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Predictors of postoperative pulmonary complications in children undergoing cardiothoracic surgery

Maria Niña Banque, Ma. Dulce Requiron-Sy, Maria Nerissa Atienza-De Leon, Milagros Salvani-Bautista
European Respiratory Journal 2012 40: P2429; DOI:
Maria Niña Banque
Pulmonary and Critical Care Medicine Section of Pediatric Pulmonology, Philippine Heart Center, Quezon City, Philippines
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Ma. Dulce Requiron-Sy
Pulmonary and Critical Care Medicine Section of Pediatric Pulmonology, Philippine Heart Center, Quezon City, Philippines
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Maria Nerissa Atienza-De Leon
Pulmonary and Critical Care Medicine Section of Pediatric Pulmonology, Philippine Heart Center, Quezon City, Philippines
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Milagros Salvani-Bautista
Pulmonary and Critical Care Medicine Section of Pediatric Pulmonology, Philippine Heart Center, Quezon City, Philippines
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Abstract

Background: Postoperative pulmonary complications (PPCs) following cardiothoracic surgery remained to be alarmingly high. This study was done to determine the risk factors associated with PPCs following cardiothoracic surgery in children 6 years old and below who underwent cardiothoracic surgery from November 1, 2010-October 31, 2011 at the Philippine Heart Center.

Methods: A prospective cohort study was done among 120 patients. Thirty five risk factors were included. Outcome measures included postoperative pulmonary complications. Comparisons of categories between with and without postoperative complications were done using Chi-square and independent T-test for all continuous variables. All independent variables were entered into a binary logistic regression model.

Results: The incidence of PPCs in this study is 73%. The history of respiratory tract infection (RTI), preoperative mechanical ventilation, high pulmonary artery pressure (PAP), hypercarbia, hemoconcentration, lymphocytopenia, prolonged protime, hypoalbuminemia, high ASA and RACHS -1 scores, prolonged postoperative mechanical ventilation, recovery room (RR) stay, pediatric intensive care unit (PICU) stay and length of postoperative hospital stay were associated with PPCs. Tidal breathing analysis was not found to be significantly associated with PPCs.

Conclusion: Fourteen out of the 35 risk factors were associated with PPCs in children 6 years old and below. With the incidence of PPCs remaining to be high especially in the lower pediatric age group, knowing the risk factors of its occurrence is of paramount importance.

  • Children
  • Infants
  • Surgery
  • © 2012 ERS
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Predictors of postoperative pulmonary complications in children undergoing cardiothoracic surgery
Maria Niña Banque, Ma. Dulce Requiron-Sy, Maria Nerissa Atienza-De Leon, Milagros Salvani-Bautista
European Respiratory Journal Sep 2012, 40 (Suppl 56) P2429;

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Predictors of postoperative pulmonary complications in children undergoing cardiothoracic surgery
Maria Niña Banque, Ma. Dulce Requiron-Sy, Maria Nerissa Atienza-De Leon, Milagros Salvani-Bautista
European Respiratory Journal Sep 2012, 40 (Suppl 56) P2429;
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