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Earlier Arterial Switch Operation Improves Outcomes and Reduces Costs for Neonates with Transposition of the Great Arteries

Wednesday, February 5, 2014

Submitted by

Ruben Osnabrugge

Source

Source Name: Journal of the American College of Cardiology

Source URL: http://www.ncbi.nlm.nih.gov/pubmed/24184243

Author(s)

Brett R. Anderson, Adam J. Ciarleglio, Denise A. Hayes, Jan M. Quaegebeur, Julie A. Vincent, Emile A. Bacha

In this article, the authors investigated the impact of the timing neonatal arterial switch operation on morbidity, mortality and costs. They included 140 patients with transposition of the great arteries and found a mortality and morbidity rate of 2% and 20%, as well as median hospital costs of $60,000. Their multivariable model showed that for every day beyond day 3 that the arterial switch was delayed, the risk of major morbidity increased with 47% and costs by 8%.