Predictors of long intensive care unit stay following cardiac surgery in children

Pągowska‐Klimek, Izabela; Pychyńska-Pokorska, Magdalena; Krajewski, Wojciech; Moll, J

doi:10.1016/j.ejcts.2010.11.038

Cited by 85 publications

(61 citation statements)

References 23 publications

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“…As surgical techniques and perioperative management of neonates undergoing surgery for congenital heart disease continue to evolve, mechanical ventilation continues to be a necessary and important component of postoperative management [1,2]. In a small but substantial number of neonates, initial attempts at extubation and liberation from mechanical ventilation fail and reintubation is required.…”

Section: Introductionmentioning

confidence: 99%

Extubation Failure after Neonatal Cardiac Surgery: A Multicenter Analysis

Mastropietro

Cashen

Grimaldi

et al. 2017

The Journal of Pediatrics

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Objectives: To describe the epidemiology of extubation failure and identify risk factors for its occurrence in a multicenter population of neonates undergoing surgery for congenital heart disease. Study Design:We conducted a prospective observational study of neonates ≤ 30 days of age who underwent cardiac surgery at seven centers within the United States in 2015. Extubation failure was defined as reintubation within 72 hours of the first planned extubation. Risk factors were identified using multivariable logistic regression analysis and reported as odds ratios (OR) with 95% confidence intervals (CI). Multivariable logistic regression analysis was also conducted to examine the relationship between extubation failure and worse clinical outcome, defined as hospital length-of-stay in the upper 25% or operative mortality.

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Section: Introductionmentioning

confidence: 99%

Extubation Failure after Neonatal Cardiac Surgery: A Multicenter Analysis

Mastropietro

Cashen

Grimaldi

et al. 2017

The Journal of Pediatrics

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“…in the operating suite or shortly after arrival to the intensive care unit) relatively common in pediatric cardiac surgery [1][2][3]. Many children however, particularly neonates, continue to require mechanical ventilator support for several days or even weeks postoperatively [4][5]. The determination of readiness for extubation from mechanical ventilation in critically-ill infants and children in general continues to be challenging for pediatric intensive care providers [6].…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Extubation Failure Following Neonatal Cardiac Surgery*

Laudato

Gupta

Walters

et al. 2015

Pediatric Critical Care Medicine

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Objective: Extubation failure after neonatal cardiac surgery has been associated with considerable postoperative morbidity, though data identifying risk factors for its occurrence are sparse. We aimed to determine risk factors for extubation failure in our neonatal cardiac surgical population. Design: Retrospective chart reviewSetting: Urban tertiary care free-standing children's hospital Interventions: Extubation failure was defined as re-intubation within 72 hours after extubation from mechanical ventilation. Multivariate logistic regression analysis was performed to determine independent risk factors for extubation failure. Measurements & Main Conclusions:Neonates with underlying genetic abnormalities, hypoplastic left heart, or postoperative infection were at increased risk for extubation failure. A more conservative approach in these patients, including longer pre-extubation duration of antibiotic therapy for postoperative infections, may be warranted.3

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“…In our study, patients who suffered any form of pulmonary complications had longer duration of mechanical ventilation (p <0.01), longer post operative ICU stay (p <0.01) and longer post operative hospital stay (p <0.01). Studies also showed that pulmonary complications are a frequent cause for delayed recovery following cardiac surgery and including prolonged duration of mechanical ventilation specially in young children and prolonged ICU stay 9,31 .…”

Section: Discussionmentioning

confidence: 99%

Post Operative Pulmonary Complications Following Surgery for Congenital Heart Disease

Hasan¹,

Sharifuzzaman²,

Shamsuddin³

et al. 2017

J. Bangladesh Coll. Phys.

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Abstract:Objective: To identify the incidence and related factors for pulmonary complications and its impact on outcome in patients subjected to surgery for congenital heart disease (CHD). Conclusions: Pulmonary complications are common after surgery for CHD which is more common in small children and complex surgeries. It significantly affects outcome including duration of mechanical ventilation and length of stay but no effect in mortality. Methods

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Predictors of long intensive care unit stay following cardiac surgery in children

Cited by 85 publications

References 23 publications

Extubation Failure after Neonatal Cardiac Surgery: A Multicenter Analysis

Extubation Failure after Neonatal Cardiac Surgery: A Multicenter Analysis

Risk Factors for Extubation Failure Following Neonatal Cardiac Surgery*

Post Operative Pulmonary Complications Following Surgery for Congenital Heart Disease

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