%0 Journal Article
%T Perfil das crian£¿as submetidas ¨¤ corre£¿£¿o de cardiopatia cong¨ºnita e an¨¢lise das complica£¿£¿es respirat¨®rias
%A Oliveira
%A Priscila Mara N.
%A Held
%A Priscila Antonichelli de
%A Grande
%A Rosangela Aparecida A.
%A Ribeiro
%A Maria Angela G. O.
%A Bobbio
%A Tatiana Godoy
%A Schivinski
%A Camila Isabel S.
%J Revista Paulista de Pediatria
%D 2012
%I Sociedade de Pediatria de S?o Paulo
%R 10.1590/S0103-05822012000100017
%X objective: to describe the profile of children that undergo surgical correction of congenital heart disease (chd) in a university hospital and to compare patients with and without postoperative respiratory complications. method: this observational analytical study reviewed the records of children that underwent corrective surgery for chd a brazilian university hospital during 11 months. the following demographic variables were collected: age, sex, body mass index, comorbidities, and chd types. demographic variables and data about the intra- and postoperative care were compared for patients with and without postoperative respiratory complications. the mann-whitney and the fisher exact tests were used, and the level of significance was set at p<0.05. results: the sample consisted of 55 children (49% boys) whose median age was 37.5 months. three or more chd were found in 29.1%, and 53% of all cases had comorbidities. the analysis of postoperative respiratory complications revealed that 31% of the patients had atelectasis and pleural effusion and 5.5% had laryngitis, pneumomediastinum or lung injury. non-respiratory complications were identified in 24% of the patients. survival was 89%. children with postoperative respiratory complications received mechanical ventilation for a longer time and had a prolonged hospital stay (p<0.001). conclusion: the association between respiratory complications, longer mechanical ventilation and longer hospital stay reinforced the need to avoid such complications to reduce costs of a prolonged hospital stay.
%K heart defects
%K congenital
%K thoracic surgery
%K clinical evolution
%K intensive care units
%K pediatrics.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0103-05822012000100017&lng=en&nrm=iso&tlng=en