Cardiac operations for North American children with rheumatic diseases: 1985-2005.
Cardiac operations for North American children with rheumatic diseases: 1985-2005.
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北美风湿性疾病儿童的心脏手术：1985-2005 年。
DOI：
10.1007/s00246-009-9572-5
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发表时间：
2010
影响因子：
1.6
通讯作者：
Binstadt,BryceA
中科院分区：
文献类型：
--
作者：
Stingl,Cory;Moller,JamesH;Binstadt,BryceA
已知某些小儿风湿性疾病会影响心脏，有时需要手术干预。儿科心脏护理联盟数据库被用来描述1985年至2005年风湿性疾病儿童的心脏手术干预。从这个大型数据库中，提取了21岁以下因任何风湿性疾病接受心脏手术的患者的记录。收集的数据包括所进行手术的类型、手术时的年龄和手术年份。确定的261例儿科患者因风湿性心脏病（RHD; 160例患者）、新生儿狼疮（NLE; 53例患者）、川崎（KD; 28例患者）、系统性红斑狼疮（SLE; 13例患者）和幼年型类风湿性关节炎（JRA; 7例患者）的并发症接受了361例心脏外科手术。23%的患者进行了多次手术。最常见的手术包括NLE婴儿的起搏器植入术，主要在5- 15岁儿童中用于KD的冠状动脉旁路移植术，以及RHD，SLE和JRA青少年的心脏瓣膜手术。发生6例围手术期死亡。在研究期间，风湿性疾病导致的年度儿科心脏手术量比例没有变化。尽管在他们的医疗保健的进步，儿童风湿性疾病继续维持可测量的发病率和死亡率，由于心血管表现的疾病。
Certain pediatric rheumatic diseases are known to affect the heart, sometimes requiring surgical intervention. The Pediatric Cardiac Care Consortium database was used to characterize cardiac surgical intervention among children with rheumatic diseases from 1985 to 2005. From this large database, the records for patients younger than 21 years who underwent cardiac surgery for any rheumatic disorder were extracted. The data collected included the type of procedure performed, the age at the time of the procedure, and the year the procedure was performed. The 261 pediatric patients identified underwent 361 cardiac surgical procedures for complications of rheumatic heart disease (RHD; 160 patients), neonatal lupus (NLE; 53 patients), Kawasaki disease (KD; 28 patients), systemic lupus erythematosus (SLE; 13 patients), and juvenile rheumatoid arthritis (JRA; 7 patients). Multiple procedures were performed for 23% of the patients. The most common procedures included pacemaker implantations among infants with NLE, coronary artery bypass grafts for KD primarily in 5- to 15-year-olds, and cardiac valve operations among adolescents with RHD, SLE, and JRA. Six perioperative deaths occurred. The proportion of annual pediatric cardiac surgical volume attributable to rheumatic diseases did not change during the period studied. Despite advances in their medical care, children with rheumatic diseases continue to sustain measurable morbidity and mortality due to the cardiovascular manifestations of their disease.
DOI：
--
发表时间：
1981
期刊：
影响因子：
--
作者：
M. Sittig
通讯作者：
M. Sittig