Cardiothoracic & vascular anesthesia
Key Predictors of Early Extubation: A Modifiable Parameter Influencing Complications and Outcomes after Congenital Cardiac Surgery
Authors' conclusion
Early extubation is a crucial modifiable parameter that has a significant influence on reduced complications, ICU stay, and hospital stay following congenital heart surgery.
Study context
- Population
- Patients undergoing cardiac surgery for congenital heart lesions by a single cardiac surgeon and anesthesiologist, 2023
- Exposure
- Extubation within 6 hours vs beyond 6 hours of surgery
- Outcome
- Reintubation, composite outcome, and length of ICU and hospital stay
- Follow-up
- 30 days postoperatively
Methodological detailssingle-centre, fast-track extubation protocol, multivariate logistic regression
- Single-centre
- Fast-track extubation protocol
- Multivariate logistic regression
Main finding
As reported in the abstract
Within 6 hours
65.49%
Within 6 hours vs Beyond 6 hoursOdds ratio (95% CI)P value
Composite outcomes; reported as lower odds
5.21(1.17–23.22)
P < 0.001Prolonged ICU stay; reported as lower odds
12.73(2.72–59.66)
P < 0.001Prolonged hospital stay; reported as lower odds
3.3(1.3–8.5)
P = 0.013- Reintubation; reported as lower odds
- 8.32 (95% CI 1.34–51.72); P = 0.02
Observational data: associations, not effects.
Further findings
Other predictors of outcomes
- Age, RACHS-1 score, and durations of CPB, surgery, anesthesia and NIV also influenced outcomes
Original publication
Key Predictors of Early Extubation: A Modifiable Parameter Influencing Complications and Outcomes after Congenital Cardiac Surgery. J Cardiothorac Vasc Anesth. Published 3 October 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →