Evidence map›Paper›PMID 28893257›Full record

ArticleCardiovascular ultrasound2017

Preoperative single ventricle function determines early outcome after second-stage palliation of single ventricle heart.

Jacek Pająk, Michał Buczyński, Piotr Stanek, Grzegorz Zalewski, Marek Wites, Lesław Szydłowski, Bogusław Mazurek, Lidia Tomkiewicz-Pająk

Open access · goldAbstract readComparative Study
In one paragraph

Article in Cardiovascular ultrasound, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Hypoplastic left heart syndrome: current modalities of treatment and outcomes.Indian journal of thoracic and cardiovascular surgery · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Jacek PająkPediatric Heart Surgery and General Pediatric Surgery Department, Medical University of Warsaw, ul. Żwirki i Wigury 63A, 02-091, Warszawa, Poland. jacekpajak@poczta.onet.pl.ORCID http://orcid.org/0000-0002-0138-411X
Michał BuczyńskiPediatric Heart Surgery and General Pediatric Surgery Department, Medical University of Warsaw, ul. Żwirki i Wigury 63A, 02-091, Warszawa, Poland.
Piotr StanekPediatric Heart Surgery Department, The Independent Public Clinical Hospital no. 6 of the Medical University of Silesia, Katowice, Poland.
Grzegorz ZalewskiPediatric Heart Surgery Department, The Independent Public Clinical Hospital no. 6 of the Medical University of Silesia, Katowice, Poland.
Marek WitesPediatric Heart Surgery Department, The Independent Public Clinical Hospital no. 6 of the Medical University of Silesia, Katowice, Poland.
Lesław SzydłowskiDepartment of Pediatric Cardiology, Medical University of Silesia, Katowice, Poland.
Bogusław MazurekDepartment of Pediatric Cardiology, Medical University of Silesia, Katowice, Poland.
Lidia Tomkiewicz-PająkInstitute of Cardiology, Jagiellonian University, Medical College and John Paul II Hospital, Krakow, Poland.
Medical University of Silesia · PLMedical University of Warsaw · PLJagiellonian University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSecond-stage palliation with hemi-Fontan or bidirectional Glenn procedures has improved the outcomes of patients treated for single-ventricle heart disease. The aim of this study was to retrospectively analyze risk factors for death after second-stage palliation of single-ventricle heart and to compare therapeutic results achieved with the hemi-Fontan and bidirectional Glenn procedures. MATERIAL AND

methodsWe analyzed 60 patients who had undergone second-stage palliation for single-ventricle heart. Group HF consisted of 23 (38.3%) children who had been operated with the hemi-Fontan method; Group BDG consisted of 37 (61.7%) who had been operated with the bidirectional Glenn method. The analysis focused on 30-day postoperative mortality rates, clinical and echocardiographic data, and early complications.

resultsThe patients' ages at the time of repair was 33 ± 11.2 weeks; weight was 6.7 ± 1.2 kg. The most common anatomic subtype was hypoplastic left heart syndrome, in 36 (60%) patients. The early mortality rate was 13.3%. Significant preoperative atrioventricular valve regurgitation, single-ventricle heart dysfunction, pneumonia/sepsis, and arrhythmias were associated with higher mortality rates after second-stage palliation. Multivariate analysis identified significant preoperative single-ventricle heart dysfunction as an independent predictor of early death after second-stage palliation. No differences were found in the analyzed variables after bidirectional Glenn compared with hemi-Fontan procedures.

conclusionSignificant preoperative atrioventricular valve regurgitation, arrhythmias and pneumonia/sepsis are closely correlated with mortality in patients with single-ventricle heart after second-stage palliation. Preoperative significant single-ventricle heart dysfunction is an independent mortality predictor in this group of patients. There are no differences in clinical, echocardiographic data, or outcomes in patients treated with the hemi-Fontan compared with bidirectional Glenn procedures.

Indexed as

EchocardiographyFemaleFollow-Up StudiesFontan ProcedureHeart VentriclesHumansHypoplastic Left Heart SyndromeInfantMalePalliative CarePreoperative PeriodRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeCorMatrixExtracellular matrixHemi-Fontan, bidirectional Glenn procedureHypoplastic left heart syndromeSecond-stage single-ventricle palliationSingle-ventricle heart

Identifiers

PMID28893257
PMCPMC5594433
OpenAlexW2754342250

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.