Pediatric anesthesia & critical care
Perioperative Outcomes in Congenital Heart Disease: A Review of Clinical Factors Associated With Prolonged Ventilation and Length of Stay in Four Common Congenital Heart Disease (CHD) Operations
Authors' conclusion
A better understanding of clinical factors affecting outcomes may facilitate streamlining perioperative management strategies for pediatric patients undergoing low-risk cardiac surgery.
Study context
- Population
- Pediatric patients undergoing repair of VSD, complete atrioventricular canal defects, tetralogy of Fallot (TOF) or TGA at a single academic tertiary pediatric hospital, 2015–2020
- Participants
- 931 patients
- Exposure
- Prolonged vs reference course
- Outcome
- Factors associated with prolonged LOV and LOS
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
- All cohorts: prolonged length of ventilation (LOV) and LOS associated with longer operative, CPB and cross-clamp times; higher intraoperative inotropic support; more blood transfusions and higher opioid administration; lower preoperative pH and higher postoperative lactic acid
- Worse outcomes associated with younger age in VSD, older age in TGA, and lower weight in TOF and TGA
- Worse outcomes associated with higher preoperative hematocrit in VSD and TOF and elevated preoperative blood glucose in VSD and TGA
Observational data: associations, not effects.
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Perioperative Outcomes in Congenital Heart Disease: A Review of Clinical Factors Associated With Prolonged Ventilation and Length of Stay in Four Common CHD Operations. J Cardiothorac Vasc Anesth. Published 14 November 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →