Factors affecting ICU stay duration post arterial switch operation / (Record no. 174949)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 07156namaa22004451i 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - أخر تعامل مع التسجيلة | |
| control field | 20251027104337.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 251018s2024 ua a|||frm||| 000 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Original cataloguing agency | EG-GICUC |
| Language of cataloging | eng |
| Transcribing agency | EG-GICUC |
| Modifying agency | EG-GICUC |
| Description conventions | rda |
| 041 0# - LANGUAGE CODE | |
| Language code of text/sound track or separate title | eng |
| Language code of summary or abstract | eng |
| -- | ara |
| 049 ## - Acquisition Source | |
| Acquisition Source | Deposite |
| 082 04 - DEWEY DECIMAL CLASSIFICATION NUMBER | |
| Classification number | 618.92 |
| 092 ## - LOCALLY ASSIGNED DEWEY CALL NUMBER (OCLC) | |
| Classification number | 618.92 |
| Edition number | 21 |
| 097 ## - Degree | |
| Degree | Ph.D |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| Local Call Number | Cai01.11.28.Ph.D.2024.Ah.E |
| 100 0# - MAIN ENTRY--PERSONAL NAME | |
| Authority record control number or standard number | Ahmed Mohamed Rezk Rezk, |
| Preparation | preparation. |
| 245 10 - TITLE STATEMENT | |
| Title | Factors affecting ICU stay duration post arterial switch operation / |
| Statement of responsibility, etc. | by Ahmed Mohamed Rezk Rezk ; Supervised Prof. Fatma Alzahraa Mostafa Gomaa, Prof. Wael Ahmed Attia, Dr. Mohammed Mosaad Mahmoud Soliman |
| 246 15 - VARYING FORM OF TITLE | |
| Title proper/short title | دراسة العوامل المؤثرة على فترة اقامة المريض داخل الرعاية القلبية المركزة بعد اجراء عملية اصلاح الأوعية الدموية الرئيسية للقلب |
| 264 #0 - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE | |
| Date of production, publication, distribution, manufacture, or copyright notice | 2024. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 129 pages : |
| Other physical details | illustrations ; |
| Dimensions | 25 cm. + |
| Accompanying material | CD. |
| 336 ## - CONTENT TYPE | |
| Content type term | text |
| Source | rda content |
| 337 ## - MEDIA TYPE | |
| Media type term | Unmediated |
| Source | rdamedia |
| 338 ## - CARRIER TYPE | |
| Carrier type term | volume |
| Source | rdacarrier |
| 502 ## - DISSERTATION NOTE | |
| Dissertation note | Thesis (Ph.D)-Cairo University, 2024. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE | |
| Bibliography, etc. note | Bibliography: pages 113-129. |
| 520 #3 - SUMMARY, ETC. | |
| Summary, etc. | Objectives: To identify factors prolonging length of stay of patients in ICU following arterial switch operation and their effect on morbidity and mortality.<br/>Methods: This retrospective study reviewed the admitted patients with different types of D-TGA who had arterial switch operation in the pediatric cardiac intensive care unit at AL-NAS hospital over a period of 2 years from January 2021 to December 2022 to detect factors prolonging length of stay of patients following arterial switch operation and their effect on morbidity and mortality. The study included 100 infants with D-TGA who required a switch operation. History, clinical data, laboratory and imaging results were collected from the files of the patients and their progress notes. <br/>Results: This study highlights factors prolonging length of stay of patients following arterial switch operation. The median age at the time of the switch operation was 22.5 days (range, 4-145 days), and the weight ranged from 2.1 kg to 5.3 kg with a mean weight of 3.49 ± 0.58kg. The range of aortic clamp time was 46 mins to 219 mins, while the range of cardiopulmonary bypass time was 80 mins to 382 mins. 40% (N= 40/100) had sepsis. 16% (N= 16/100) developed acute kidney injury. 