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Initial outcome for infants born wit...

Connor, Jean Anne.

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Initial outcome for infants born with hypoplastic left heart syndrome.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Initial outcome for infants born with hypoplastic left heart syndrome./
Author:	Connor, Jean Anne.
Description:	116 p.
Notes:	Source: Dissertation Abstracts International, Volume: 64-04, Section: B, page: 1682.
Contained By:	Dissertation Abstracts International64-04B.
Subject:	Health Sciences, Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3088310
ISBN:	0496360507

Initial outcome for infants born with hypoplastic left heart syndrome.
Connor, Jean Anne.

Initial outcome for infants born with hypoplastic left heart syndrome. - 116 p.

Source: Dissertation Abstracts International, Volume: 64-04, Section: B, page: 1682.

Thesis (D.N.Sc.)--Columbia University, 2003.

Hypoplastic left heart syndrome (HLHS) is a complex congenital heart defect for which there is no consensus on the best initial treatment option. The purpose of this study was to examine the current practice of initial treatment choice and outcomes, risk factors and resource use for infants born with HLHS.

ISBN: 0496360507Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Initial outcome for infants born with hypoplastic left heart syndrome.
LDR:03261nmm 2200313 4500 001 1811226
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020 $a 0496360507
035 $a (UnM)AAI3088310
035 $a AAI3088310
040 $a UnM $c UnM
100 1 $a Connor, Jean Anne. $3 1900814
245 1 0 $a Initial outcome for infants born with hypoplastic left heart syndrome.
300 $a 116 p.
500 $a Source: Dissertation Abstracts International, Volume: 64-04, Section: B, page: 1682.
500 $a Sponsor: Kristine M. Gebbie.
502 $a Thesis (D.N.Sc.)--Columbia University, 2003.
520 $a Hypoplastic left heart syndrome (HLHS) is a complex congenital heart defect for which there is no consensus on the best initial treatment option. The purpose of this study was to examine the current practice of initial treatment choice and outcomes, risk factors and resource use for infants born with HLHS.
520 $a Patrick's Model of Health Promotion for People with Disabilities was used to guide this study.
520 $a For the year 1997, there were 3,052 HLHS discharges reported from the KID dataset, of which 1,208 were 0--30 days. Of the HLHS discharges with age not included in the model, 1,300 received surgical treatment and 1,752 were discharged with no reported surgical intervention. Of these 1,752 discharged with no surgical intervention 1,003 were defined as compassionate care. For HLHS discharges age 0--30 days, 551 received surgical treatment and 658 were discharged with no reported surgical intervention. Of those discharged with no surgical treatment, 104 were defined as compassionate care. Chi-square analysis revealed, HLHS discharges that were mainly white, privately insured, and from a higher income bracket were more likely to receive compassionate care. Chi-square analysis was also used to examine treatment choice by hospital characteristics and revealed discharges from urban teaching and children's hospital were more likely to have surgical treatment. Treatment choice was further examined by multivariate logistic regression controlling for demographic and hospital characteristics. Demographic and hospital characteristics were not independently significant by treatment choice. Secondary diagnoses for HLHS surgical discharges included: cardiac arrest (46%), congestive heart failure (36%), acidosis (21%), hemorrhage (21%), and pleural effusion (20%). Seizures, respiratory failure, feeding abnormalities and infection were also present in HLHS surgical discharges 0--30 days. Resource use varied between geographic region by length of stay and total charges.
520 $a For the year 1997, multiple treatment choices remained available. Demographics and hospital profile are not barriers to surgical treatment. Secondary diagnoses reported at discharge support further follow up from a multidisciplinary team. Length of stay, total charges and mortality varied between geographic regions. (Abstract shortened by UMI.)
590 $a School code: 0054.
650 4 $a Health Sciences, Nursing. $3 1017798
650 4 $a Health Sciences, Human Development. $3 1019218
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690 $a 0758
710 2 0 $a Columbia University. $3 571054
773 0 $t Dissertation Abstracts International $g 64-04B.
790 1 0 $a Gebbie, Kristine M., $e advisor
790 $a 0054
791 $a D.N.Sc.
792 $a 2003
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3088310