Evidence map›Paper›PMID 38410043›Full record

ArticleCardiology in the young2024

Days alive and out of hospital for children born with single-ventricle heart disease.

Cathlyn K Medina, Neel K Prabhu, Isaac S Alderete, Lauren E Parker, Hoe King Lim, Mary E Moya-Mendez, Lillian Kang, M Jay Campbell, Douglas M Overbey, Joseph W Turek and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Cardiology in the young, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

11 authors at 3 institutions in 1 country.

Cathlyn K MedinaCongenital Heart Surgery Research and Training Laboratory, Duke University, Durham, NC, USA.ORCID https://orcid.org/0000-0002-2522-1825
Neel K PrabhuCongenital Heart Surgery Research and Training Laboratory, Duke University, Durham, NC, USA.ORCID https://orcid.org/0000-0002-5983-1269
Isaac S AldereteCongenital Heart Surgery Research and Training Laboratory, Duke University, Durham, NC, USA.
Lauren E ParkerCongenital Heart Surgery Research and Training Laboratory, Duke University, Durham, NC, USA.
Hoe King LimCongenital Heart Surgery Research and Training Laboratory, Duke University, Durham, NC, USA.
Mary E Moya-MendezCongenital Heart Surgery Research and Training Laboratory, Duke University, Durham, NC, USA.
Lillian KangCongenital Heart Surgery Research and Training Laboratory, Duke University, Durham, NC, USA.
M Jay CampbellDuke Children's Pediatric and Congenital Heart Center, Durham, NC, USA.
Douglas M OverbeyCongenital Heart Surgery Research and Training Laboratory, Duke University, Durham, NC, USA.
Joseph W TurekCongenital Heart Surgery Research and Training Laboratory, Duke University, Durham, NC, USA.
Nicholas D AndersenUT Southwestern Medical Center, Dallas, TX, USA.
Duke University Hospital · USDuke Children's Hospital & Health Center · USSouthwestern Medical Center · US

Funding

Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
NIGMS NIH HHS T32 GM145449
6 · The paper itself

Abstract

backgroundThis study describes the illness burden in the first year of life for children with single-ventricle heart disease, using the metric of days alive and out of hospital to characterize morbidity and mortality.

methodsThis is a retrospective single-centre study of single-ventricle patients born between 2005 and 2021 who had their initial operation performed at our institution. Patient demographics, anatomical details, and hospitalizations were extracted from our institutional single-ventricle database. Days alive and out of hospital were calculated by subtracting the number of days hospitalized from number of days alive during the first year of life. A multivariable linear regression with stepwise variable selection was used to determine independent risk factors associated with fewer days alive and out of hospital.

resultsIn total, 437 patients were included. Overall median number of days alive and out of hospital in the first year of life for single-ventricle patients was 278 days (interquartile range 157-319 days). In a multivariable analysis, low birth weight (<2.5kg) (b = -37.55, p = 0.01), presence of a dominant right ventricle (b = -31.05, p = 0.01), moderate-severe dominant atrioventricular valve regurgitation at birth (b = -37.65, p < 0.05), index hybrid Norwood operation (b = -138.73, p < 0.01), or index heart transplant (b = -158.41, p < 0.01) were all independently associated with fewer days alive and out of hospital.

conclusionsChildren with single-ventricle heart defects have significant illness burden in the first year of life. Identifying risk factors associated with fewer days alive and out of hospital may aid in counselling families regarding expectations and patient prognosis.

Indexed as

Heart VentriclesUniventricular HeartFemaleHeart Defects, CongenitalHospitalizationHumansInfantInfant, NewbornMaleRetrospective StudiesRisk FactorsCHDdays alive out of hospitalsingle ventricle

Identifiers

PMID38410043
PMCPMC13352417
OpenAlexW4392194021

What OpenQuestion holds

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Registered trials

None linked

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.