{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:16:41Z","timestamp":1787019401079,"version":"build-2736575974"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,2,16]],"date-time":"2023-02-16T00:00:00Z","timestamp":1676505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Kinderherzen, F\u00f6rdergemeinschaft Deutsche Kinderherzzentren e.V., Bonn, Germany"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>Background: The charity organization Kinderherzen retten e.V. (KHR) enables humanitarian congenital heart surgery for pediatric patients from low- and middle-income countries at the University Heart Center Freiburg, Germany. The aim of this study was to assess periprocedural and mid-term outcomes of these patients for evaluation of KHR sustainability. Methods: Part one of the study comprised retrospective medical chart analyses of the periprocedural course of all KHR-treated children from 2008 to 2017, and part two a prospective evaluation of their mid-term outcome, assessed by questionnaires concerning survival, medical history, mental and physical development, and socioeconomic situation. Results: Of the 100 consecutively presented children from 20 countries (median age 3.25 years), 3 patients were not invasively treatable, 89 underwent cardiovascular surgery, and 8 received a catheter intervention only. There were no periprocedural deaths. Median postoperative duration of mechanical ventilation, intensive care stay, and total hospital stay was 7 (interquartile range [IQR] 4-21) hours, 2 (IQR 1-3) days, and 12 (IQR 10-16) days, respectively. Mid-term postoperative follow-up demonstrated a 5-year survival probability of 94.4%. The majority of patients received continued medical care in their home country (86.2% of patients), were in good mental and physical condition (96.5% and 94.7% of patients, respectively), and able to engage in age-appropriate education\/employment (98.3% of patients). Conclusions: Cardiac, neurodevelopmental, and socioeconomic outcomes of patients treated via KHR was satisfactory. Thorough pre-visit evaluation and close contact with local physicians are crucial when providing this high-quality, sustainable, and viable therapeutic option for these patients.<\/jats:p>","DOI":"10.1177\/21501351231151666","type":"journal-article","created":{"date-parts":[[2023,2,16]],"date-time":"2023-02-16T04:24:41Z","timestamp":1676521481000},"page":"326-333","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Benefit From a Humanitarian Pediatric Congenital Heart Surgery Program Over a 10-Year Period"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8615-6561","authenticated-orcid":false,"given":"Hannah E.","family":"F\u00fcrniss","sequence":"first","affiliation":[{"name":"Department of Congenital Heart Disease and Pediatric Cardiology, University Heart Center Freiburg, Medical Center \u2013 University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirjam","family":"Leutwyler","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Disease and Pediatric Cardiology, University Heart Center Freiburg, Medical Center \u2013 University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany"},{"name":"Department of General Pediatrics, Center for Pediatrics and Adolescent Medicine, Medical Center \u2013 University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1762-2490","authenticated-orcid":false,"given":"Christoph","family":"Z\u00fcrn","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Disease and Pediatric Cardiology, University Heart Center Freiburg, Medical Center \u2013 University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Kroll","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg, Medical Center \u2013 University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian A.","family":"Kari","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg, Medical Center \u2013 University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e9","family":"H\u00f6hn","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Disease and Pediatric Cardiology, University Heart Center Freiburg, Medical Center \u2013 University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thilo K.P.","family":"Fleck","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Disease and Pediatric Cardiology, University Heart Center Freiburg, Medical Center \u2013 University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rouven","family":"Kubicki","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Disease and Pediatric Cardiology, University Heart Center Freiburg, Medical Center \u2013 University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katja","family":"Reineker","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Disease and Pediatric Cardiology, University Heart Center Freiburg, Medical Center \u2013 University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friedhelm","family":"Beyersdorf","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg, Medical Center \u2013 University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigitte","family":"Stiller","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Disease and Pediatric Cardiology, University Heart Center Freiburg, Medical Center \u2013 University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,16]]},"reference":[{"key":"bibr1-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.08.025"},{"key":"bibr2-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyz009"},{"key":"bibr3-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(19)30402-X"},{"key":"bibr4-21501351231151666","doi-asserted-by":"publisher","DOI":"10.5830\/CVJA-2013-028"},{"key":"bibr5-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951117002530"},{"key":"bibr6-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)70115-4"},{"key":"bibr7-21501351231151666","doi-asserted-by":"publisher","DOI":"10.5334\/gh.968"},{"key":"bibr8-21501351231151666","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2019.00214"},{"key":"bibr9-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2020.11.183"},{"key":"bibr10-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2021.04.088"},{"key":"bibr11-21501351231151666","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2019.00359"},{"key":"bibr12-21501351231151666","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.555085"},{"key":"bibr13-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1177\/2150135117737686"},{"key":"bibr14-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951117002621"},{"key":"bibr15-21501351231151666","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.705149"},{"key":"bibr16-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.4707"},{"key":"bibr17-21501351231151666","doi-asserted-by":"publisher","DOI":"10.4137\/CMC.S15715"},{"key":"bibr18-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2002.119064"},{"key":"bibr19-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2004.03.039"},{"key":"bibr20-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12515"},{"key":"bibr21-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.120.046962"},{"key":"bibr22-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1592124"},{"issue":"3","key":"bibr23-21501351231151666","first-page":"e21","volume":"69","author":"Beckmann A","year":"2021","journal-title":"Thorac Cardiovasc Surg"},{"key":"bibr24-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2010.11.062"},{"key":"bibr25-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2015.09.080"},{"issue":"04","key":"bibr26-21501351231151666","first-page":"278","volume":"61","author":"Sinzobahamvya N","year":"2013","journal-title":"Thorac Cardiovasc Surg"},{"key":"bibr27-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.02.048"},{"key":"bibr28-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2021.01.100"},{"issue":"4","key":"bibr29-21501351231151666","first-page":"506","volume":"63","author":"Brousse V","year":"2003","journal-title":"Med Trop (Mars)"},{"key":"bibr30-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.09.022"},{"key":"bibr31-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e318265ee8a"},{"key":"bibr32-21501351231151666","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcchd.2021.100082"}],"container-title":["World Journal for Pediatric and Congenital Heart Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351231151666","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501351231151666","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351231151666","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:25:21Z","timestamp":1777591521000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501351231151666"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,16]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1177\/21501351231151666"],"URL":"https:\/\/doi.org\/10.1177\/21501351231151666","relation":{},"ISSN":["2150-1351","2150-136X"],"issn-type":[{"value":"2150-1351","type":"print"},{"value":"2150-136X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,16]]}}}