ArticleAnnals of pediatric cardiology2011
Dedicated pediatric cardiac intensive care unit in a developing country: Does it improve the outcome?
Article in Annals of pediatric cardiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Organization and structure of intensive care management of adult congenital heart disease in the United States.International journal of cardiology. Congenital heart disease · 2025Article
- Pediatric cardiac intensivists in low-middle-income countries - necessity or dispensable luxury?Indian journal of thoracic and cardiovascular surgery · 2025Review
- A quality improvement study on how a simulation model can help decision making on organization of ICU wards.BMC health services research · 2024Article
- High variability in cardiac education and experiences during United States paediatric critical care fellowships.Cardiology in the young · 2023Review
- Staffing and workforce issues in the pediatric intensive care unit.Translational pediatrics · 2018Review
- Outcome of patients undergoing open heart surgery at the Uganda heart institute, Mulago hospital complex.African health sciences · 2014Article
- Pediatric cardiac intensive care units: The way forward.Annals of pediatric cardiology · 2011Article
- The outcome of surgery for congenital heart disease in India: A systematic review and metanalysis.Annals of pediatric cardiologyArticle
- Beyond the operating room: Integrating pediatric cardiac anesthesiology and critical care in India - Towards a collaborative model.Annals of pediatric cardiologyArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
INTRODUCTION AND
aimFocussed cardiac intensive care is known to produce better outcomes. We have evaluated the benefits of a dedicated Pediatric Cardiac Intensive Care Unit (PCICU) in the early postoperative outcomes of patients undergoing surgery for congenital heart disease.
methodsProspectively collected data of 634 consecutive patients who underwent congenital heart surgery from September 2008 to September 2009 were analyzed. Midway through this period a dedicated PCICU was started. The patients who were treated in this new PCICU formed the study group (Group B, n = 318). The patients who were treated in a common postoperative cardiac surgery ICU formed the control group (Group A, n = 316). Early postoperative outcomes between the two groups were compared.
resultsThe two groups were comparable with respect to demographic data and intraoperative variables. The duration of mechanical ventilation in the dedicated pediatric cardiac ICU group (32.22 ± 52.02 hours) was lower when compared with the combined adult and pediatric surgery ICU group (42.92 ± 74.24 hours, P= 0.04). There was a shorter duration of ICU stay in the dedicated pediatric cardiac ICU group (2.69 ± 2.9 days vs. 3.43 ± 3.80 days, P = 0.001). The study group also showed a shorter duration of inotropic support and duration of invasive lines. The incidence of blood stream infections was also lower in the dedicated pediatric ICU group (5.03 vs. 9.18%, P = 0.04). A subgroup analysis of neonates and infants <1 year showed that the advantages of a dedicated pediatric intensive care unit were more pronounced in this group of patients.
conclusionsEstablishment of a dedicated pediatric cardiac intensive care unit has shown better outcomes in terms of earlier extubation, de-intensification, and discharge from the ICU. Blood stream infections were also reduced.
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