Variation in care for children undergoing the Fontan operation for hypoplastic left heart syndrome.

ABSTRACT:

Background

The Single Ventricle Reconstruction Trial randomised neonates with hypoplastic left heart syndrome to a shunt strategy but otherwise retained standard of care. We aimed to describe centre-level practice variation at Fontan completion.

Methods

Centre-level data are reported as median or median frequency across all centres and range of medians or frequencies across centres. Classification and regression tree analysis assessed the association of centre-level factors with length of stay and percentage of patients with prolonged pleural effusion (>7 days).

Results

The median Fontan age (14 centres, 320 patients) was 3.1 years (range from 1.7 to 3.9), and the weight-for-age z-score was -0.56 (-1.35 + 0.44). Extra-cardiac Fontans were performed in 79% (4-100%) of

SUBMITTER: Eckhauser AW 

PROVIDER: S-EPMC7207034 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature