NDLI: Short term outcomes of the first pediatric cardiac surgery program in Rwanda

Content Provider	Springer Nature : BioMed Central
Author	Ejigu, Yayehyirad Mlambo, Vongai C. Neil, Kara L. Sime, Habtamu Wong, Rex Gatera, Michel R. Nyirigira, Gaston Sewnet, Yilkal C. Lin, Yihan Byishimo, Bertrand Rukomeza, Gloria Mutabandama, Yves Rusingiza, Emmanuel
Abstract	Background While the number of cardiac surgery programs in sub-Saharan Africa are increasing, it is still insufficient. With only 0.08 pediatric cardiac surgeons per million people, few cardiac centers routinely perform pediatric cardiac surgery. This has led to reliance on humanitarian medical missions or referral abroad for most African nations. This study outlines the outcomes of Rwanda’s first sustainable pediatric cardiac surgery program. Methods A retrospective chart review was performed for all pediatric patients who received cardiac surgery between October 2022 and April 2024. Patient demographics, procedures, operative times, length of stay, complications, and 30-day mortality were synthesized. Perioperative factors associated with complications and prolonged intensive care unit length of stay were evaluated using logistic and linear regression analysis, respectively. Results 207 patients received 240 cardiac procedures. At time of surgery, 45% of patients were 1–5 years old (n = 95). The top five procedures were repair of Ventricular Septal Defect, Patent Ductus Arteriosus, Atrial Septal Defect, Tetralogy of Fallot and Coarctation of the Aorta. 30-day mortality was 1.9% (n = 4) and 6.3% (n = 13) experienced a major complication. Additionally, 24% (n = 50) experienced minor complications, most commonly, pneumonia. The linear combination of surgery duration, cross clamp and bypass time was significantly associated with having complications (aOR = 0.67, p = 0.01). Younger age, longer operative times, number of inotropes and the presence of complications were associated with an increased intensive care unit stay. Conclusions The 30-day surgical outcomes are favorable compared to programs with a similar case mix, showing that pediatric cardiac surgery can be safely performed in developing countries with local cardiac teams. Prolonged bypass and cross clamp times were associated with higher complication rates and increased inotrope use was associated with longer intensive care unit stay.
Related Links	https://cardiothoracicsurgery.biomedcentral.com/counter/pdf/10.1186/s13019-024-03295-5.pdf
Ending Page	8
Page Count	8
Starting Page	1
File Format	HTM / HTML
ISSN	17498090
DOI	10.1186/s13019-024-03295-5
Journal	Journal of Cardiothoracic Surgery
Issue Number	1
Volume Number	19
Language	English
Publisher	BioMed Central
Publisher Date	2024-12-31
Access Restriction	Open
Subject Keyword	Cardiac Surgery Thoracic Surgery Outcomes Sub-Saharan Africa Congenital
Content Type	Text
Resource Type	Article
Subject	Surgery Cardiology and Cardiovascular Medicine Pulmonary and Respiratory Medicine
Journal Impact Factor	1.5/2023
5-Year Journal Impact Factor	1.6/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Access to Cardiac Surgery Services in Sub-Saharan Africa: Quo Vadis?

Perioperative outcomes of coronary artery bypass graft surgery in Johannesburg, South Africa

Commentary: Scratching the surface of sustainable cardiac surgery in sub-Saharan Africa: A voice that needs to be heard

The Heartguard: A Humanitarian Pediatric Cardiac Surgery Program in Rural China

Humanitarian Cardiology and Cardiac Surgery in Sub-Saharan Africa

The use of implantable cardioverter defibrillators in pediatric patients

Three-year experience with immediate extubation in pediatric patients after congenital cardiac surgery

Results of Pediatric Cardiac Transplantation - Long-Term Results of a 15-Year Experience

Cardiac Biomarkers Predict Long-term Survival After Cardiac Surgery

Short term outcomes of the first pediatric cardiac surgery program in Rwanda

Similar Documents

Access to Cardiac Surgery Services in Sub-Saharan Africa: Quo Vadis?

Perioperative outcomes of coronary artery bypass graft surgery in Johannesburg, South Africa

Commentary: Scratching the surface of sustainable cardiac surgery in sub-Saharan Africa: A voice that needs to be heard

The Heartguard: A Humanitarian Pediatric Cardiac Surgery Program in Rural China

Humanitarian Cardiology and Cardiac Surgery in Sub-Saharan Africa

The use of implantable cardioverter defibrillators in pediatric patients

Three-year experience with immediate extubation in pediatric patients after congenital cardiac surgery

Results of Pediatric Cardiac Transplantation - Long-Term Results of a 15-Year Experience

Cardiac Biomarkers Predict Long-term Survival After Cardiac Surgery

Short term outcomes of the first pediatric cardiac surgery program in Rwanda