PREDICTION OF QUALITY OF LIFE AT LONG-TERM FOLLOW-UP AFTER FONTAN OPERATION BY SCORING RISK FACTORS

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概要

• 論文の詳細を見る

• Many factors will determine the quality of life at long-term follow-up after the Fontan operation. We tried to predict the long-term outcome of modified Fontan operation based on the combined assessment of various preoperative data. The preoperative condition was evaluated by a scoring system in which multilevel scores (from zero to 8 points) were given to a total of 14 morphological and physiological factors according to the contribution of each factor to mortality. The major factors were the association of the extracardiac total anomalous pulmonary venous connection, pulmonary arterial vascular resistance, mean pulmonary arterial pressure, PA index, ejection fraction of the main ventricle, and creatinine clearance. Points for each factor were determined according to surgical mortality, with zero points indicating no increased risk. The total score, i.e., the sum of the points for each item, in each patient was analyzed in relation to the patient's quality of life over a long-term follow-up, as evaluated by questionnaires. Twenty-six of 29 patients with scores of 5 or less showed normal or almost normal life long after the operation, whereas 5 of 10 with higher scores had restricted physical and daily activity. In conclusion, good preoperative condition predicts a good quality of life long after the Fontan operation. In addition, the concept of taking into account all possible risk factors as a comprehensive indicator may be useful in predicting long-term results.

• 社団法人日本循環器学会の論文
• 1994-07-20

著者

• Momma Kazuo

  Department Of Pediatric Cardiology The Heart Institute Tokyo Women's Med. Coll.

• Imai Yasuharu

  Departments Of Pediatric Cardiovascular Surgery The Heart Institute Of Japan Tokyo Women's Medi

• Nakazawa Makoto

  Department of Pediatric Cardiology, Heart Institute of Japan, Tokyo Womens Medical University

• Nakazawa Makoto

  Departments Of Pediatric Cardiology The Heart Institute Of Japan Tokyo Women's Medical College

• INSAM PARK

  Department of Pediatric Cardiology and Pediatric Cardiovascular Surgery, The Heart Institute of Japa

• SAWATARI KAZUO

  Department of Pediatric Cardiology and Pediatric Cardiovascular Surgery, The Heart Institute of Japa

• Momma Kazuo

  The Heart Institute Of Japan Tokyo Women's Medical College

• Momma Kazuo

  Department Of Pediatric Cardiology And Research Division Heart Institute Of Japan Tokyo Women's

• Momma Kazuo

  Department Of Pediatric Cardiology

• Sawatari Kazuo

  Department Of Pediatric Cardiology And Pediatric Cardiovascular Surgery The Heart Institute Of Japan

• Imai Yasuharu

  Departments Of Pediatric Cardiology And Pediatric Cardiovascular Surgery The Heart Institute Of Japa

• Imai Yasuharu

  Department Of Surgery The Heart Institute Of Japan Tokyo Women's Medical College

• Nakazawa M

  Jasri Spring-8

• Insam Park

  Department Of Pediatric Cardiology And Pediatric Cardiovascular Surgery The Heart Institute Of Japan

• Momma Kazuo

  Section Of Pediatrics And Surgery Heart Institute Tokyo Women's Medical College

• Imai Yasuharu

  Department Of Cardiovascular Surgery The Heart Institute Of Japan Tokyo Women's Medical College

• Imai Yasuhara

  Departments Of Surgery Tokyo Women's Medical College.

• Mori Kazuhiro

  The Heart Institute Japan Tokyo Women's Medical College

• Nakazawa Makoto

  Department Of Pediatric Cardiology The Heart Institute Of Japan Tokyo Women 's Medical College

• Nakazawa Makoto

  Department Of Pediatric Cardiology Heart Institute Tokyo Women's Medical University

• Imai Yasuharu

  Division Of Pediatrics And Surgery Heart Institute Tokyo Women's Medical College.

• Nakazawa Makoto

  Department Of Pediatric Cardiology Heart Institute Of Japan Tokyo Women's Medical College

• Imai Yasuharu

  Department Of Cardiovascular & Pediatric Cardiovascular Surgery The Heart Institute Of Japan Tok

• Momma Kazuo

  Division Of Pediatrics And Surgery Heart Institute Tokyo Women's Medical College.

• IMAI Yasuharu

  Department of Cardiac Surgery, Heart Institute of Japan, Tokyo Women's Medical College

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