title: [Outcomes of home monitoring after palliative cardiac surgery in infants with congenital heart disease].
abstract: OBJECTIVE
  Common conditions, such as dehydration or respiratory infection can aggravate hypoxia and are associated with interstage mortality in infants who have undergone palliative surgery for congenital heart diseases. This study was done to evaluate the efficacy of a home monitoring program (HMP) in decreasing infant mortality.
  
  
  METHODS
  Since its inception in May 2010, all infants who have undergone palliative surgery have been enrolled in HMP. This study was a prospective observational study and infant outcomes during HMP were compared with those of previous comparison groups. Parents were trained to measure oxygen saturation, body weight and feeding volume and to contact the hospital through the hotline for emergency situations. Telephone counseling was conducted by clinical nurse specialists every week post discharge.
  
  
  RESULTS
  Forty-one infants were enrolled in HMP. Nine hundred telephone counseling sessions were conducted. Seventy-three infants required telephone triage with the most common conditions being gastrointestinal (50.7%) and respiratory symptoms (32.9%). With HMP intervention, interstage mortality decreased from 18.6% (8/43) to 9.8% (4/41) (χ²=1.15, p=.283).
  
  
  CONCLUSIONS
  Results indicate that active measures and treatments using the HMP decrease mortality rates, however further investigation is required to identify various factors that contribute to hemodynamic complications during the interstage period.
authors.affiliation: Department of Nursing, Asan Medical Center, Seoul, Korea.
authors.forename: Sang Wha
authors.initials: SW
authors.lastname: Kim
authors.affiliation: Department of Nursing, Asan Medical Center, Seoul, Korea. jyuhm@amc.seoul.kr.
authors.forename: Ju Yeon
authors.initials: JY
authors.lastname: Uhm
authors.affiliation: Department of Nursing, Asan Medical Center, Seoul, Korea.
authors.forename: Yu Mi
authors.initials: YM
authors.lastname: Im
authors.affiliation: College of Medicine, Ulsan University, Seoul, Korea.
authors.forename: Tae Jin
authors.initials: TJ
authors.lastname: Yun
authors.affiliation: College of Medicine, Ulsan University, Seoul, Korea.
authors.forename: Jeong Jun
authors.initials: JJ
authors.lastname: Park
authors.affiliation: College of Medicine, Ulsan University, Seoul, Korea.
authors.forename: Chun Soo
authors.initials: CS
authors.lastname: Park
mesh_terms: D001831:Body Temperature; D001835:Body Weight; D017028:Caregivers / Q000193:education / Q000523:psychology; D003376:Counseling; D005260:Female; D006330:Heart Defects, Congenital / Q000401:mortality / Q000517:prevention & control / Q000601:surgery*; D006339:Heart Rate; D006760:Hospitalization; D015277:Hotlines; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods*; D010101:Oxygen Consumption; D010166:Palliative Care; D015397:Program Evaluation; D011446:Prospective Studies; D013997:Time Factors
keywords: Congenital heart defects; Home monitoring; Pediatric cardiac surgery; Telenursing