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Incisions for Cardiac Surgery

This study has been terminated.
(after 90 charts reviewed, insufficient data to support conclusion)
Sponsor:
ClinicalTrials.gov Identifier:
NCT00229892
First Posted: September 30, 2005
Last Update Posted: November 18, 2011
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by:
Children's Healthcare of Atlanta
  Purpose
The purpose is to evaluate the investigators' length of incisions based on patient weight, operative times, hospital lengths of stay, pain medicine requirements, complications and costs. These data will lead to a new minimally invasive standard of care without a reduction in outcomes.

Condition
Cardiac Surgery Cardiac Diseases

Study Type: Observational
Study Design: Time Perspective: Retrospective
Official Title: Small Incisions for Cardiac Surgery

Resource links provided by NLM:


Further study details as provided by Children's Healthcare of Atlanta:

Enrollment: 90
Study Start Date: February 2005
Study Completion Date: September 2006
Detailed Description:

There is a trend in surgery, in general, toward minimal invasion. This includes the transition to laparoscopy/thoracoscopy from open procedures, as well as the reduction in incision size for open procedures. The goal of minimally invasive techniques is to reduce morbidity and length of hospital stay, with a consequent reduction in hospital cost.

There are few cardiac operations that are currently performed with minimally invasive techniques. One of these is the repair of an atrial septal defect, which can be performed though a small skin incision and partial rather than full sternotomy. Another is the ligation of a patent ductus arteriosus, which can be performed through a muscle-sparing thoracotomy rather than a full thoracotomy.

Both of these techniques minimize the scarring and the healing time required for post-operative recovery. We need to be confident that it has not affected our outcomes adversely. We need to evaluate our length of incisions based on patient weight, operative times, hospital lengths of stay, pain medicine requirements, complications and costs.

Hopefully, these data will lead to a new minimally invasive standard of care without a reduction in outcomes.

We will review charts before November 1, 2004 at Children's Healthcare of Atlanta.

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
children who have undergone cardiac surgery at Children's, Egleston, before 11.1.2004
Criteria

Inclusion Criteria:

  • Children who have undergone cardiac surgery at Children's Healthcare of Atlanta
  • Surgery before November 1, 2004

Exclusion Criteria;

those who do not fall under the above inclusion criteria

  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00229892


Locations
United States, Georgia
Children's Healthcare of Atlanta at Egleston
Atlanta, Georgia, United States, 30322
Sponsors and Collaborators
Children's Healthcare of Atlanta
Investigators
Principal Investigator: Brian Kogon, MD Emory University
  More Information

ClinicalTrials.gov Identifier: NCT00229892     History of Changes
Other Study ID Numbers: 04-120
First Submitted: September 13, 2005
First Posted: September 30, 2005
Last Update Posted: November 18, 2011
Last Verified: May 2007

Keywords provided by Children's Healthcare of Atlanta:
pediatric health
cardiac
small incisions
operations
minimally invasive

Additional relevant MeSH terms:
Surgical Wound
Heart Diseases
Wounds and Injuries
Cardiovascular Diseases