{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:59:15Z","timestamp":1747173555015,"version":"3.40.5"},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2020,4,13]],"date-time":"2020-04-13T00:00:00Z","timestamp":1586736000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951120000670_as1\" sec-type=\"other\"><jats:title>Objectives:<\/jats:title><jats:p>The aim of our study was to compare post-operative outcome after total cavopulmonary connection between patients operated during winter and summer season.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120000670_as2\" sec-type=\"other\"><jats:title>Methods:<\/jats:title><jats:p>We retrospectively studied 211 patients who underwent extracardiac total cavopulmonary connection completion at our institution between 1995 and 2015 (median age 4 (1\u201342) years). Seventy (33%) patients were operated during winter (November to March) and 141 (67%) patients during summer season (April to October).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120000670_as3\" sec-type=\"other\"><jats:title>Results:<\/jats:title><jats:p>Patients operated during winter and summer season showed no difference in early mortality (7% versus 5%, p = 0.52) and severe morbidity like need for early Fontan takedown (1% versus 1%, p = 0.99) and need for mechanical circulatory support (9% versus 4%, p = 0.12). The post-operative course and haemodynamic outcome were comparable between both groups of patients (ICU (4 versus 3 days, p = 0.44) and hospital stay (15 versus 14 days, p = 0.28), prolonged pleural effusions (36% versus 31%, p = 0.51), need for dialysis (16% versus 11%, p = 0.37), ascites (37% versus 33%, p = 0.52), supraventricular tachyarrhythmia (16% versus 13%, p = 0.56) and chylothorax (26% versus 16%, p = 0.12), change of antibiotic treatment (47% versus 36%, p = 0.06), prolonged inotropic support (24% versus 14%, p = 0.05), intubation time (15 versus 12 hours, p = 0.33), and incidence of fast-track extubation (11% versus 22%, p = 0.06).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120000670_as4\" sec-type=\"other\"><jats:title>Conclusion:<\/jats:title><jats:p>Outcomes after total cavopulmonary connection completion during winter and summer season were comparably related to mortality, severe morbidity, or longer hospital stay in the early post-operative period. These results suggest that total cavopulmonary connection completion during winter season is as safe as during summer season.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951120000670","type":"journal-article","created":{"date-parts":[[2020,4,13]],"date-time":"2020-04-13T08:52:50Z","timestamp":1586767970000},"page":"629-632","source":"Crossref","is-referenced-by-count":2,"title":["Fontan completion during winter season is not associated with higher mortality or morbidity in the early post-operative period"],"prefix":"10.1017","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4294-9033","authenticated-orcid":false,"given":"Sarah","family":"Nordmeyer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabeth","family":"Krettek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Nordmeyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Schafstedde","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantin","family":"Rehm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim","family":"Photiadis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Berger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanislav","family":"Ovroutski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,4,13]]},"reference":[{"doi-asserted-by":"publisher","key":"S1047951120000670_ref15","DOI":"10.1111\/j.1540-8191.1993.tb00407.x"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref11","DOI":"10.1161\/CIRCULATIONAHA.107.750596"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref4","DOI":"10.1093\/ejcts\/ezu134"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref6","DOI":"10.1016\/S0003-4975(00)02069-5"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref5","DOI":"10.1136\/thx.26.3.240"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref8","DOI":"10.1016\/j.athoracsur.2006.01.016"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref16","DOI":"10.1016\/S1010-7940(00)00593-5"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref10","DOI":"10.1016\/j.athoracsur.2012.12.042"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref14","DOI":"10.1016\/S0022-5223(19)35562-X"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref9","DOI":"10.1016\/j.jacc.2012.05.010"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref12","DOI":"10.1016\/j.athoracsur.2009.05.076"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref3","DOI":"10.1007\/s00246-011-9985-9"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref13","DOI":"10.1111\/j.1651-2227.1991.tb11747.x"},{"key":"S1047951120000670_ref17","first-page":"483","article-title":"Systemic right ventricular morphology in the early postoperative course after extracardiac Fontan operation: is there still a need for special care?","volume":"51","author":"Nordmeyer","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref1","DOI":"10.1161\/hc37t1.094817"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref7","DOI":"10.1067\/mtc.2002.119337"},{"doi-asserted-by":"publisher","key":"S1047951120000670_ref2","DOI":"10.1016\/j.athoracsur.2004.07.004"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951120000670","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T11:40:14Z","timestamp":1589888414000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951120000670\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,13]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,5]]}},"alternative-id":["S1047951120000670"],"URL":"https:\/\/doi.org\/10.1017\/s1047951120000670","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"type":"print","value":"1047-9511"},{"type":"electronic","value":"1467-1107"}],"subject":[],"published":{"date-parts":[[2020,4,13]]}}}