Evidence map›Paper›PMID 31413860›Full record

ArticleEcho research and practice2019

Application of the Boston Technical Performance Score to intraoperative echocardiography.

Hannah R Bellsham-Revell, Antigoni Deri, Silvia Caroli, Andrew Durward, Owen I Miller, Sujeev Mathur, Jelena Saundankar, David R Anderson, B Conal Austin, Caner Salih and 2 more

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Article in Echo research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Hannah R Bellsham-RevellDepartment of Congenital Heart Disease, Evelina London Children's Hospital, London, UK.
Antigoni DeriDepartment of Congenital Heart Disease, Evelina London Children's Hospital, London, UK.
Silvia CaroliDepartment of Congenital Heart Disease, Evelina London Children's Hospital, London, UK.
Andrew DurwardPaediatric Airway Service, Evelina London Children's Hospital, London, UK.
Owen I MillerDepartment of Congenital Heart Disease, Evelina London Children's Hospital, London, UK.
Sujeev MathurDepartment of Congenital Heart Disease, Evelina London Children's Hospital, London, UK.
Jelena SaundankarDepartment of Congenital Heart Disease, Evelina London Children's Hospital, London, UK.
David R AndersonDepartment of Congenital Heart Disease, Evelina London Children's Hospital, London, UK.
B Conal AustinDepartment of Congenital Heart Disease, Evelina London Children's Hospital, London, UK.
Caner SalihDepartment of Congenital Heart Disease, Evelina London Children's Hospital, London, UK.
Kuberan PushparajahDepartment of Congenital Heart Disease, Evelina London Children's Hospital, London, UK.
John M SimpsonDepartment of Congenital Heart Disease, Evelina London Children's Hospital, London, UK.

Funding

Department of Health II-LA-0716-20001
6 · The paper itself

Abstract

backgroundThe Technical Performance Score (TPS) developed by Boston Children's Hospital showed surgical outcomes correlate with adequacy of technical repair when implemented on pre-discharge echocardiograms. We applied this scoring system to intraoperative imaging in a tertiary UK congenital heart surgical centre.

methodsAfter a period of training, intraoperative TPS (epicardial and/or transesophageal echocardiography) was instituted. TPS was used to inform intraoperative discussions and recorded on a custom-made database using the previously published scoring system. After a year, we reviewed the feasibility, results and relationship between the TPS and mortality, extubation time and length of stay.

resultsFrom 01 September 2015 to 04 July 2016, there were 272 TPS procedures in 251 operations with 208 TPS recorded. Seven patients had surgery with no documented TPS, three had operations with no current TPS score template available. Patients left the operating theatre with TPS optimal in 156 (75%), adequate 34 (16%) and inadequate 18 (9%). Of those with an optimal score on leaving theatre, ten had more than one period of cardiopulmonary bypass. All four deaths <30 days after surgery (1.9%) had optimal TPS. There was a statistically significant difference in extubation times in the RACHS category 4 patients (3 days vs 5 days,

conclusionsApplication of intraoperative TPS is feasible and provides a way of objectively recording intraoperative imaging assessment of surgery. An 'inadequate' TPS did not predict mortality but correlated with a longer ventilation time and longer length of stay compared to those with optimal or adequate scores.

Indexed as

congenital heart diseaseintraoperative echocardiographysurgery

Identifiers

PMID31413860
PMCPMC6689121

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