title: Heart defects treatment in Sergipe: propose of resources' rationalization to improve care.
abstract: OBJECTIVE
  This study aims evaluate the treatment of congenital heart disease conducted from 2000 to 2009.
  
  
  METHODS
  The sample consisted of all patients undergoing surgical correction for congenital heart disease for ten years in Sergipe, Brazil. The patients were operated in three hospitals located in the city of Aracaju, capital of the state of Sergipe (Brazil). The study was divided into two periods defined by the start date of centralization of surgery. The variables collected were: age, sex, postoperative diagnosis, destination, type of surgery and hospital where the procedure was performed and the classification RACHS -1.
  
  
  RESULTS
  In the period I, the estimate deficit of surgery was 69% decrease occurring in the period II to 55.3%. The postoperative diagnosis was more frequent closure of the interventricular communication (20.5%), closure of patent ductus arteriosus (20.2%) and atrial septal defect (19%). There was a statistically significant correlation between the expected mortality RACHS-1 and observed in the sample. The evaluation of RACHS-1 as a predictor of hospital mortality by ROC curve showed area of 0.860 95% CI 0.818 to 0.902 with P <0.0001.
  
  
  CONCLUSIONS
  The results of this study indicate that the centralization and organization of existing resources are needed to improve the performance of surgical correction of congenital heart diseases.
authors.affiliation: Federal University of Sergipe, Santa Isabel Maternity Neonatal Intensive Care Unit, Aracaju, Brazil. deboraleite2006@hotmail.com
authors.forename: Debora Cristina Fontes
authors.initials: DC
authors.lastname: Leite
authors.forename: José Teles
authors.initials: JT
authors.lastname: de Mendonça
authors.forename: Rosana
authors.initials: R
authors.lastname: Cipolotti
authors.forename: Enaldo Viera
authors.initials: EV
authors.lastname: de Melo
mesh_terms: D000367:Age Factors; D001938:Brazil; D002300:Cardiac Care Facilities / Q000706:statistics & numerical data; D013504:Cardiovascular Surgical Procedures / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D004812:Epidemiologic Methods; D006330:Heart Defects, Congenital / Q000145:classification / Q000401:mortality / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011184:Postoperative Period; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D012307:Risk Factors