{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:13:00Z","timestamp":1777878780655,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T00:00:00Z","timestamp":1756080000000},"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":[[2026,3]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    The World Database for Pediatric and Congenital Heart Surgery (WDPCHS) was utilized to define the incidence of one-year mortality and identify associated risk factors following surgery for congenital heart disease.\n                    <jats:bold>Methods:<\/jats:bold>\n                    The WDPCHS was queried from January 2017 to September 2022 for all tier 1 surgeries submitted to the database. Out-of-hospital death was defined as a death between 30 days postoperatively and up to one year. Preoperative risk factors and other demographics were evaluated. Chi-square test was used to evaluate associations, a multivariable logistic regression model was performed and the\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    value for statistical significance was set at &lt;.05.\n                    <jats:bold>Results:<\/jats:bold>\n                    Among 9764 patients alive at hospital discharge (or 30 days), overall, one-year mortality was 1.47% (n\u2009=\u2009144). Mortality was highest in STAT 5, 22.88% (27\/118) (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.0001). Risk factors with a higher incidence of one-year mortality included: non-Trisomy 21 genetic syndromes 6.38% (18\/282), more than three preoperative risk factors 12.12% (16\/132), more than three postoperative complications 9.81% (37\/377) all\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.0001. Highest mortality by procedure was seen with the Norwood procedure 22.88% (27\/118) and truncus arteriosus repair 8.97% (7\/78), both\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.0001. By multivariable analysis, the risk of one-year mortality remained significantly higher with more than three preoperative risk factors (OR 5.85, 95% CI 3.12-10.96), non-Trisomy 21 chromosomal abnormalities (OR 3.04, 95% CI 1.75-5.29), and STAT 5 cases (OR 28.4, 95% CI 15.02-53.71).\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Based on these findings, there are certain risk factors (multiple preoperative risk factors, chromosomal abnormalities, STAT 5 category) that warrant targeted increased surveillance to improve one-year outcomes.\n                  <\/jats:p>","DOI":"10.1177\/21501351251360692","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T15:16:35Z","timestamp":1756134995000},"page":"157-162","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk Factors for One-Year Postdischarge Mortality: An Analysis From the World Database for Pediatric and Congenital Heart Surgery"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9798-1172","authenticated-orcid":false,"given":"Brian P.","family":"Bateson","sequence":"first","affiliation":[{"name":"Augusta University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7389-359X","authenticated-orcid":false,"given":"James D.","family":"St Louis","sequence":"additional","affiliation":[{"name":"Augusta University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sivakumar","family":"Sivalingam","sequence":"additional","affiliation":[{"name":"National Heart Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheul","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5985-4305","authenticated-orcid":false,"given":"Ignacio","family":"Juaneda","sequence":"additional","affiliation":[{"name":"Congenital Heart Surgery, Hospital Privado Universitario de Cordoba, Hospital de Ni\u00f1os de Cordoba, Cordoba, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1858-1523","authenticated-orcid":false,"given":"Nguyen Ly","family":"Thinh Truong","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, National Children Hospital, Hanoi, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Cervantes","sequence":"additional","affiliation":[{"name":"Department of Surgery, Instituto Nacional de Cardiologia, Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Cantor","sequence":"additional","affiliation":[{"name":"Kirklin Solutions Inc. Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon","family":"Singletary","sequence":"additional","affiliation":[{"name":"Kirklin Solutions Inc. Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erle H.","family":"Austin","sequence":"additional","affiliation":[{"name":"University of Louisville"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7861-3267","authenticated-orcid":false,"given":"James K.","family":"Kirklin","sequence":"additional","affiliation":[{"name":"Kirklin Solutions Inc. Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.pcsu.2009.01.002"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/2150135118769318"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/21501351221075604"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/21501351241252432"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/21501351231176189"},{"key":"e_1_3_3_7_2","unstructured":"Kirklin Solutions Inc. https:\/\/www.kirso.net\/.Accessed 8\/5\/2025."},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.01.071"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2024.03.018"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2024.02.018"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2024.07.023"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/2150135118815023"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.010783"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2022.10.020"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/21501351241279121"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951124026908"}],"container-title":["World Journal for Pediatric and Congenital Heart Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351251360692","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501351251360692","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351251360692","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:27:46Z","timestamp":1777591666000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501351251360692"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,25]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/21501351251360692"],"URL":"https:\/\/doi.org\/10.1177\/21501351251360692","relation":{},"ISSN":["2150-1351","2150-136X"],"issn-type":[{"value":"2150-1351","type":"print"},{"value":"2150-136X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,25]]}}}