Early Outcomes of Neonatal Cardiac Surgery in India

OBJECTIVE: To assess outcomes and factors influencing outcomes in neonates requiring cardiac surgery in India. METHODS: This study reports on review of hospital data from a tertiary care cardiac surgical institute from January-2009 to December-2015. RESULTS: A total of 200 neonates were included; of them, 5% of the cases were antenatally diagnosed and most of them had unmonitored transport (111, 55.5%). The overall mortality rate was 13.5%, (n=27) and 178 (89%) underwent complete defect repair. There was a significant association of mortality with shock, the number of inotropes, intra-operative procedure, residual lesion, aortic cross-clamp and deep hypothermic circulatory arrest time (all P<0.05). Logistic regression analysis showed ventilation duration, cardiac-bypass time, shock, and residual cardiac lesion as independent predictors of mortality. CONCLUSIONS: Cardiac defects were found to have late detection and most transports were unmonitored. Complete surgical repair and shorter cardiac bypass time can potentially improve neonatal cardiac surgical outcomes.