Resource utilization for prenatally diagnosed single-ventricle cardiac defects: A Philadelphia Fetus-to-Fontan Cohort Study
Journal of the American Heart Association Jun 05, 2019
Zielonka B, et al. - Researchers focused on variables that impact resource utilization for single-ventricle cardiac defects (SVCD) from fetal diagnosis through death, completed staged palliation, or cardiac transplant. This study included 202 patients born with intent to treat, of whom survival for 6 months post-completed staged palliation was experienced by 136 patients. The estimated median number of days hospitalized per patient-year was 25.1 days. Also, 7.2 and 0.7 were the estimated median numbers of echocardiograms and catheterizations per patient-year, respectively. There was a link between death and increased resource utilization. Findings revealed increased resource utilization, irrespective of mortality, for fetuses with SVCD with dominant right-ventricular morphology requiring Norwood operation.
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