Pediatric anesthesia & critical care

Perioperative Risk Assessment in Children With Congenital Heart Disease Undergoing Noncardiac Procedures

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

A robust model for severe perioperative complications was developed within the authors' institutional clinical guidelines, identifying 5 predictors for perioperative cardiac arrest or death.

Study context

Population
Children (birth to 19 years) with congenital heart disease undergoing noncardiac surgery or diagnostic procedures, January 2017 to December 2018
Participants
1,005 children
Outcome
Severe perioperative complication (perioperative cardiac arrest or death)
Follow-up
Within 30 days of the procedure
Methodological detailssingle-centre, academic tertiary-care children's hospital
  • Single-centre
  • Academic tertiary-care children's hospital

Main finding

As reported in the abstract

Severe perioperative complication (cardiac arrest or death within 30 days)

Incidence of severe perioperative complication

1.6%

ROC AUC for severe complications

0.936

Observational data: associations, not effects.

Further findings

Moderate perioperative complications (escalation of disposition or airway support, intraoperative vasoactive medication, reoperation within 30 days, unplanned readmission within 24 h)

AUC for moderate complications
0.679

Original publication

Perioperative Risk Assessment in Children With Congenital Heart Disease Undergoing Noncardiac Procedures. J Cardiothorac Vasc Anesth. Published 3 April 2023. doi:10.1053/j.jvca.2023.03.034

Composed by AI from the published abstract and checked against it. How Briefs are made →

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