Paediatric anaesthesia & critical care
Prognostic Value of Vasoactive-Inotropic Score and Inotropic Score for Mortality After Pediatric Congenital Heart Surgery:A Retrospective Cohort Study
Authors' conclusion
Admission VIS and IS were independently associated with postoperative mortality and improved discrimination beyond baseline risk factors. VIS was not statistically superior to IS.
Study context
- Population
- Children (<18 years) undergoing congenital heart surgery with CPB, tertiary centre PICU, January 2020–September 2022
- Participants
- 1,324 children · 1,450 procedures
- Exposure
- Admission vasoactive-inotropic score (VIS) vs inotropic score (IS) for prediction of postoperative mortality
- Outcome
- Postoperative mortality
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Estimate (95% CI)P value
VIS vs ISadjusted for age, sex, weight, STAT mortality category
OR per point 1.126(1.101–1.151)
P < 0.001ISadjusted for age, sex, weight, STAT mortality category
OR 1.225(1.177–1.274)
P < 0.001- VIS vs IS · not statistically significant
- Δ AUC 0.017; P = 0.101
- Mortality after procedures
- 107 (7.38%)
- Patient-level mortality
- 8.1%
- Baseline model AUC
- 0.626
- AUC with VIS
- 0.869
- AUC with IS
- 0.852
Observational data: associations, not effects.
Original publication
Prognostic Value of Vasoactive-Inotropic Score and Inotropic Score for Mortality After Pediatric Congenital Heart Surgery:A Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 15 September 2026. doi:10.
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