Clinical Profile and Outcome of Pediatric Heart Surgeries at Semiurban Tertiary Care Cardiac Center of Gujarat, India: A 54-month Single Center Retrospective Chart Review

Rahul Tandon ¹ Vishal V Bhende ² Amit Kumar ² Naresh Dhedhi ¹ Mamta R Patel ³ Krutika Rahul Tandon ^1*

• ¹ Department of Pediatrics, Pramukhswami Medical College, Bhaikaka University, Karamsad-Anand, India
• ² Bhanubhai and Madhuben Patel Cardiac Centre, Shree Krishna Hospital, Bhaikaka University, Department of Pediatrics, Pramukhswami Medical College, Bhaikaka University, Karamsad-Anand, India
• ³ Central Research services, Bhaikaka University, Department of Pediatrics, Pramukhswami Medical College, Bhaikaka University, Karamsad-Anand, India

The most common congenital condition, congenital heart disease (CHD), is often left untreated or doesn't get timely attention for a variety of reasons. Nowadays, many Pediatric Cardiac Centers offer surgical management in India, even in semi-urban or rural areas. Our center is one of those.Aims: To generate regional data from the Western part of India, primarily to determine the outcome of patients who had surgical intervention at our Pediatric Cardiac Center.The present study retrospectively analyzed the data of the operated pediatric patients by reviewing the charts of patients admitted to the pediatric division of the cardiac center between April 2018 and October 2022. All demographic details, anthropometry, preoperative evaluation, operative procedures, postoperative issues, outcomes, etc. were reviewed, and collected data was entered into Microsoft Excel.Descriptive statistics were used to present demographic data. Chi-square and Fisher exact tests were applied to find association, and a p-value <0.05 was considered statistically significant.Results: Out of 422 pediatric admissions, 386 underwent cardiac surgeries during the period studied.The median (Q1, Q3) age of patients in months was 12 (6,60), and 251(61.2%) were boys. The most prevalent CHD was ventricular septal defect (VSD) 88(21.6%). Out of the 386 total patients who underwent cardiac surgery, mortality was in 16 (4.1%) patients. The common surgeries were VSD closure, patent ductus arteriosus ligation, and intracardiac repair for tetralogy of Fallot (TOF).Conclusions: Pediatric heart surgery was offered for a varied CHD with comparable mortality and morbidity with other centers.