Neel K Prabhu, Mary E Moya-Mendez, Lillian Kang, Cathlyn K Medina, Andrew W McCrary, Veerajalandhar Allareddy, Douglas Overbey, Joseph W Turek
Background: To develop a more holistic measure of congenital heart center performance beyond mortality, we created a composite "textbook outcome" (TO) for the Glenn operation. We hypothesized that meeting TO would have a positive prognostic and financial impact. Methods: This was a single center retrospective study of patients undergoing superior cavopulmonary connection (bidirectional Glenn or Kawashima ± concomitant procedures) from 2005 to 2021. Textbook outcome was defined as freedom from operative mortality, reintervention, 30-day readmission, extracorporeal membrane oxygenation, major thrombotic complication, length of stay (LOS) >75th percentile (17d), and mechanical ventilation duration >75th percentile (2d)...
January 23, 2024: World Journal for Pediatric & Congenital Heart Surgery