ArticlePediatric cardiology2012
Postoperative outcome for hyperglycemic pediatric cardiac surgery patients.
Article in Pediatric cardiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Prevalence of dysglycemia following paediatric cardiac surgery: a systematic review and meta-analysis.BMJ paediatrics open · 2026Pooled it
- Modified stress scores enhance prediction of outcomes after pediatric cardiac surgery.Pediatric research · 2026Article
- Impact and outcomes of hyperglycemia among post-operative children who underwent repair of congenital cardiac defects in a tertiary care setup of Pakistan.Pakistan journal of medical sciences · 2024Article
- Effect of hyperglycemia treatment on complications rate after pediatric cardiac surgery.Journal of cardiovascular and thoracic research · 2022Article
- Methylprednisolone in Pediatric Cardiac Surgery: Is There Enough Evidence?Frontiers in cardiovascular medicine · 2021Review
- Antenatal and Perioperative Mechanisms of Global Neurological Injury in Congenital Heart Disease.Pediatric cardiology · 2021Review
- A Comparison of the Sociodemographic and Clinical Characteristics of Patients Referring to a Pain Clinic with Subacute and Chronic Pain.Anesthesiology and pain medicine · 2016Article
- Predisposing Factors for Hypoglycemia and Its Relation With Mortality in Critically Ill Patients Undergoing Insulin Therapy in an Intensive Care Unit.Anesthesiology and pain medicine · 2016Article
- Single Dose Corticosteroid Therapy After Surgical Repair of Fallot's Tetralogy; A Randomized Controlled Clinical Trial.Research in cardiovascular medicine · 2015Article
- New aspects of anesthetic management in congenital heart disease "common arterial trunk".Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2014Review
- Does tight glycemic control improve outcomes in pediatric patients undergoing surgery and/or those with critical illness?International journal of general medicine · 2013Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This prospective cohort study aimed to determine the morbidity and mortality among hyperglycemic pediatric patients after cardiac surgery. The study was conducted in a pediatric intensive care unit (PICU) for cardiac surgery patients at a university-affiliated, referral, heart hospital. A total of 379 postcardiac surgery pediatric patients participated in the study. No interventions were performed. Measurements of blood glucose level together with other clinical and laboratory data were collected on postoperative days 1, 2, 3, and 7. Mean blood glucose level exceeding 126 mg/dl was considered hyperglycemia, and a level exceeding 200 mg/dl determined severe hyperglycemia. These measurements were analyzed for association with major complications and death. Hyperglycemia was common (86%) in this cohort study. There was no statistical correlation between hyperglycemia and death or major complications, but patients with severe hyperglycemia showed a significantly higher mortality rate (16/64 deaths [25%] vs. 13/315 deaths [4.12%]; P < 0.001]) and more morbidities (16/64 [25%] vs. 43/315 [13.65%]; P = 0.022). Severe hyperglycemia was independently associated with mortality according to multivariate logistic regression. Hyperglycemia is quite prevalent among pediatric patients after cardiac surgeries. Severe hyperglycemia is associated with higher morbidity and mortality rates in this patient population.
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Registered trials
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