RT Journal Article
SR Electronic
T1 Risk factors for prolonged mechanical ventilation after surgical repair of congenital heart disease
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 367
OP 371
DO 10.15537/smj.2019.4.23682
VO 40
IS 4
A1 Sulaiman M. Alrddadi
A1 Mohamed M. Morsy
A1 Jehad K. Albakri
A1 Moneer A. Mohammed
A1 Ghassan A. Alnajjar
A1 Mohanad M. Fawaz
A1 Abdulrhman A. Alharbi
A1 Abdulhameed A. Alnajjar
A1 Mansour M. Almutairi
A1 Aitizaz U. Sayed
A1 Saad Q. Khoshal
A1 Mohamed S. Shihata
A1 Sherif S. Salim
A1 Mustafa A. Almuhaya
A1 Ali E. Jelly
A1 Khalid M. Alharbi
A1 Ibraheem H. Alharbi
A1 Ashraf R. Abutaleb
A1 Hasan I. Sandogji
A1 Mohamed A. Hussein
YR 2019
UL http://smj.org.sa/content/40/4/367.abstract
AB Objectives: We studied these predictors at a single cardiac center.Methods: A retrospective cohort study was carried out after obtaining approval from the institutional review board. All patients (age, 0-14 years) who underwent congenital heart disease (CHD) surgery from January 2014 to June 2016 were included. Prolonged mechanical ventilation (PMV) was defined as >72 hours of ventilation.Results: A total of 257 patients were included, among whom 219 (85.2%) were intubated for >72 hours and 38 (14.8%) were intubated for ≥72 hours. Age (29.9 versus 11.95 years), weight (9.6 versus 5.9 kg), cross-clamp time (CCT) (53.6 versus 71.8 min), cardiopulmonary bypass time (CBP) (80.98 versus 124.36 min), length of stay in the pediatric intensive care unit (PICU) (10.4 versus 27.2 days), infection (12.8% versus 42.1%), open sternum (0.9% versus 13.2%), re-intubation (19.2% versus 39.5%), pulmonary hypertension (10.9% versus 31.6%), and impaired heart function (10.1% versus 23.7%) were associated with PMV. In terms of Risk Adjustment in Congenital Heart Surgery (RACHS) classification, only patients with RACHS 4 (18.4%) were associated with the risk for PMV.Conclusions: Age, weight, CBP, CCT, pulmonary hypertension, impaired cardiac function, and sepsis are risk factors for PMV. These factors should be considered when deciding surgery and in providing PICU care.