgeries in 880 patients with 7% reoperations (n = 63) were registered. Thirty-eight percent of the surgeries were performed in children <1 year of age. The five most common cardiopathies 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). Ninety percent of surgeries were elective and extracorporeal circulation was used in 62% of surgeries. Global mortality rate was 7.5% with the following distribution in the RACHS-1 score categories: 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 non-classifiable (n = 2, 9%). Conclusions: This analysis provides a representative view of the surgical practices in cardiovascular diseases in the pediatric population at the national non-insured population level. However, incorporating other health institutions to the national registry database will render a. |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Pediatría, Sistema cardiovascular, Cardiopatías congénitas, Cirugía cardiaca, Registro Nacional, Mortalidad |
| Keyword: | Medicine, Cardiovascular system, Pediatrics, Surgery, Congenital cardiopathies, Cardiac surgery, National Registry, Mortality |
| Full text: | Texto completo (Ver HTML) |
