Table 1.
Characteristics of Fontan Adolescents
Variable | All (N=156) | Norwood (n=63) | Non‐Norwood (n=93) | P Value |
---|---|---|---|---|
Percent, Mean±SD, or Median (IQR) | ||||
Preoperative characteristics | ||||
Birth weight, kg | 3.3±0.6 | 3.4±0.6 | 3.2±0.7 | 0.09 |
Gestational age, wk | 38.9±2.2 | 39.2±2.0 | 38.8±2.4 | 0.27 |
Male | 61 | 67 | 57 | 0.25 |
Race | 0.15 | |||
Asian | 3 | 0 | 4 | |
Black | 4 | 6 | 3 | |
White | 93 | 94 | 92 | |
Hispanic ethnicity | 12 | 10 | 14 | 0.46 |
Cardiac diagnosis | <0.001 | |||
HLHS | 26 | 65 | 0 | |
Tricuspid atresia | 19 | 14 | 23 | |
DORV | 12 | 6 | 16 | |
DILV | 12 | 13 | 11 | |
Heterotaxy syndrome | 11 | 2 | 17 | |
Complex TGA | 8 | 0 | 13 | |
PA/IVS | 6 | 0 | 11 | |
Unbalanced AV canal | 3 | 0 | 4 | |
Mitral atresia | 1 | 0 | 2 | |
Other | 2 | 0 | 3 | |
Genetic abnormality | 42 | 30 | 49 | 0.02 |
Status at first operation | ||||
Age, d | 6 (3–22) | 5 (3–8) | 7 (3–87) | 0.01 |
Neonatal status, age ≤30 d | 78 | 95 | 67 | <0.001 |
Open procedure | 59 | 100 | 31 | <0.001 |
Patients undergoing DHCA (if open) | 71 | 91 | 15 | <0.001 |
DHCA duration, min (if open) | 42 (0–56) | 49 (33–58) | 0 (0–0) | <0.001 |
Total support duration, min (if open) | 121 (99–141) | 125 (115–150) | 81 (66–107) | <0.001 |
No. of operative complications | <0.001 | |||
0 | 43 | 17 | 61 | |
1 | 22 | 22 | 22 | |
≥2 | 35 | 60 | 16 | |
Medical history | ||||
Total No. of operations | <0.001 | |||
1 or 2 | 18 | 3 | 28 | |
3 | 64 | 84 | 51 | |
4 or 5 | 18 | 13 | 22 | |
Total No. of open operations | <0.001 | |||
1 | 9 | 0 | 15 | |
2 | 39 | 3 | 63 | |
≥3 | 52 | 97 | 22 | |
Total No. of operative complications | <0.001 | |||
0 | 15 | 5 | 23 | |
1 to 5 | 67 | 67 | 68 | |
≥6 | 17 | 29 | 10 | |
Total No. of catheterizations | 0.56 | |||
1 or 2 | 11 | 14 | 9 | |
3 to 5 | 69 | 67 | 70 | |
≥6 | 21 | 19 | 22 | |
Total No. of catheterization complications | 0.97 | |||
0 | 49 | 51 | 48 | |
1 or 2 | 40 | 40 | 41 | |
≥3 | 10 | 10 | 11 | |
New York Heart Association functional class | 0.16 | |||
I | 29 | 25 | 31 | |
II | 63 | 62 | 63 | |
III | 8 | 13 | 5 | |
Seizure | 15 | 24 | 9 | 0.01 |
Any neurological eventa | 25 | 31 | 22 | 0.26 |
Use of special services | 86 | 90 | 83 | 0.24 |
Tutoring | 56 | 65 | 49 | 0.07 |
Grade retention | 23 | 21 | 25 | 0.70 |
Early intervention | 57 | 60 | 55 | 0.51 |
Occupational therapy | 54 | 62 | 48 | 0.10 |
Physical therapy | 51 | 62 | 44 | 0.03 |
Special education | 35 | 44 | 29 | 0.06 |
Psychotherapy and counseling | 45 | 49 | 42 | 0.41 |
Family social statusb | 50±13 | 48±13 | 51±13 | 0.09 |
Age at developmental testing, y | 14.5±2.9 | 14.1±2.8 | 14.7±3.1 | 0.22 |
Values are represented as percentages, mean±SD, or median (IQR). P values are determined by Fisher's exact tests for categorical variables (except for New York Heart Association class, which used a Cochran–Armitage trend test), analysis of variance for variables with means reported, and Kruskal–Wallis tests for variables with medians reported. AV indicates atrioventricular; DHCA, deep hypothermic circulatory arrest; DILV, double inlet left ventricle; DORV, double outlet right ventricle; HLHS, hypoplastic left heart syndrome; PA/IVS, pulmonary atresia with intact ventricular septum; TGA, transposition of the great arteries.
Includes stroke, seizure, choreoathetosis, and meningitis.
Score on Hollingshead Four Factor Index of Social Status, with higher scores indicating higher social status.