Análisis descriptivo de la duración de la cirugía por circulación extracorpórea y su influencia en menores con cardiopatías congénitas

  1. Mendoza Carretero, María Del Rosario 1
  2. Sáenz Rico De Santiago, Belén 1
  1. 1 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

Journal:
Revista Internacional de Salud, Bienestar y Sociedad

ISSN: 2474-5219,  2386-7507

Year of publication: 2019

Volume: 5

Issue: 1

Pages: 1-15

Type: Article

DOI: 10.18848/2474-5219/CGP/V05I01/1-15 GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista Internacional de Salud, Bienestar y Sociedad

Sustainable development goals

Abstract

Congenital heart disease (CHD) are structural defects of the heart that are present in the fetus and in thenewborn; they are one of the main causes of infant mortality in Spain, and most require surgery for cardiopulmonarybypass (CEC) in the first year of life, and may present a greater neurological risk. The aim of this quantitative study -transverse and multicentre - is to identify whether the durability of the CEC, as a biomedical parameter, affects itsneurodevelopment. A total sample N= 70 is presented, with CC, without associated chromosomal abnormalities, assessedby the Bayley-III Development Scale, at the Menudos Corazones Foundation, the U. La Paz Hospital in Madrid and theHospital 12 de Octubre. To verify whether the duration (in minutes) of the CEC affects the areas of development, adescriptive analysis was carried out in five periods (<60, 61-120, 121-180, 181-241,> 242). The results show thatparticipants whose intervention was> 242 minutes obtained slows at motor level (75.5), in language (84.5), and cognitivelevel (86.6), while neurodevelopment of those whose duration was <60 is within the average (103; 92; 98.3),respectively. In the rest, a normal-slow development is observed in the language and motor (181-241: 85.2- 89.1; 121-180: 87.7-86.5, correspondingly), except in the strip 61-120 minutes, where language slows down (87.5). In conclusion, itshould be noted that the duration of the surgical intervention by means of CEC has a negative impact on the developmentof the infant, since the longer the surgical time, the worse the results in the neurodevelopment areas.

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