| Comparative risk of cardiac catheterisations performed on low birth weight neonates. | |
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MedLine Citation:
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PMID: 23388660 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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To determine whether cardiac catheterisation procedures for low birth weight neonates ≤2.5 kg carries a greater risk of complications compared with neonates >2.5 kg, we conducted a single-centre retrospective case-control study. From 01/03 to 01/09, 46 consecutive neonates <2.5 kg at the time of cardiac catheterisation were identified. For each low birth weight case, three control patients >2.5 kg were randomly selected from our heart centre database during the same time period. Data included demographic characteristics, type of intervention, fluoroscopy time, contrast volume, pre- and post-blood urea nitrogen to creatinine ratio, physician performing procedure, procedural risk category, and all major and minor complications. The overall incidence of complications was higher in neonates ≤2.5 kg compared with neonates >2.5 kg (34.8% versus 17.6%, p = 0.023) because of a greater proportion of minor complications (34.8% versus 16.9%, p = 0.021). When specific minor complications were stratified, there was a greater incidence of hypotension requiring intravenous fluids in neonates ≤2.5 kg (6.5% versus 0%, p = 0.015). After controlling for physician performing procedure and risk category, neonates ≤2.5 kg remained at a higher risk for any complication (adjusted odds ratio = 3.2, 95% confidence interval 1.4-7.2, p = 0.005). The percentage of neonates having at least one major complication was not higher in the ≤2.5-kg group (2.2% versus 2.2%). No procedural deaths occurred in either group. |
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Authors:
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Meghan M Mobley; Richard E Stroup; Stephen F Kaine |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2013-2-6 |
Journal Detail:
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Title: Cardiology in the young Volume: - ISSN: 1467-1107 ISO Abbreviation: Cardiol Young Publication Date: 2013 Feb |
Date Detail:
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Created Date: 2013-2-7 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9200019 Medline TA: Cardiol Young Country: - |
Other Details:
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Languages: ENG Pagination: 1-5 Citation Subset: - |
Affiliation:
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1 Department of Pediatrics, Graduate Medical Education Office, Children's Mercy Hospital, Kansas City, Missouri, United States of America. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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