Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/3916
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dc.contributor.authorJusto, E.en
dc.contributor.authorAlphonso, N.en
dc.contributor.authorJusto, R.en
dc.contributor.authorReeves, B.en
dc.date.accessioned2022-11-07T23:47:26Z-
dc.date.available2022-11-07T23:47:26Z-
dc.date.issued2015en
dc.identifier.citation24 , 2015, p. S435en
dc.identifier.otherRISen
dc.identifier.urihttp://dora.health.qld.gov.au/qldresearchjspui/handle/1/3916-
dc.description.abstractBackground: Previous studies of surgical outcomes for indigenous children have suggested that the early outcomes are comparable to that for the non-Indigenous population, but no reliable longer-term outcome information is available. Methods: Indigenous children with acquired or congenital heart disease who underwent cardiac surgery between May 2008 and August 2014 were studied. Demographic information, diagnosis and comorbidities, treatment and outcome data were collected at time of surgery and at clinical followup. Results: 128 children with a median age of 0.8 years (0-16.3 years) underwent 176 surgical procedures. The mean comprehensive Aristotle Score of the primary procedure was 9.2+4.3. Eleven (8.6%) operations were related to rheumatic carditis. The median follow-up was 22.5 months (1-80 months). Follow up was complete for 120 (93.8%) patients. There were 3 (2.3%) early deaths and 7 (5.5%) late deaths during the followup period (Figure). The cause of death was cardiac related in 9 (7.0%) and non-cardiac in one patient. Non-cardiac issues identified during follow-up included poor compliance with medications (n=5, 4.2%), substance abuse (n=2, 1.7%) and unplanned pregnancy (n=2, 1.7%). (Graph presented) Conclusion: High rates of follow-up can be achieved for a decentralised indigenous cardiac population. Early surgical mortality is low, but there is a late mortality and other social contributing factors that require further assessment.L721035592015-12-10 <br />en
dc.language.isoenen
dc.relation.ispartofHeart Lung and Circulationen
dc.titleOutcomes for Indigenous children undergoing cardiac surgeryen
dc.typeArticleen
dc.identifier.doi10.1016/j.hlc.2015.06.749en
dc.subject.keywordssubstance abuseen
dc.subject.keywordsdrug therapyen
dc.subject.keywordscause of deathen
dc.subject.keywordssurgeryen
dc.subject.keywordsdiagnosisen
dc.subject.keywordscarditisen
dc.subject.keywordsproceduresen
dc.subject.keywordssurgical techniqueen
dc.subject.keywordscongenital heart diseaseen
dc.subject.keywordssocietyhumanen
dc.subject.keywordsheart surgeryen
dc.subject.keywordsAustralia and New Zealanden
dc.subject.keywordshearten
dc.subject.keywordschilden
dc.subject.keywordsfollow upen
dc.subject.keywordsfemaleen
dc.subject.keywordspopulationen
dc.subject.keywordsdeathen
dc.subject.keywordspatienten
dc.subject.keywordsmortalityen
dc.subject.keywordssurgical mortalityen
dc.subject.keywordsunplanned pregnancyen
dc.relation.urlhttps://www.embase.com/search/results?subaction=viewrecord&id=L72103559&from=exporthttp://dx.doi.org/10.1016/j.hlc.2015.06.749 |en
dc.identifier.risid563en
dc.description.pagesS435en
item.cerifentitytypePublications-
item.openairetypeArticle-
item.fulltextNo Fulltext-
item.languageiso639-1en-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
Appears in Sites:Children's Health Queensland Publications
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