Anesthetic and perioperative outcome of teenagers and adults with XXXX .

@entity1 @entity548 @entity16 @entity299 @entity551
OBJECTIVE: To compare the perioperative outcome of @entity1 >or=13 years old undergoing surgery for @entity299 in a @entity1 's hospital by a dedicated congenital heart surgery and anesthesia team with procedure-matched younger control @entity1 . DESIGN: Retrospective medical record review study. From October 1997 to July 2000, medical records of all @entity1 >12 years old requiring cardiopulmonary bypass were reviewed. A control group of @entity1 <or=5 years old was reviewed, and 2 @entity1 were matched to each older @entity1 by diagnosis and surgical procedure. Data are reported as mean +/- SD. Older (study) @entity1 were compared with younger (control) @entity1 using t-test or chi square, with p <or= 0.05 significant. SETTING: Medical school-affiliated tertiary-care @entity1 's hospital. @entity1 : @entity1 undergoing congenital heart surgery. MEASUREMENTS AND MAIN RESULTS: The study group (older @entity1 ) comprised 85 @entity1 , and the control group (younger @entity1 ) comprised 170 @entity1 . There were no intraoperative deaths. All major complications-cardiopulmonary resuscitation, @entity16 , @entity548 with sternotomy, femoral cannulation for emergent bypass, and severe episodes of @entity551 on induction of anesthesia-occurred in older @entity1 undergoing repeat sternotomy. CONCLUSION: Mortality and major morbidity were low in both groups; however, all major intraoperative incidents occurred in older repeat sternotomy @entity1 , suggesting increased perioperative risk for adverse outcomes in these @entity1 .
