Sanjhai L Ramdeen, Sherard G H Little, Sharonne Forrester, Cleopatra Patterson, Tamra Tomlinson Morris, David S Cooper, David F Vener, Lindsey B Justice, Wendy E Redmer, Katie Hoag, Kayla V Lucas, Douglas J Walker, Donna E McDonald, LeeAnn Hewitt, Sarah Sukumar, Jennifer Carapellucci, J Blaine John, Frank G Scholl, Vinay Badhwar, Melanie A Edwards, Jeffrey Phillip Jacobs
{"title":"Lessons from 19 Years of a Pediatric Heart Surgery Volunteer Program in Jamaica: Partnership, Teamwork, and Sustainability.","authors":"Sanjhai L Ramdeen, Sherard G H Little, Sharonne Forrester, Cleopatra Patterson, Tamra Tomlinson Morris, David S Cooper, David F Vener, Lindsey B Justice, Wendy E Redmer, Katie Hoag, Kayla V Lucas, Douglas J Walker, Donna E McDonald, LeeAnn Hewitt, Sarah Sukumar, Jennifer Carapellucci, J Blaine John, Frank G Scholl, Vinay Badhwar, Melanie A Edwards, Jeffrey Phillip Jacobs","doi":"10.1016/j.athoracsur.2025.03.030","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The purpose of this analysis was to review our 19-year experience (2006-2024) of a pediatric cardiac surgery volunteer program in Jamaica and examine the transition of surgical responsibility to the local team, case complexity, and Operative Mortality.</p><p><strong>Methods: </strong>This was a retrospective study with a prospectively maintained database. Data points included diagnosis, procedure, surgeon, assistant, patient age, weight, sex, postoperative complications, and Operative Mortality.</p><p><strong>Results: </strong>A total of 142 index pediatric cardiac operations were performed on 137 patients. The mean age was 5.2 years (SD±5.1), with a range from 0 days to 16.9 years. The mean patient weight was 17.5 kg (SD±14.6), with a range of 2.2-62.0 kilograms. 47.7% (n=52) of patients were male and 52.3% (n=57) were female. Operative complexity varied over the course of the 14 mission trips. There was a 5 year pause in mission trips (2018-2022), largely due to COVID-19. Over the course of 13 operative mission trips over 18 years (2007-2024), the primary surgeon transitioned from the visiting surgeons to local surgeons. In 2007 and 2008, 100% of cases were performed by visiting surgeons, whereas in 2024, only 33% of cases were performed by the visiting surgeons. 5.6% (n=8/142) of patients had postoperative mediastinal re-explorations, with 1 patient having two re-explorations. Operative Mortality was 5/142 = 3.5%.</p><p><strong>Conclusions: </strong>A 19-year collaboration between the local Jamaican team and the visiting team, based on partnership, teamwork, and sustainability, allowed for gradual and safe transition of surgical leadership to the local Jamaican team.</p>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6000,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Thoracic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.athoracsur.2025.03.030","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The purpose of this analysis was to review our 19-year experience (2006-2024) of a pediatric cardiac surgery volunteer program in Jamaica and examine the transition of surgical responsibility to the local team, case complexity, and Operative Mortality.
Methods: This was a retrospective study with a prospectively maintained database. Data points included diagnosis, procedure, surgeon, assistant, patient age, weight, sex, postoperative complications, and Operative Mortality.
Results: A total of 142 index pediatric cardiac operations were performed on 137 patients. The mean age was 5.2 years (SD±5.1), with a range from 0 days to 16.9 years. The mean patient weight was 17.5 kg (SD±14.6), with a range of 2.2-62.0 kilograms. 47.7% (n=52) of patients were male and 52.3% (n=57) were female. Operative complexity varied over the course of the 14 mission trips. There was a 5 year pause in mission trips (2018-2022), largely due to COVID-19. Over the course of 13 operative mission trips over 18 years (2007-2024), the primary surgeon transitioned from the visiting surgeons to local surgeons. In 2007 and 2008, 100% of cases were performed by visiting surgeons, whereas in 2024, only 33% of cases were performed by the visiting surgeons. 5.6% (n=8/142) of patients had postoperative mediastinal re-explorations, with 1 patient having two re-explorations. Operative Mortality was 5/142 = 3.5%.
Conclusions: A 19-year collaboration between the local Jamaican team and the visiting team, based on partnership, teamwork, and sustainability, allowed for gradual and safe transition of surgical leadership to the local Jamaican team.
期刊介绍：
The mission of The Annals of Thoracic Surgery is to promote scholarship in cardiothoracic surgery patient care, clinical practice, research, education, and policy. As the official journal of two of the largest American associations in its specialty, this leading monthly enjoys outstanding editorial leadership and maintains rigorous selection standards.
The Annals of Thoracic Surgery features:
• Full-length original articles on clinical advances, current surgical methods, and controversial topics and techniques
• New Technology articles
• Case reports
• "How-to-do-it" features
• Reviews of current literature
• Supplements on symposia
• Commentary pieces and correspondence
• CME
• Online-only case reports, "how-to-do-its", and images in cardiothoracic surgery.
An authoritative, clinically oriented, comprehensive resource, The Annals of Thoracic Surgery is committed to providing a place for all thoracic surgeons to relate experiences which will help improve patient care.
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