Analyzer · Sparsifire

Analyze how specific documents activate the features of the SAE. Select a dataset, a run and a document to begin.

Dataset

SAE Model

Document

Active Features

1509

MIN ACTIVATION

0.0

Details List

#2644 Feature 2644

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#474 Surgical Procedures & Gastrointestinal Issues

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#2260 Historical Context & Development

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#2461 Feature 2461

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#2312 Feature 2312

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#978 Feature 978

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#1603 Feature 1603

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#2728 Feature 2728

#2041 Feature 2041

#578 Feature 578

#2606 Feature 2606

#1554 Feature 1554

#2939 Feature 2939

#1506 Justification/Rationale for Actions

#1073 Feature 1073

#2130 Feature 2130

#115 Feature 115

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#229 Feature 229

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#655 Feature 655

#674 Feature 674

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#444 Feature 444

#515 Feature 515

#1792 Metastatic Cancer

#2816 Feature 2816

#2099 Feature 2099

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#777 Feature 777

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#2740 Feature 2740

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#2422 Feature 2422

#1814 Feature 1814

#830 Feature 830

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#1693 Feature 1693

#1890 Feature 1890

#2852 Feature 2852

#2418 Feature 2418

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Document Content

Outcomes of the Arterial Switch Operation in Children Less Than 2.5 Kilograms.
Children with body weight less than 2.5 kg who undergo the arterial switch operation (ASO) represent a challenging group. We sought to determine outcomes of patients with weight less than 2.5 kg at ASO at a single institution. All patients who underwent an ASO with biventricular repair and weighed less than 2.5 kg at time of surgery were identified from the hospital database and reviewed retrospectively. From 1983 to 2014, 870 patients underwent an ASO with biventricular repair at our institution. At the time of ASO, 31 patients (3.6%, 31 of 870) weighed less than 2.5 kg (mean 2.1; median 2.1; range, 1.1 to 2.4). Twenty-nine patients underwent an ASO for d-transposition of the great arteries, and 2 patients had an ASO for Taussig-Bing anomaly. Mean age at operation was 16 days (median 11; range, 3 to 66). There were 6 hospital deaths (19%, 6 of 31) among patients weighing less than 2.5 kg compared with a hospital mortality of 1.9% (16 of 839) among patients weighing more than 2.5 kg (p < 0.0001). Mortality for children weighing 2.0 kg or less was 50% (5 of 10) compared with a mortality of 2.8% (1 of 21) for children weighing more than 2.0 kg but less than 2.5 kg. Four patients (13%, 4 of 31) required reoperation during hospital admission. Follow-up was available for 24 survivors (96%, 24 of 25). Mean follow-up was 13.2 years (median 11.9; range, 6 months to 25 years). There were no late deaths. Two patients (8%, 2 of 24) required late reoperation. No patient had more than mild neoaortic valve regurgitation, and all survivors were in New York Heart Association class I at last follow-up. Early mortality for children weighing less than 2.5 kg undergoing the ASO remains high; however, most of the mortality occurred in children weighing 2.0 kg or less. Long-term outcomes for survivors are excellent.

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