Abstract
Critical congenital heart defects (CHD) are a heterogeneous group of diseases which is based on duktus - dependent circulation and
the associated high percentage of deaths in the first month of life. About 20-30% of newborns with CHD are in serious, critical condition. They need intensive therapeutic treatment to stabilize the condition for further surgical intervention. Late or incorrect diagnosis, inadequate therapy and delayed surgical treatment due to late admission in hospital heart surgery and infectious complications
are responsible for the development of the critical state of the newborn with complex congenital heart disease.
At the present level surgical technique, perfusion, anesthesia and nursing infants, the development of specialized scales for assessing the severity of neonatal cardiac profile is a new direction needed to improve specialized care to newborns with CHD, modifications
of treatment methods and further improve the results of surgical interventions.
Modern scale assessment of severity are divided into two large groups - predictive scale (system PRISM (Pediatric RISk of Mortality),
PIM (Pediatric Index of Mortality), CRIB (Clinical Risk Index for Babies), SNAP (Score for Neonatal Acute Physiology) and current
scale state assessment (PEMOD (PEdiatric Multiple Organ Dysfunction score), PELOD (PEdiatric Logistic Organ Dysfunction
score), NEOMOD (NEOnatal Multiple Organ Disfunction score)).
Scale assessment of severity systems are designed for group assessment, not individual forecast. Accordingly, the dataset is also
among a group of patients. The compliance of the level of predicted mortality is the main endpoint to assess their validity. Death, the
most stringent indicator that does not require consensus in the design of diagnosis and is not dependent on the internal control of the
researcher.
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