Bernal-Aragón R, Colmenero-Rascón M, Altamirano-Morales C, Rosas-Daher D, Morales-Terrazas O, Quintero-Jurado G

Language: Spanish
References: 13
Page: 13-22
PDF size: 223.09 Kb.

ABSTRACT

Introduction. In Mexico congenital heart disease has a prevalence of 2.1-12.3 / 1000 and incidence of 3.68 / 1,000. The RACHS-1 method is a predictor of mortality developed by the team at Children's Hospital Boston.
Objective. Whether early mortality in patients undergoing congenital heart disease at Hospital Infantil de Especialidades del Estado de Chihuahua is in relationship to RACHS-1.
Material and methods. Observational retrospective cohort study. 44 patients aged 0 to 15 years with documented congenital heart disease, either by clinical, echocardiographic and / or angiography, underwent heart surgery at Hospital Infantil de Especialidades del Estado de Chihuahua, in the period June 2014 to June 2015.
Results. It showed that the diagnosis, type of surgery, duration extracorporeal circulation, hematocrit levels in the postoperative, presence of arrhythmia with hemodynamic compromise, and severe pulmonary hypertension were significant (p ‹0.05) in early mortality in operated patients. It was noted that a weight lower than 5 kg, time of aortic clamping longer than 66 min, lactate levels greater than 9 in extracorporeal circulation and after surgery, and reoperation present a high risk of death (RR =› 2.5) therefore they considered clinically significant. The surgical risk RACHS-1 had no association with early mortality (p› 0.05).
Conclusions. We believe that the system of risk RACHS-1 is a suitable predictor of mortality. However, there are other variables that directly influence evolution.

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