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TITLE:

RISK FACTORS AND INCIDENCE RATE OF MORTALITY AFTER SURGICAL INTERVENTION BECAUSE OF CONGENITAL HEART COMPLICATIONS

AUTHORS:

Dr. Atif Kamal, Dr Aisha Saleem, Dr Muhammad Nouman Butt

ABSTRACT:

Objective: The most vital factor to determine the quality of the heart surgeries because of congenital heart diseases is the rate of mortality after these surgical interventions. There is no research work to assess the rate of mortality because of these surgeries in our country, Pakistan. This research work aimed to find out the risk factors and incidence rate of mortality after surgical intervention for healing these congenital heart diseases. Methodology: In this retrograde research work, we evaluated one hundred and twenty children who died after cardiac operations and also one hundred and fifty children who recovered after these surgeries from 2015 to 2019. We also analyzed the social and personal parameters as well as the risk factors of these mortalities. SPSS V. 20 was in use for the statistical analysis of the collected information. Results: The findings of this research work showed that 12.640% children met their death after surgical intervention. Most important risk factors of mortality were age of patient, body weight, body surface, height, BUN (Blood Urea Nitrogen) before surgery, PTT ((Prothrombin Time) before surgical intervention, cyanosis before operation and bleeding after surgery. Conclusion: The findings of this research work conclude that rate of mortality of the children suffering from congenital heart diseases after surgical intervention is very high. There are very few research work available about this field in our country Pakistan. There is need of more research studies to reach a valid conclusion to prevent such occurrence of high mortality rate. KEY WORDS: Occurrence, mortality, prevalence, incidence, surgery, PTT, BUN, risk factors, intervention

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