32% (N= 32/100) needed dialysis with a median duration of 36.5 hours. Diaphragmatic paresis occurred in 18% (N= 18/100), 12% (N= 12/100) complicated by necrotizing enterocolitis and started parenteral nutrition. Post-operative mortality was 15% (N= 15/100). ICU stay duration ranged from 1 day to 72 days with a median duration of 12 days. Lower age, longer cardiopulmonary bypass time, lower arterial PH, higher arterial lactate on ICU admission, higher frequency of delayed chest closure, longer duration of invasive mechanical ventilation, longer duration of inotropic support, higher frequency of acute kidney injury, need for dialysis and higher duration of ICU stay were found to be statistically significant variable affecting post-operative mortality. Higher duration of Invasive mechanical ventilation, longer duration of inotropic support, higher frequency of sepsis, pneumonia, diaphragmatic paresis and necrotizing enterocolitis were found to be statistically significant variables in patients with prolonged ICU stay compared to non-prolonged ICU stay. <br/>Conclusion: Frequency of mortality in our studied group are comparable to what is found in the literature. The most important factors affecting ICU stay were sepsis and prolonged invasive mechanical ventilation. |
| 520 #3 - SUMMARY, ETC. | |
| Summary, etc. | انعكاس الشرايين الرئيسية بالقلب هو خلل خلقى حيث ينشأ الشريان الأورطى من البطين الأيمن بالقلب بينما ينشأ الشريان الرئوى من البطين الأيسر بالقلب مما يؤدى الى وجود روابط غير متوافقة بين البطينين. طريقة العلاج الحالية هى عملية تبديل الشرايين والتى توفر تصحيحا تشريحيا للقلب.<br/>شملت دراستنا 100 رضيع يعانون من انعكاس بالشرايين الرئيسية بالقلب ويحتاجون الى عملية تبديل الشرايين. متوسط عمر المرضى وقت دخولهم الى المستشفى 23 يوما (بمدى يتراوح من 4 ايام الى 173 يوما). وكان الوزن يتراوح من 2.1 كجم الى 6.3 كجم.<br/>تم توزيع الجنس من المرضى الذين يعانون من انعكاس الشرايين الرئيسية بالقلب بحيث كان 67% من الذكور بينما 33% من الاناث.<br/>تم تطبيق البروستاجلاندين فى 16% من المرضى بمدة تتراوح من يومين الى 5 ايام. بينما 16% من المرضى خضعوا لعملية قسطرة عبر الحاجز الاذينى بعمر يتراوح من يومين الى 40 يوما (بمتوسط عمر قدره 7 ايام).<br/> متوسط عمر المرضى عند اجراء جراحة تبديل الشرايين 22.5 يوما (بمدى يتراوح من 4 ايام الى 175 يوما) وكان الوزن بيتراوح بين 2.1 كجم الى 5.3 كجم.<br/>تراوحت مدة اغلاق الشريان الاورطى من 46 دقيقة الى 219 دقيقة. بينما تراوحت مدة البقاء على جهاز التحويلة القلبية الرئوية من 80 دقيقة الى 382 دقيقة.<br/>تراوحت نسبة الرقم الهيدروجينى عند دخول الرعاية المركزة من 7.17 الى 7.56 بينما تراوحت نسبة اللاكتات الشريانى من 0.7 مللى مول الى 22 مللى مول بمتوسط 3 مللى مول.<br/> تم استلام 44% من المرضى بعد اجراء الجراحة بتاخر فى اغلاق الصدرو 17% بنزيف بعد الجراحة.<br/>تراوحت مدة البقاء على جهاز التنفس الصناعى من ساعتين الى 696 ساعة بمتوسط 55 ساعة. بينما تراوحت نسبة البقاء على منشطات القلب من 0.8 يوم الى 17 يوم بمتوسط 4 ايام. |
| 530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE | |
| Issues CD | Issues also as CD. |
| 546 ## - LANGUAGE NOTE | |
| Text Language | Text in English and abstract in Arabic & English. |
| 650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Pediatrics |
| 650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | طب الأطفال |
| 653 #1 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | D-TGA (transposition of the great arteries) |
| -- | arterial switch operation |
| -- | CPB time (cardiopulmonary bypass time) |
| -- | aortic clamp time |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Fatma Alzahraa Mostafa Gomaa |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Wael Ahmed Attia |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mohammed Mosaad Mahmoud Soliman |
| Relator term | thesis advisor. |
| 900 ## - Thesis Information | |
| Grant date | 01-01-2024 |
| Supervisory body | Fatma Alzahraa Mostafa Gomaa |
| -- | Wael Ahmed Attia |
| -- | Mohammed Mosaad Mahmoud Soliman |
| Universities | Cairo University |
| Faculties | Faculty of Medicine |
| Department | Department of Pediatrics |
| 905 ## - Cataloger and Reviser Names | |
| Cataloger Name | Shimaa |
| Reviser Names | Eman Ghareb |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | Dewey Decimal Classification |
| Koha item type | Thesis |
| Edition | 21 |
| Suppress in OPAC | No |
| Source of classification or shelving scheme | Home library | Current library | Date acquired | Inventory number | Full call number | Barcode | Date last seen | Effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|
| Dewey Decimal Classification | المكتبة المركزبة الجديدة - جامعة القاهرة | قاعة الرسائل الجامعية - الدور الاول | 18.10.2025 | 92196 | Cai01.11.28.Ph.D.2024.Ah.E | 01010110092196000 | 18.10.2025 | 18.10.2025 | Thesis |