Pediatric anesthesia & critical care
Higher portal venous pulsatility is associated with worse clinical outcomes following congenital heart surgery: a single-centre prospective cohort study
Main finding · Portal pulsatility indexResult — go to the resultOdds ratio 1.40 95% CI 1.29–1.91Authors' conclusion
Higher portal venous pulsatility is associated with major postoperative complications in children undergoing cardiac surgery.
Study context
- Population
- Children undergoing congenital cardiac surgery
- Participants
- 389 children
- Exposure
- Children with vs without major postoperative complications
- Complicationsn = 74
- Outcome
- Whether postoperative portal flow pulsatility indicates major complications
Methodological detailsobservational, single-centre
- Observational
- Single-centre
Main finding
Portal pulsatility index
Odds ratio
1.40
95% CI 1.29–1.91
P < 0.001
By group
Increased postoperative portal pulsatility index
OR 1.40 (95% CI 1.29–1.91); P < 0.001
As reported in the abstract
Observational data: associations, not effects.
Further findings
Splenic pulsatility index
(95% CI 7–23) · P < 0.001
Portal pulsatility index by physiology (subgroup)
- Helped identify complications in biventricular patients and univentricular patients receiving bidirectional cavopulmonary shunt, not in other univentricular patients
Original publication
Higher portal venous pulsatility is associated with worse clinical outcomes following congenital heart surgery: a single-centre prospective cohort study. Can J Anaesth. Published 2 November 2023. doi:10.
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