There remains controversy regarding the optimal timing of surgical treatment for neonatal CCHD (Complex Congenital Heart Disease). Based on the established national multi-center database for surgical treatment of congenital heart disease and the prenatal-postnatal integrated diagnosis and treatment model, this study will conduct a multi-center RCT (Randomized Controlled Trial) to explore the optimal surgical timing for neonatal CCHD. It will also develop innovative comprehensive treatment strategies for critically ill neonatal CCHD patients, use RCT data to evaluate treatment efficacy and establish an evaluation system. This system will be gradually promoted nationwide, aiming to reduce the incidence of perioperative mortality and non-recovery discharge in CCHD patients by 50% (National in-hospital mortality rate of neonatal congenital heart disease surgery in 2023: 6.5%; non-recovery discharge rate: 12.66%), thereby improving the overall level of CCHD treatment in China.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
738
Surgical operation is performed on neonates aged \>7 days (postnatal age)
Surgical operation is performed on neonates aged \< 7 days (postnatal age).
Fuwai Hospital, Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
RECRUITINGChildren's Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, China
NOT_YET_RECRUITINGGuangzhou Women and Children's Medical Center, Guangzhou Medical University
Guangzhou, Guangdong, China
NOT_YET_RECRUITINGCentral China Fuwai Hospital of Zhengzhou University
Zhengzhou, Henan, China
RECRUITINGUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China
NOT_YET_RECRUITINGThe Second Xiangya Hospital of Central South University
Changsha, Hunan, China
NOT_YET_RECRUITINGChildren's Hospital Affiliated to Nanjing Medical University
Nanjing, Jiangsu, China
NOT_YET_RECRUITINGQingdao Women and Children's Hospital
Qingdao, Shandong, China
NOT_YET_RECRUITINGShanghai Children's Medical Center (SCMC) Affiliated to Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, China
NOT_YET_RECRUITINGThe First Affiliated Hospital of Air Force Medical University (Xijing Hospital)
Xi’an, Shanxi, China
NOT_YET_RECRUITING...and 2 more locations
Perioperative Mortality and Non-Rehabilitation Discharge Rate
Time frame: From enrollment to 1 year after surgery
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