Perfil epidemiológico dos pacientes submetidos à correção cirúrgica de cardiopatias congênitas no Hospital São Lucas da PUC-RS

• Autor(a) principal: Tanaka, Nicasio Haruhiko
• Data de Publicação: 2012
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_RS
• Texto Completo: http://tede2.pucrs.br/tede2/handle/tede/1405
• topic: MEDICINA; PEDIATRIA; CARDIOPATIAS CONGÊNITAS; ANORMALIDADES; ESTUDOS DE COORTES; CNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA::PEDIATRIA

Introduction: Because it is an invasive procedure in a vital organ, the heart, cardiac surgery is a high-risk surgery. And the pediatric surgeries in turn, assume a more delicate situation because they deal with complex congenital heart disease in patients with a very small anatomy and proportional to their body surface. Objective: To determine the epidemiological profile of patients that have undergone congenital heart surgery, treated at the Hospital of PUCRS. Methods: This research can be characterized as a cross-sectional study of quantitative history. The study included patients aged 29 days to 18 years old. Sample of 162 children who underwent pediatric congenital cardiac surgery in this institution. To better analyze the surgical complications they are divided into five groups: cyanotic with reduced blood flow, with antegrade cyanotic, acyanotic without overflow, acyanotic with antegrade, Extra-cardiac. Divided into 3 groups for better classification We conducted a review of electronic medical records service and the entire sample was identified through information contained in these files and the information was supplemented by data from the Medical Service, and Statistics (SAME). Data were collected through procedures that occurred from January 2007 to December 2011. The study included patients aged from 29 days to 18 years old. The data were analyzed with SPSS System, Study approved by the Ethics Committee. Results: There was a predominance of females, 51.2%, average age 52.45 months, 82.1% for SUS patients, mortality of 11.7%, 94.4% elective surgery and 69, 1% underwent surgery with extracorporeal circulation (ECC). Conclusion: A greater number of surgery at the age of 29 days to 5 years, without gender predominance, higher incidence of acyanotic heart disease with increased blood flow with a predominance of atrial septal defects (ASDs). Most patients were SUS. It was observed that the service returned to elective surgeries, with a low incidence of emergency care.