Results of Cardiac Surgeries in Pediatric Requiring Cardiac Surgery Hospitalized in the Intensive Care Unit
Publish Year: 1401
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_EJCMPR-1-4_008
تاریخ نمایه سازی: 18 تیر 1402
Abstract:
Introduction: Our primary aim was to examine postoperative complications in cardiac surgery patients and their relationship to the use of cardiopulmonary resuscitation (CPB). A secondary aim was to evaluate the association of postoperative complications with outcome measures. Material and Methods: Single-institution observational study of consecutive cardiac surgery patients over ۱ year. Five cardiac cases and ۱۵ extracardiac cases were studied. CPB use, CPB parameters, demographics and Risk Adjusted Classification of Congenital Cardiac Surgery (RACHS-۱) levels were evaluated as complication risk factors. Outcomes examined included duration of mechanical ventilation, length of stay in pediatric hospital, length of stay, and mortality. Results: Logistic regression analysis, after adjusting for age, sex, prior sternotomy, and RACHS-۱ level, provided insufficient evidence for an association between CPB support and the incidence of cardiovascular or extracardiac problems. For patients receiving CPB, longer duration of CPB, higher RACHS-۱ levels, and lower CPB temperature were associated with more cardiovascular events (P < .۰۱). Longer CPB duration and higher RACHS-۱ levels were associated with more cardiovascular complications (P = .۰۰۶). Postoperative complications were associated with longer ventilator time, longer pediatric heart failure hospital stay, longer hospital stay, and death (P < .۰۱). Conclusion: Postoperative complications occurred in ۴۳% of pediatric cardiac procedures with and without CPB. Complications include longer use of ventilators, pediatric heart failure and hospital stay, and increased mortality.
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Authors
Khosrow Hashemzadeh
Department of Heart Surgery, Tabriz University of Medical Sciences, Tabriz, Iran
Marjan Dehdilan
Department of Anesthesiology, Tuberculosis and Lung Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran