Parameter |  | LCOS (n = 864) | non-LCOS (n = 7796) | Total (n = 8660) | P value |
---|---|---|---|---|---|
Demographic characteristics | |||||
 Age (days) | Median (IQR) | 206.5 (94,507.5) | 350 (182, 950.5) | 329 (173, 916) | < 0.001 |
 Gender | MALE | 56.4% | 55.0% | 55.1% | 0.4 |
FEMALE | 43.6% | 45.1% | 44.9% | Â | |
 BMI | <5th percentile | 23.4% | 19.0% | 19.5% | 0.016 |
5th~95th percentile | 62.8% | 66.7% | 66.3% | Â | |
>95th percentile | 13.8% | 14.3% | 14.2% | Â | |
Pre-operative color doppler echocardiography characteristics | |||||
 Aortic shunt | None | 76.1% | 90.4% | 89.0% | < 0.001 |
Left-to-right | 15.3% | 7.7% | 8.4% | Â | |
Right-to-left | 0.7% | 0.03% | 0.1% | Â | |
Bi-directional | 8.0% | 1.9% | 2.5% | Â | |
 Atrial shunt | None | 21.7% | 36.5% | 35.1% | < 0.001 |
Left-to-right | 39.6% | 47.8% | 47.0% | Â | |
Right-to-left | 6.9% | 2.7% | 3.1% | Â | |
Bi-directional | 31.8% | 13.0% | 14.9% | Â | |
 Ventricular level shunt | None | 23.7% | 28.6% | 28.1% | < 0.001 |
Left-to-right | 12.3% | 40% | 37.3% | Â | |
Right-to-left | 0.3% | 0.1% | 0.1% | Â | |
Bi-directional | 63.8% | 31.3% | 34.5% | Â | |
 AI | Negative | 80.0% | 83.1% | 82.8% | 0.035 |
Minimal | 13.6% | 10.8% | 11.0% | Â | |
Mild | 5.2% | 5.2% | 5.2% | Â | |
Mild-to-moderate | 0.3% | 0.5% | 0.4% | Â | |
Moderate | 0.4% | 0.3% | 0.3% | Â | |
Moderate-to-severe | 0.1% | 0.1% | 0.1% | Â | |
Severe | 0.5% | 0.1% | 0.1% | Â | |
 MR | Negative | 26.6% | 22.6% | 23.0% | 0.9 |
Minimal | 43.0% | 49.0% | 48.4% | Â | |
Mild | 18.5% | 20.5% | 20.3% | Â | |
Mild-to-moderate | 6.1% | 4.5% | 4.6% | Â | |
Moderate | 3.3% | 2.3% | 2.4% | Â | |
Moderate-to-severe | 1.7% | 0.7% | 0.8% | Â | |
Severe | 0.8% | 0.4% | 0.4% | Â | |
 PI | Negative | 16.3% | 9.2% | 9.9% | 0.007 |
Minimal | 53.1% | 59.5% | 58.9% | Â | |
Mild | 28.8% | 29.6% | 29.6% | Â | |
Mild-to-moderate | 0.7% | 0.6% | 0.6% | Â | |
Moderate | 1.1% | 1.0% | 1.0% | Â | |
Moderate-to-severe | 0% | 0.03% | 0.03% | Â | |
Severe | 0% | 0.04% | 0.04% | Â | |
 TR | Negative | 1.2% | 0.4% | 0.5% | 0.001 |
Minimal | 42.8% | 47.4% | 46.9% | Â | |
Mild | 40.3% | 43.3% | 43% | Â | |
Mild-to-moderate | 8.5% | 5.6% | 5.8% | Â | |
Moderate | 4.4% | 2.4% | 2.6% | Â | |
Moderate-to-severe | 2.0% | 0.4% | 0.6% | Â | |
Severe | 0.8% | 0.5% | 0.6% | Â | |
 LVEF | < cut off value | 56.3% | 55.4% | 55.5% | 0.7 |
Normal | 27.3% | 28.7% | 28.5% | Â | |
> cut off value | 16.5% | 15.9% | 16% | Â | |
 LVFS | < cut off value | 56.9% | 54.2% | 54.4% | 0.1 |
