Pediatric anesthesia & critical care

Risk Analytics Clinical Decision Support Decreases Duration of Vasoactive Infusions Following Pediatric Cardiac Surgery: A Multicenter Before and After Clinical Trial

Crit Care MedPublished Multicenter before-and-after clinical trial

Main finding · Vasoactive infusion durationResult — go to the resultShorter duration (risk-adjusted negative binomial regression) 29% 95% CI 14–42%

Authors' conclusion

A CDSS informed by ID o2 significantly decreased vasoactive infusions duration. There was no discernible change in ICU LOS, CA rate, or weaning failure rate.

Study context

Population
Infants >36 weeks estimated gestational age and 2 kg after cardiac surgery with CPB, treated with inotropes and vasoactive infusions (IVAI) ≥6 hours, 3 pediatric cardiac ICUs (CICUs)
Participants
343 vs 432
Comparison
Clinical decision support system (CDSS) informed by IDo2 vs control
  • Interventionn = 343
  • Controln = 432reference
Outcome
IVAI duration
Methodological detailsmulticentre
  • Multicentre

Main finding

Vasoactive infusion duration

Shorter duration (risk-adjusted negative binomial regression)

29%

95% CI 14–42%

P < 0.01

As reported in the abstract

Secondary outcomes

CICU length of stay (LOS), cardiac arrest (CA) rate, IVAI weaning failure

No significant trends observed

Original publication

Risk Analytics Clinical Decision Support Decreases Duration of Vasoactive Infusions Following Pediatric Cardiac Surgery: A Multicenter Before and After Clinical Trial. Crit Care Med. Published 29 April 2025. doi:10.1097/ccm.0000000000006682

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