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Nancy A. Rudd, MS, CPNP, Michele A. Frommelt, MD, James S

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Presentation on theme: "Nancy A. Rudd, MS, CPNP, Michele A. Frommelt, MD, James S"— Presentation transcript:

1 Improving interstage survival after Norwood operation: Outcomes from 10 years of home monitoring 
Nancy A. Rudd, MS, CPNP, Michele A. Frommelt, MD, James S. Tweddell, MD, David A. Hehir, MD, Kathleen A. Mussatto, PhD, Katherine D. Frontier, MS, CCC-SLP, Julie A. Slicker, MS, RD, Peter J. Bartz, MD, Nancy S. Ghanayem, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 148, Issue 4, Pages (October 2014) DOI: /j.jtcvs Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Consecutive patients who underwent stage 1 palliation from October 2000 to October Transplant-free stage 1 palliation survivors discharged before stage 2 palliation participated in home monitoring with 98% interstage survival. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Interstage management for home monitored patients with outpatient events. Events are defined as oxygen saturation <75%, any weight loss of 30 g, or failure to gain 20 g in 3 days. Additional event criteria added in 2005 are oxygen saturation >90% and enteral intake < 100 cc/kg/d. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Actuarial survivals for home monitored patients with events, home monitored patients without events, and patients who remained hospitalized to stage 2 palliation (S2P). Survivals beyond S2P are similar between home monitored patients with and without interstage events (P = .3). Survivals beyond S2P are lower in interstage inpatients than those discharged to home with and without events (P = .001 for both). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions


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