Normal | 27.5% | 30.9% | 30.6% | Â | |
> cut off value | 15.6% | 14.9% | 15.0% | Â | |
 Mitral insufficiency | NO | 92.0% | 93.8% | 93.6% | 0.044 |
YES | 8.0% | 6.2% | 6.4% | Â | |
 Mitral Stenosis | NO | 99.0% | 99.4% | 99.4% | 0.1 |
YES | 1.0% | 0.6% | 0.6% | Â | |
The characteristic of surgery and cardiopulmonary bypass | |||||
 History of heart surgery | NO | 84.6% | 92.3% | 91.5% | < 0.001 |
YES | 15.4% | 7.7% | 8.5% | Â | |
 RACHS-1 risk grade | 1 | 6.0% | 13.9% | 13.1% | < 0.001 |
2 | 50.1% | 62.8% | 61.6% | Â | |
3 | 32.4% | 20.9% | 22.1% | Â | |
4 | 10.3% | 2.2% | 3.0% | Â | |
5 | 1.2% | 0.1% | 0.2% | Â | |
6 | 0% | 0.1% | 0.1% | Â | |
 CPB duration (min) | Median (IQR) | 87 (62,119) | 51 (38,72) | 53 (39,78) | < 0.001 |
 Aortic clamping time (min) | Median (IQR) | 53 (37,74) | 29 (20,44) | 31 (21,48) | < 0.001 |
 Operation characteristics | Selective extracorporeal surgery | 92.8% | 98.6% | 98% | < 0.001 |
Emergency non-extracorporeal surgery | 0.1% | 0.01% | 0.02% | Â | |
Emergency extracorporeal surgery | 7.1% | 1.2% | 1.8% | Â | |
Selective non-extracorporeal surgery | 0% | 0.1% | 0.1% | Â | |
Elective thoracotomy | 0% | 0.1% | 0.1% | Â | |
 Circulating temperature | Normal temperature | 21.8% | 53.1% | 49.9% | < 0.001 |
Mild hypothermia | 52.0% | 38.7% | 40.1% | Â | |
Deep hypothermia | 2.2% | 0.6% | 0.7% | Â | |
Middle and low temperature | 24.1% | 7.6% | 9.3% | Â | |
 Circulation method | Low flow cycle | 0.7% | 0.1% | 0.1% | < 0.001 |
Cerebral perfusion | 5.3% | 1.5% | 1.9% | Â | |
Parallel CPB | 3.0% | 3.4% | 3.3% | Â | |
Full flow | 89.9% | 94.6% | 94.2% | Â | |
Circulatory arrest | 0.9% | 0.4% | 0.4% | Â | |
Cerebrovascular perfusion | 0.1% | 0.1% | 0.1% | Â | |
 Difficult to wean from CPB | NO | 99.7% | 99.9% | 99.9% | 0.1 |
YES | 0.4% | 0.1% | 0.1% | Â | |
 Myocardial preservation | HTK | 31.6% | 8.9% | 11.2% | < 0.001 |
Cold blood cardioplegia (4:1) | 68.4% | 91.1% | 88.8% | Â | |
Post-operative characteristic | |||||
 Residual shunt | NO | 98.4% | 99.6% | 99.5% | < 0.001 |
YES | 1.62%) | 0.4% | 0.5% | Â | |
 LVOTO | NO | 98.3% | 99.5% | 99.4% | < 0.001 |
YES | 1.7% | 0.5% | 0.6% | Â | |
 RVOTO | NO | 98.4% | 99.7% | 99.6% | < 0.001 |
YES | 1.6% | 0.3% | 0.4% | Â | |
 Postoperative rhythm of the heart | III°AVB | 1.2% | 0.1% | 0.2% | < 0.001 |
II°AVB | 0.6% | 0.2% | 0.2% |  | |
Atrioventricular dissociation | 0.2% | 0.1% | 0.1% | Â | |
Supraventricular tachycardia | 0.2% | 0.1% | 0.1% | Â | |
Sinus rhythm | 97.8% | 99.5% | 99.3% | Â |