A5004664387- Congenital Heart Disease Studies
- Cardiac Structural Anomalies and Repair
- Mechanical Circulatory Support Devices
- Congenital Diaphragmatic Hernia Studies
- Cardiac Arrest and Resuscitation
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiovascular Conditions and Treatments
- Cardiovascular Issues in Pregnancy
- Hip and Femur Fractures
- Renal and Vascular Pathologies
- Hemodynamic Monitoring and Therapy
- Transplantation: Methods and Outcomes
- Advanced Nanomaterials in Catalysis
- Family and Patient Care in Intensive Care Units
- Anesthesia and Pain Management
- Electronic Health Records Systems
- Organ Transplantation Techniques and Outcomes
- Coronary Artery Anomalies
- Nursing Diagnosis and Documentation
- Medical and Biological Ozone Research
- Tracheal and airway disorders
- Pulmonary Hypertension Research and Treatments
- Airway Management and Intubation Techniques
- Listeria monocytogenes in Food Safety
- Aortic Disease and Treatment Approaches
Boston Children's Hospital
2019-2024
Boston Children's Museum
2022-2024
Harvard University
2019-2023
Boston University
2023
Early identification of children at high risk for perioperative mortality could lead to improved outcomes; however, there is a lack well-validated prediction tools. The Pediatric Risk Assessment (PRAm) score new model prognosticate in pediatric patients undergoing noncardiac surgery. It was derived from the American College Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database. In this study, we aimed externally validate PRAm 1 large institution.A prospectively...
Background Surgical systemic-to-pulmonary artery shunts have been the standard approach to establish stable pulmonary blood flow in neonates with congenital heart disease ductal-dependent flow. More recently, transcatheter ductal stents performed as an alternative, less invasive intervention. We aimed characterize trends utilization of surgical versus and compare associated outcomes. Methods Results Using data from Pediatric Health Information System, we retrospectively analyzed who...
Neonates with complex congenital heart disease and pulmonary overcirculation have been historically treated surgically. However, subcohorts may benefit from less invasive procedures. Data on transcatheter palliation are limited.
BACKGROUND: Utilizing the intrinsic surgical risk (ISR) and patient’s chronic acute conditions, this study aims to develop validate a comprehensive predictive model of perioperative morbidity in children undergoing noncardiac surgery. METHODS: Following institutional review board (IRB) approval at tertiary care children’s hospital, data for all encounters derivation dataset from July 2017 December 2018 including 16,724 cases validation January 2019 9043 were collected retrospectively. The...
Abstract Objective: To evaluate the discriminative ability of hyperlactataemia for early morbidity and mortality in neonates with CHD following cardiac surgery. Methods: Retrospective, observational study who underwent surgery on cardiopulmonary bypass at a tertiary care children’s hospital from June 2015 to 2019. The primary predictor was lactate. composite outcome defined as ≥1 following: arrest or extracorporeal membrane oxygenation within 72 hours 30-day post-operatively. secondary...
BACKGROUND: Although the rate of pediatric postoperative mortality is low, development and validation perioperative risk assessment models have allowed for stratification those at highest risk, including Pediatric Risk Assessment (PRAm) score. The clinical application such tools requires manual data entry, which may be inaccurate or incomplete, compromise efficiency, increase physicians’ clerical obligations. We aimed to create an electronically derived, automated PRAm score evaluate its...
PRESENTATION Dr. Melody Duvall (Critical Care) A 19-year-old male with a history of Crohn's disease, primary sclerosing cholangitis, autoimmune hepatitis, and decompensated cirrhosis had progressed over 6 years to end-stage liver manifested by thrombocytopenia, coagulopathy, portal hypertension grade 2–3 esophageal varices, refractory ascites. He was deemed suitable transplant candidate initially placed on deceased-donor waitlist at the age 17 Model for End-Stage Liver Disease score 22....
Introduction: The choice between conventional surgical (SP) and hybrid (HP) stage 1 palliation for single ventricle heart disease remains debated. Pulmonary artery banding prostaglandins followed by delayed (DSP) another option. HP is proposed high-risk patients. We aimed to describe index hospitalization outcomes patients undergoing these 3 pathways. hypothesized that DSP have more comorbid conditions, higher morbidity, longer length of stay (LOS). Methods: Using the Pediatric Health...
Abstract Background Neonates with complex congenital heart disease (CHD) and pulmonary overcirculation have been historically treated surgically. However, sub-cohorts of patients may benefit from less invasive procedures. Transcatheter palliation flow restrictors (PFRs) represent a compelling alternative, but data are limited. Methods We present our experience PFRs in neonates CHD overcirculation, including procedural feasibility, technical details, patient-level outcomes. then compared...
Introduction: Neonates with complex congenital heart disease (CHD) and pulmonary overcirculation have been historically treated surgically. However, sub-cohorts may benefit from less invasive procedures. Data on transcatheter palliation are limited to case reports. Hypothesis: Transcatheter flow restrictors (PFR) represent an effective strategy in neonates CHD, especially those at high surgical risk. Methods: We present our experience of PFR including procedural feasibility, technical...
Valencia, Eleonore; Smith-Parrish, Melissa; Staffa, Steven; Sundaramurthy, Akshaya; Fisk, Anna; Levy, Philip; Nathan, Meena; Kaza, Aditya; Nasr, Viviane; Sansevere, Arnold Author Information