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Analysis of risk factors for prolonged stay in the intensive care unit after cardiac surgery in children with pneumonia

Published online by Cambridge University Press:  21 October 2024

Nan Ding Open the ORCID record for Nan Ding [Opens in a new window] ,
Zhiqiang Li ,
Jian Guo ,
Xiaofeng Li ,
Hanlu Yi Open the ORCID record for Hanlu Yi [Opens in a new window]  and
Lei Shen
Nan Ding
Affiliation:
Department of Cardiovascular Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
Zhiqiang Li
Affiliation:
Department of Cardiovascular Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
Jian Guo
Affiliation:
Department of Cardiovascular Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
Xiaofeng Li
Affiliation:
Department of Cardiovascular Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
Hanlu Yi
Affiliation:
Department of Cardiovascular Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
Lei Shen*
Affiliation:
Department of Cardiac Intensive Care Unit, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
*
Corresponding author: Lei Shen; Email: [email protected]
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Abstract

Aim:

Preoperative pneumonia in children with CHD may lead to longer stays in the ICU after surgery. However, research on the associated risk factors is limited. This study aims to evaluate the pre-, intra-, and postoperative risk factors contributing to extended ICU stays in these children.

Methods:

This retrospective cohort study collected data from 496 children with CHD complicated by preoperative pneumonia who underwent cardiac surgery following medical treatment at a single centre from 2017 to 2022. We compared the clinical outcomes of patients with varying ICU stays and utilised multivariate logistic regression analysis and multiple linear regression analyses to evaluate the risk factors for prolonged ICU stays.

Results:

The median ICU stay for the 496 children was 7 days. Bacterial infection, severe pneumonia, and Risk Adjustment for Congenital Heart Surgery-1 were independent risk factors for prolonged ICU stays following cardiac surgery (P < 0.05).

Conclusion:

CHD complicated by pneumonia presents a significant treatment challenge. Better identification of the risk factors associated with long-term postoperative ICU stays in these children, along with timely diagnosis and treatment of respiratory infections in high-risk populations, can effectively reduce ICU stays and improve resource utilisation.

Keywords

CHDpneumoniasurgeryintensive carehigh-risk population
Type
Original Article
Information
Cardiology in the Young , Volume 34 , Issue 12 , December 2024 , pp. 2679 - 2685
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Copyright
© The Author(s), 2024. Published by Cambridge University Press

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