TY - JOUR
T1 - Perioperative factors associated with prolonged mechanical ventilation after complex congenital heart surgery
AU - Polito, Angelo
AU - Patorno, Elisabetta
AU - Costello, John M.
AU - Salvin, Joshua W.
AU - Emani, Sitaram M.
AU - Rajagopal, Satish
AU - Laussen, Peter C.
AU - Thiagarajan, Ravi R.
PY - 2011/5
Y1 - 2011/5
N2 - OBJECTIVE:: To evaluate perioperative factors associated with prolonged mechanical ventilation in children undergoing complex cardiac surgery for congenital heart disease. DESIGN:: Retrospective chart review. SETTING:: A tertiary care pediatric cardiac intensive care. INTERVENTIONS:: None. MEASUREMENTS AND MAIN RESULTS:: This retrospective cohort study included all patients undergoing complex cardiac surgical procedures (Risk Adjustment in Congenital Heart Surgery-1 category ≥3) at our institution during 2003. We defined prolonged mechanical ventilation as need for mechanical ventilation for ≥7 days (90th percentile of duration of mechanical ventilation for the whole cohort). Multivariate logistic regression analyses were used to determine independent relationships between perioperative factors and prolonged mechanical ventilation. A total of 362 patients were admitted to the cardiac intensive care unit after a cardiac surgical procedure of Risk Adjustment in Congenital Heart Surgery-1 ≥3 level of complexity and survived to hospital discharge. Median age was 242 days (range, 4 days-14.4 yrs), the median duration of mechanical ventilation was 1.5 days (range, 0-7 days), and 41 patients (11%) were ventilated for ≥7 days. Age of
AB - OBJECTIVE:: To evaluate perioperative factors associated with prolonged mechanical ventilation in children undergoing complex cardiac surgery for congenital heart disease. DESIGN:: Retrospective chart review. SETTING:: A tertiary care pediatric cardiac intensive care. INTERVENTIONS:: None. MEASUREMENTS AND MAIN RESULTS:: This retrospective cohort study included all patients undergoing complex cardiac surgical procedures (Risk Adjustment in Congenital Heart Surgery-1 category ≥3) at our institution during 2003. We defined prolonged mechanical ventilation as need for mechanical ventilation for ≥7 days (90th percentile of duration of mechanical ventilation for the whole cohort). Multivariate logistic regression analyses were used to determine independent relationships between perioperative factors and prolonged mechanical ventilation. A total of 362 patients were admitted to the cardiac intensive care unit after a cardiac surgical procedure of Risk Adjustment in Congenital Heart Surgery-1 ≥3 level of complexity and survived to hospital discharge. Median age was 242 days (range, 4 days-14.4 yrs), the median duration of mechanical ventilation was 1.5 days (range, 0-7 days), and 41 patients (11%) were ventilated for ≥7 days. Age of
KW - cardiac surgical procedures
KW - congenital heart disease
KW - mechanical ventilation
KW - risk factor
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U2 - 10.1097/PCC.0b013e3181e912bd
DO - 10.1097/PCC.0b013e3181e912bd
M3 - Article
C2 - 20625334
AN - SCOPUS:79955921862
SN - 1529-7535
VL - 12
JO - Pediatric Critical Care Medicine
JF - Pediatric Critical Care Medicine
IS - 3
ER -