{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:42:34Z","timestamp":1787676154211,"version":"build-2784847793"},"reference-count":13,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2018,8,29]],"date-time":"2018-08-29T00:00:00Z","timestamp":1535500800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Compare the early outcomes and hospital charges of early primary repair and systemic-to-pulmonary artery shunt for neonates and young infants (\u226490 days of age) with tetralogy of Fallot using data from the Pediatric Health Information System database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The Pediatric Health Information System database was queried for patients &lt;90 days of age with primary diagnosis of tetralogy of Fallot who underwent nonelective surgical repair or palliation between January 2008 and December 2014. The initial cohort of 821 patients (group 1 early primary repair, N = 554; group 2 systemic-to-pulmonary artery shunt, N = 267) was propensity score matched (248 patients in each group) to account for baseline imbalances in age and prostaglandin use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Comparison of unmatched groups revealed younger age and higher incidence of extracardiac anomalies ( P = .02) and prematurity ( P = .04) in group 2. Mortality was comparable between the groups (group 1: 20 [4%] of 554 vs group 2: 11 [4%] of 267, P = .74). Irrespective of the type of procedure, prematurity (odds ratio [OR] = 3.3, 95% confidence interval [CI]: 1.5-7.4) and extracardiac anomalies (OR = 2.5, 95% CI: 1.2-5.3) were independent risk factors for mortality. Propensity score\u2013matched analysis revealed no significant differences in patient mortality ( P = 1), duration of ventilation ( P = .64), hospital length of stay ( P = .69), or hospital charges ( P = .08) between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Outcomes and hospital charges associated with nonelective early primary repair are comparable to systemic-to-pulmonary artery shunt in symptomatic patients &lt;90 days old with tetralogy of Fallot.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2150135118780615","type":"journal-article","created":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T00:05:59Z","timestamp":1535587559000},"page":"539-545","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":29,"title":["Symptomatic Tetralogy of Fallot in Young Infants: Primary Repair or Shunt\u2014Pediatric Health Information System Database Analysis"],"prefix":"10.1177","volume":"9","author":[{"given":"Karthik V.","family":"Ramakrishnan","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Children\u2019s National Health System, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Zurakowski","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Boston Children\u2019s Hospital, Harvard Medical School, Boston, MA, USA"},{"name":"Department of Surgery, Boston Children\u2019s Hospital, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Pastor","sequence":"additional","affiliation":[{"name":"Division of Quality Improvement, Children\u2019s National Health System, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard A.","family":"Jonas","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Children\u2019s National Health System, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranava","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Children\u2019s National Health System, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,8,29]]},"reference":[{"key":"bibr1-2150135118780615","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2014.07.047"},{"key":"bibr2-2150135118780615","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.02.087"},{"key":"bibr3-2150135118780615","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2013.06.019"},{"key":"bibr4-2150135118780615","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(90)90026-3"},{"key":"bibr5-2150135118780615","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2008.180083"},{"key":"bibr6-2150135118780615","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.03.110"},{"key":"bibr7-2150135118780615","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.07.021"},{"key":"bibr8-2150135118780615","unstructured":"Vittinghoff E, Glidden DV, Shiboski SC, McCulloch CE. 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