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ABSTRACT: Introduction
There is a need to index important clinical characteristics in pediatric cardiac surgery that can be obtained early in the postoperative period and accurately predict postoperative outcomes.Methodology
A prospective cohort study was conducted in the pediatric cardiac ICU and ward on all children aged <18 years undergoing cardiac surgery for congenital heart disease from September 2018 to October 2020. The vasoactive-ventilation-renal (VVR) score was analyzed to predict outcomes of cardiac surgeries with a comparison of postoperative variables.Results
A total of 199 children underwent cardiac surgery during the study period. The median (interquartile range) age was 2 (0.8-5) years, and the median weight was 9.3 (6-16) kg. The most common diagnoses were ventricular septal defect (46.2%) and tetralogy of Fallot (37.2%). At the 48th h, area under the curve (AUC) (95% CI) values were higher for the VVR score than those for other clinical scores measured. Similarly, at the 48th h, AUC (95% CI) values were higher for the VVR score than those for the other clinical scores measured for the length of stay and mechanical ventilation.Discussion
The VVR score at 48 h postoperation was found to best correlate with prolonged pediatric intensive care unit (PICU) stay, length of hospitalization, and ventilation duration, with the greatest AUC-receiver operating characteristic (0.715, 0.723, and 0.843, respectively). The 48-h VVR score correlates well with prolonged ICU, hospital stay, and ventilation.
SUBMITTER: Abhay P
PROVIDER: S-EPMC9986414 | biostudies-literature | 2023
REPOSITORIES: biostudies-literature
Abhay Pota P Sharma Rajesh R Bhan Anil A Raina Manan M Vadhera Ananya A Akole Romel R Mir Firdoos Ahmad FA Bajpai Pankaj P Misri Amit A Srivastava Swarnika S Prakash Ved V Mondal Tanmoy T Soundararajan Anvitha A Tibrewal Abhishek A Bansal Shyam Bihari SB Sethi Sidharth Kumar SK
Frontiers in pediatrics 20230220
<h4>Introduction</h4>There is a need to index important clinical characteristics in pediatric cardiac surgery that can be obtained early in the postoperative period and accurately predict postoperative outcomes.<h4>Methodology</h4>A prospective cohort study was conducted in the pediatric cardiac ICU and ward on all children aged <18 years undergoing cardiac surgery for congenital heart disease from September 2018 to October 2020. The vasoactive-ventilation-renal (VVR) score was analyzed to predi ...[more]