Pediatric anesthesia & critical care
Preoperative logGAR Predicts Postoperative Complications in Pediatric Cardiac Surgery: A Retrospective Cohort Study
Main finding · Composite complications; logGARResult — go to the resultAdjusted odds ratio 2.41 95% CI 1.49–3.95Authors' conclusion
Preoperative logGAR is associated with anesthesia-related complications after pediatric CHD surgery.
Study context
- Population
- Children undergoing CPB surgery for congenital heart disease, 2018–2024
- Participants
- 942 children
- Exposure
- Complication vs no complication
- Complicationn = 164
- Outcome
- Composite:
- Mechanical ventilation ≥72 h
- Reintubation within 48 h
- ICU LOS >90th percentile
- Mortality
Methodological detailssingle-centre
- Single-centre
Main finding
Composite:
Adjusted odds ratio
2.41
95% CI 1.49–3.95
Events by group
Complication
17.4%
164
No complication
−1.32
median logGAR
Per unit increase in logGAR
aOR 2.41 (95% CI 1.49–3.95)
Per unit increase in logGAR, as printed
As reported in the abstract
Observational data: associations, not effects.
Further findings
Subgroups
- Stronger effects in nonanemic patients and those with lower surgical risk
Original publication
Preoperative logGAR Predicts Postoperative Complications in Pediatric Cardiac Surgery: A Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 3 October 2025. doi:10. 1053/ j. jvca. 2025. 09. 239
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