Trial reportThe Journal of thoracic and cardiovascular surgery2014
Technical performance score is associated with outcomes after the Norwood procedure.
Trial report in The Journal of thoracic and cardiovascular surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed.
- Is There a Unified Etiology of Hypoplastic Left Heart Syndrome? Evaluating Genetic, Structural, and Hemodynamic Models of Disease Initiation.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026Review
- How Should We Grade the Quality of a Transthoracic Echocardiogram: Results from a Survey from the Association for European Pediatric and Congenital Cardiology (AEPC) Imaging Working Group.Pediatric cardiology · 2026Article
- Addressing Survivorship Bias in Neurocognitive Outcomes After Early Complex Cardiac Surgery Using Clustering and Propensity Scores.CJC pediatric and congenital heart disease · 2025Article
- Echocardiographic image collection and evaluation in infants with CHD: lessons learned from the imaging core lab for the Residual Lesion Score study.Cardiology in the young · 2024Article
- Development of the Residual Lesion Score for congenital heart surgery: the RAND Delphi methodology.Cardiology in the young · 2023Article
- Single Ventricle Reconstruction III: Brain Connectome and Neurodevelopmental Outcomes: Design, Recruitment, and Technical Challenges of a Multicenter, Observational Neuroimaging Study.Diagnostics (Basel, Switzerland) · 2023Article
- Single Ventricle Reconstruction III: Brain Connectome and Neurodevelopmental Outcomes: Design, Recruitment, and Technical Challenges of a Multicenter, Observational Neuroimaging Study.medRxiv : the preprint server for health sciences · 2023Article
- Cardiovascular intensive care unit variables inform need for feeding tube utilization in infants with hypoplastic left heart syndrome.The Journal of thoracic and cardiovascular surgery · 2023Article
- Declining Incidence of Postoperative Neonatal Brain Injury in Congenital Heart Disease.Journal of the American College of Cardiology · 2023Article
- Cost Containment in the Single Ventricle Population.JACC. Advances · 2022Article
- Translation and Validation of the Boston Technical Performance Score in a Developing Country.Brazilian journal of cardiovascular surgery · 2021Article
- Development of Care Curves Following the Stage 1 Palliation: A Comparison of Intensive Care Among 5 Centers.Journal of the American Heart Association · 2021Observational
- Impact of Major Residual Lesions on Outcomes After Surgery for Congenital Heart Disease.Journal of the American College of Cardiology · 2021Observational
- The Pediatric Heart Network Residual Lesion Score Study: Design and objectives.The Journal of thoracic and cardiovascular surgery · 2020Article
- Red Blood Cell Transfusion After Stage I Palliation Is Associated With Worse Clinical Outcomes.Journal of the American Heart Association · 2020Article
- Application of the Boston Technical Performance Score to intraoperative echocardiography.Echo research and practice · 2019Article
- Utility of a standardized postcardiopulmonary bypass epicardial echocardiography protocol for stage I Norwood palliation.Congenital heart disease · 2017Article
- Impact of Variability in Echocardiographic Interpretation on Assessment of Adequacy of Repair Following Congenital Heart Surgery: A Pilot Study.Pediatric cardiology · 2016Article
- The impact of health maintenance organizations on improving cardiac surgery outcomes.Therapeutic advances in cardiovascular diseaseArticle
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Authors and funding
24 authors.
Funding
Abstract
objectivesThe technical performance score (TPS) has been reported in a single center study to predict the outcomes after congenital cardiac surgery. We sought to determine the association of the TPS with outcomes in patients undergoing the Norwood procedure in the Single Ventricle Reconstruction trial.
methodsWe calculated the TPS (class 1, optimal; class 2, adequate; class 3, inadequate) according to the predischarge echocardiograms analyzed in a core laboratory and unplanned reinterventions that occurred before discharge from the Norwood hospitalization. Multivariable regression examined the association of the TPS with interval to first extubation, Norwood length of stay, death or transplantation, unplanned postdischarge reinterventions, and neurodevelopment at 14 months old.
resultsOf 549 patients undergoing a Norwood procedure, 356 (65%) had an echocardiogram adequate to assess atrial septal restriction or arch obstruction or an unplanned reintervention, enabling calculation of the TPS. On multivariable regression, adjusting for preoperative variables, a better TPS was an independent predictor of a shorter interval to first extubation (P=.019), better transplant-free survival before Norwood discharge (P<.001; odds ratio, 9.1 for inadequate vs optimal), shorter hospital length of stay (P<.001), fewer unplanned reinterventions between Norwood discharge and stage II (P=.004), and a higher Bayley II psychomotor development index at 14 months (P=.031). The TPS was not associated with transplant-free survival after Norwood discharge, unplanned reinterventions after stage II, or the Bayley II mental development index at 14 months.
conclusionsTPS is an independent predictor of important outcomes after Norwood and could serve as a tool for quality improvement.
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