Is Gender Matters in Paediatric Cardiac Surgery

Abstract

Objective: To observe the potential effect of gender difference on the survival after pediatric cardiac surgery. Materials and Methods: This retrospective cross sectional study was carried out in PCICU of Pediatric Cardiac surgery department at National institute of cardiovascular diseases Karachi, Pakistan from October 2013 till September 2015. Data was evaluated to find out the effect of gender on survival of patient during their post-cardiac surgery PCICU stay for structural heart defects. Results: A total of 518 patients were operated for structural heart defects on pump and including glenn shunt and fonton procedure irrespective of use of pump. 68% of these were boys and 32% were girls. Unadjusted mortality was similar for both boys and girls (9% versus 8%, P=0.87). After adjustment of complex surgeries with Aristotle basic score > 8 like intervention for TGA , univentricular hearts and DVR ,more prevalent in male population , the outcome was not significantly different with 5% v/s 4% for boys and girls respectively . Conclusions: Patient’s gender has a no significant effect on mortality after pediatric cardiac surgeries