Navigation Links
Kids Who Need Heart Surgery May Fare Better at Busier Hospitals
Date:1/9/2012

By Denise Mann
HealthDay Reporter

MONDAY, Jan. 9 (HealthDay News) -- Children who have heart surgery at high-volume hospitals may fare better than those who are treated in hospitals that perform fewer pediatric cardiac surgeries per year, but this is not due to volume alone.

New research suggests that the busier centers are more able to spot and handle complications should they occur after heart surgery.

Of more than 35,000 children who had heart surgery at 68 hospitals, nearly 4 percent of children died in the hospital, and almost 41 percent experienced at least one complication after their surgery, a new study found.

Centers that performed more than 350 surgeries a year were considered "high volume," while those that performed fewer than 150 heart surgeries in children each year were "low volume." The complication rate was similar across all centers. That said, the risk for dying after a major complication was higher at hospitals that performed fewer than 150 pediatric heart surgeries a year, when compared to those centers where more than 350 heart surgeries were performed a year, the study showed.

The new findings appear online Jan. 9 and in the February 2012 print issue of Pediatrics.

"Higher mortality observed at lower-volume centers appears to be relate to a higher rate of death in those who suffer a postoperative complication, rather than a higher rate of complications alone," said study author Dr. Sara Pasquali, director of pediatric cardiovascular outcomes at Duke University Medical Center in Durham, N.C. "This suggests that initiatives aimed at improving patients outcomes may need to focus not only on reducing complications themselves, but on better recognition and management of complications once they occur."

Parents of a child in need of heart surgery may feel both scared and overwhelmed by the entire prospect and process.

"Several studies have now found that higher volume hospitals tend to have better outcomes, particularly for more complex cases," Pasquali said. "Volume is not the only important factor and that there are smaller hospitals with outcomes comparable to those at larger centers. Overall, a hospital's past track record with similar types of cases may be the best information to consider rather than relying upon the volume of the center alone."

Dr. Rubin Cooper, chief of pediatric cardiology at Cohen Children's Medical Center in New Hyde Park, N.Y., said high-volume centers are not always an option based on where a patient lives and the urgency of the surgery.

"There aren't that many centers that do so much," Cohen said. "High-volume centers may have more tools and more surveillance, but low-volume centers all have board-certified people who are trained to know what they can and can't do, and they certainly would refer a case that they could not handle. Some children do need highly specialized centers if they have a rare condition." However, he added, "I would say as many as 80 percent of pediatric heart patients can be treated by nearly all of the programs."

More information

Visit the U.S. National Institutes of Health to learn more about pediatric heart surgery.

SOURCES: Sara K. Pasquali, M.D., director, pediatric cardiovascular outcomes, Duke University Medical Center, Durham, N.C.; Rubin Cooper, M.D., chief, pediatric cardiology, Cohen Children's Medical Center, New Hyde Park, N.Y.; February 2012 Pediatrics


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Chronic Heartburn a Growing Problem in U.S.
2. Heart Failure, Diabetes Might Be Linked by Protein
3. U.S. Heart Attack Patients Readmitted Most Often: Study
4. Weight Loss Surgery Linked to Fewer Heart Attacks, Deaths
5. Home monitoring may help manage and reduce costs for heart failure
6. Breast Cancer Radiation Linked to Raised Heart Risk
7. New Blood Test May Rule Out Heart Attacks More Quickly
8. Heart disease study highlights Scottish ethnic groups most at risk
9. Having a cow can be a heart healthy choice
10. Jump in Resting Heart Rate Might Signal Higher Death Risk
11. Breast cancer and heart disease may have common roots
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Kids Who Need Heart Surgery May Fare Better at Busier Hospitals
(Date:6/25/2016)... ... ... of Bruton Memorial Library on June 21 due to a possible lice infestation, as reported ... head lice: the parasite’s ability to live away from a human host, and to infest ... in the event that lice have simply gotten out of control. , As lice are ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... On Friday, ... presented a Bronze Wellness at Work award to iHire in recognition of their exemplary ... part of the 7th annual Maryland Workplace Health & Wellness Symposium at the BWI ...
(Date:6/24/2016)... PASADENA, CA (PRWEB) , ... June 24, 2016 , ... Marcy was in a crisis. ... he would lash out at his family verbally and physically. , “When something upset him, ... table, he would use it. He would throw rocks at my other children and say ...
(Date:6/24/2016)... ... , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business ... to $12 an hour by 2020 and then adjusting it yearly to increase at the ... minimum wage, assure the wage floor does not erode again, and make future increases more ...
(Date:6/24/2016)... Frederick, Maryland (PRWEB) , ... June 24, 2016 ... ... Mid-Atlantic Angels is actively feeding the Frederick area economy by obtaining investment capital ... support over the past 2½ years that have already resulted in more than ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 24, 2016 Dehaier Medical Systems Ltd. (NASDAQ: ... develops, markets and sells medical devices and wearable sleep ... a strategic cooperation agreement with Hongyuan Supply Chain Management ... on June 20, 2016, to develop Dehaier,s new Internet ... agreement, Dehaier will leverage Hongyuan Supply Chain,s sales platform ...
(Date:6/24/2016)... , June 24, 2016 ... appointment of Dr. Edward Futcher to ... Director, effective June 23, 2016.Dr. Futcher was also ... and Governance Committees.  As a non-executive member of ... expertise and strategic counsel to VolitionRx in connection ...
(Date:6/23/2016)... 23, 2016 Research and Markets ... Market by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic ... Coating, Parenteral) - Global Forecast to 2021" report ... The global pharmaceutical excipients market is projected to ... of 6.1% in the forecast period 2016 to 2021. ...
Breaking Medicine Technology: