Pediatric anesthesia & critical care

Preoperative logGAR Predicts Postoperative Complications in Pediatric Cardiac Surgery: A Retrospective Cohort Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Main finding · Composite complications; logGARResult — go to the resultAdjusted odds ratio 2.41 95% CI 1.49–3.95

Authors' 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:

  • Complications
  • logGAR

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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