title: The role of home monitoring in interstage management of infants following the Norwood procedure.
abstract: Although outcomes for infants with complex single ventricle heart defects have steadily improved in recent decades, there is still a significant risk for mortality and morbidity during the interstage period between stage 1 Norwood hospitalization discharge and stage 2 palliation. Home monitoring programs, which involve parental surveillance of daily weight and oxygen saturations during the interstage period, have been shown to significantly improve survival rates. This article describes the potential risk factors or causes of interstage mortality and reviews the role of home monitoring in early detection and potential prevention of adverse outcomes.
authors: University of Michigan Medical School, Ann Arbor, MI, USA.
authors: Nkem
authors: N
authors: Ugonabo
authors: Department of Cardiac Surgery, University of Michigan Mott Children's Hospital, Ann Arbor, MI, USA.
authors: Jennifer C
authors: JC
authors: Hirsch-Romano
authors: Department of Cardiac Surgery, University of Michigan Mott Children's Hospital, Ann Arbor, MI, USA karenu@med.umich.edu.
authors: Karen
authors: K
authors: Uzark
mesh_terms: D001835:Body Weight / Q000502:physiology; D005544:Forecasting; D006130:Growth Disorders / Q000209:etiology; D006352:Heart Ventricles / Q000002:abnormalities / Q000601:surgery; D006699:Home Care Services / Q000592:standards / Q000639:trends; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000401:mortality / Q000601:surgery*; D000860:Hypoxia / Q000209:etiology; D007223:Infant; D018670:Monitoring, Ambulatory / Q000379:methods / Q000639:trends; D058327:Norwood Procedures / Q000379:methods*; D010166:Palliative Care / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology; D012307:Risk Factors; D015996:Survival Rate; D016896:Treatment Outcome
keywords: CHD; Norwood procedure; hypoplastic left heart syndrome; infant; univentricular heart