Noncardiac determinants of death and intensive care morbidity in adult congenital heart disease surgery

Lei, Emma Lei; Ladha, Karim; Mueller, Brigitte; Roche, S. Lucy; Rao, Vivek; Hickey, Edward; Heggie, Jane

doi:10.1016/j.jtcvs.2019.07.106

Cited by 13 publications

(12 citation statements)

References 18 publications

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“…We identified 59 studies for the topic of in-hospital mortality. 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 While the majority of studies used a retrospective cohort design, 11 used a prospective approach, 120 122 129 140 143 166 169 170 172 174 175 and two were meta-analysis studies. 154 …”

Section: Resultsmentioning

confidence: 99%

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Data Science Trends Relevant to Nursing Practice: A Rapid Review of the 2020 Literature

et al. 2022

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Background The term “data science” encompasses several methods, many of which are considered cutting edge and are being used to influence care processes across the world. Nursing is an applied science and a key discipline in health care systems in both clinical and administrative areas, making the profession increasingly influenced by the latest advances in data science. The greater informatics community should be aware of current trends regarding the intersection of nursing and data science, as developments in nursing practice have cross-professional implications. Objectives This study aimed to summarize the latest (calendar year 2020) research and applications of nursing-relevant patient outcomes and clinical processes in the data science literature. Methods We conducted a rapid review of the literature to identify relevant research published during the year 2020. We explored the following 16 topics: (1) artificial intelligence/machine learning credibility and acceptance, (2) burnout, (3) complex care (outpatient), (4) emergency department visits, (5) falls, (6) health care–acquired infections, (7) health care utilization and costs, (8) hospitalization, (9) in-hospital mortality, (10) length of stay, (11) pain, (12) patient safety, (13) pressure injuries, (14) readmissions, (15) staffing, and (16) unit culture. Results Of 16,589 articles, 244 were included in the review. All topics were represented by literature published in 2020, ranging from 1 article to 59 articles. Numerous contemporary data science methods were represented in the literature including the use of machine learning, neural networks, and natural language processing. Conclusion This review provides an overview of the data science trends that were relevant to nursing practice in 2020. Examinations of such literature are important to monitor the status of data science's influence in nursing practice.

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Section: Resultsmentioning

confidence: 99%

“…Some studies used COVID-19-specific data. 120 123 128 131 140 142 143 146 169 Some studies used clinical notes, 127 145 154 170 173 and two studies used socioeconomic data. 126 167 The inclusion of a variety of variables is possible as a result of a large sample size for the majority of the studies.…”

Section: Resultsmentioning

confidence: 99%

Data Science Trends Relevant to Nursing Practice: A Rapid Review of the 2020 Literature

et al. 2022

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“…Regardless of the delivery model, a multidisciplinary approach with structured referral pathways, dedicated diagnostic and interventional services, and community primary care programs that allow for in‐home ACHD management are required 4,6 . Furthermore, these multidisciplinary teams should establish a robust system for reconnecting patients with ACHD to congenital cardiac referral centers after loss to follow‐up.…”

Section: Model Of Care For Achdmentioning

confidence: 99%

“…The most common causes of cognitive dysfunction in patients with ACHD are Down's syndrome, 22q11.2 deletion syndrome (DiGeorge syndrome), and cerebral hypoxia due to hemodynamic collapse during the neonatal period or infancy. In the Toronto series, 5.6% of patients had cognitive impairment of which half (22/44) were patients with Down's syndrome 4 …”

Section: Syndromes and Cognitive Impairmentmentioning

confidence: 99%

“…Despite improvements in survival and quality of life, patients with complex CHD are not typically cured of their disease and tend to develop specific CHD comorbidities that must be taken into account when further cardiac surgery in adulthood is required. The median age of adult patients undergoing congenital heart surgery ranges from 26 to 37 years 4,5 . Cardiac procedures for adult CHD account for 10% and 20% of all cardiac CHD surgeries in the United States and countries with universal health care, respectively.…”

Section: Introductionmentioning

confidence: 99%

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Adult congenital heart disease and anesthesia: An educational review

Lei

Heggie

2020

Pediatric Anesthesia

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Prognosis has dramatically improved among children with congenital heart disease (CHD), and the median survival for severe CHD is currently 25 years (ie, into adulthood). However, additional cardiac surgeries are often necessary in adults with CHD, whose unique cardiovascular anatomy and physiology necessitate specialized management by experts in adult CHD (ACHD) during the perioperative period. ACHD is characterized by a combination of congenital cardiac lesions, intervention‐related anomalies that have developed over time, comorbidities caused by long‐standing CHD, and comorbidities related to various syndromes and lifestyle factors. The present educational review discusses the transition from pediatric to adult cardiac care, comorbidities that develop as a result of ACHD, the assessments necessary for patients with ACHD prior to both cardiac and noncardiac surgeries, and the key ACHD lesions relevant to perioperative management.

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Anesthetic Management in Adults with Congenital Heart Disease

Andrews

Hashmi

2022

Curr Cardiol Rep

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Noncardiac determinants of death and intensive care morbidity in adult congenital heart disease surgery

Cited by 13 publications

References 18 publications

Data Science Trends Relevant to Nursing Practice: A Rapid Review of the 2020 Literature

Data Science Trends Relevant to Nursing Practice: A Rapid Review of the 2020 Literature

Adult congenital heart disease and anesthesia: An educational review

Anesthetic Management in Adults with Congenital Heart Disease

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