State of the science of care coordination, rurality, and well-being for infants with single ventricle heart disease in the Interstage period, an integrative review

Moore, Eric G.; Gephart, Sheila M.

doi:10.1016/j.hrtlng.2021.04.014

Cited by 2 publications

(1 citation statement)

References 34 publications

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“…While the Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery Score and the Risk Adjustment in Congenital Heart Surgery scores have been used in another LOS analysis, the most critical higher scores have not always correlated with longer LOS (Azhar & Aljefri, 2018). Neonates with staged SV surgeries had more extended postoperative stays than biventricular or definitive surgeries (McHugh et al, 2016; Moore & Gephart, 2021). We stratified the type of neonatal surgery for grouping after a path modeling the complete cohort to understand the impact on the LOS for neonates with more complex SV cardiac surgeries.…”

Section: Methodsmentioning

confidence: 99%

Determinants of Length of Stay after Neonatal Cardiac Surgery Using Path Analysis

et al. 2022

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After neonatal cardiac surgery, families, and the health care team strive for exclusive oral feedings before hospital discharge. With the hypothesis that exclusive oral feedings would reduce the length of stay (LOS), a multidimensional path analysis was used to examine a cross-section of 280 neonates from 2009 to 2013. Buttigieg, Abela, and Pace’s theoretical framework of structural and process-related determinants of LOS was modeled with hypothesis-driven correlation and directionality. The recursive path model had a good global and local fit with outcome variances of 26% for exclusive oral feeding and LOS. In the full cohort and model groups (single and biventricular), when controlling for covariances: sepsis, birth distance, necrotizing enterocolitis, genetic differences, specialty consults, the age at which neonatal cardiac surgery occurred (β = .23, p ≤ .001) and the duration of postoperative intubation (β = .47, p ≤ .001) more significantly influenced the LOS than intermediate mediation of exclusive oral feedings at discharge.

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Section: Methodsmentioning

confidence: 99%