ArticleAnnals of pediatric cardiology
Outcome of pediatric cardiac surgery and predictors of major complication in a developing country.
Article in Annals of pediatric cardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07059689 (High Flow Nasal Cannula vs. Non-Invasive Ventilation in Post-Extubation Pediatric Cardiac Surgery Patients), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
High Flow Nasal Cannula vs. Non-Invasive Ventilation in Post-Extubation Pediatric Cardiac Surgery Patients: A Randomized Controlled Trial
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Effect of Prophylactic Levosimendan on All-Cause Mortality in Pediatric Patients Undergoing Cardiac Surgery-An Updated Systematic Review and Meta-Analysis.Frontiers in pediatrics · 2020Pooled it
- Epidemiology of children and adolescents undergoing surgery at Mexican public hospitals: a retrospective registry-based analysis from 2010 to 2022.BMC pediatrics · 2026Article
- Invited Commentary: Local Strength, Global Lessons: Developing Sustainable Pediatric Cardiac Care in Vietnam.World journal for pediatric & congenital heart surgery · 2026Article
- Percutaneous device closure of iatrogenic right ventricular perforation during attempted ventricular septal defect closure: a case report.Oxford medical case reports · 2026Article
- Clinical outcomes of children operated for congenital heart diseases in Rwanda: a 14-year retrospective analysis.International journal of cardiology. Congenital heart disease · 2025Article
- Short term outcomes of the first pediatric cardiac surgery program in Rwanda.Journal of cardiothoracic surgery · 2024Article
- South-to-south collaboration to strengthen the health workforce: the case of paediatric cardiac surgery in Rwanda.BMJ global health · 2024Article
- Article
- Magnitude and Risk Factors for Paediatric Congenital Heart Surgery Complication and its association with Patient Outcomes in the Cardiac Center of Ethiopia.Ethiopian journal of health sciences · 2024Article
- Evaluation of perioperative risk factors in pediatric patients with left ventricle outflow tract obstruction.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2023Article
- Factors Predicting Early Major Adverse Events in the Intensive Care Unit After Successful Cardiac Surgery for Congenital Heart Disease in Full-Term Neonates.Brazilian journal of cardiovascular surgery · 2023Article
- Pediatric Cardiac Surgery in Ethiopia: A Single Center Experience in a Developing Country.Ethiopian journal of health sciences · 2023Article
- Predicting Factors for Mortality in Patients After the Modified Blalock-Taussig Shunt Procedure in Developing Countries: A Retrospective Study.International journal of general medicine · 2023Article
- Neutrophil Count as Atrioventricular Block (AVB) Predictor following Pediatric Heart Surgery.International journal of molecular sciences · 2022Article
- Value of troponin T measurements for prediction of postoperative course and length of ICU stay of children after surgical correction of congenital heart disease.Anaesthesiology intensive therapy · 2022Article
- Risk factors of postoperative low cardiac output syndrome in children with congenital heart disease: A systematic review and meta-analysis.Frontiers in pediatrics · 2022Review
- Central Venous Oxygen Saturation/Lactate Ratio and Prediction of Major Adverse Events After Pediatric Heart Surgery.Brazilian journal of cardiovascular surgery · 2021Observational
- Survival of Left-to-Right Shunt Repair in Children with Pulmonary Arterial Hypertension at a Tertiary Hospital in a Low-to-Middle-Income Country.Global heart · 2021Article
- Delayed diagnosis in children with congenital heart disease: a mixed-method study.BMC pediatrics · 2021Article
- Complications After Surgical Repair of Congenital Heart Disease in Infants. An Experience From Tertiary Care Center.Journal of the Saudi Heart Association · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvaluating outcome and identifying predictors of major complications among children undergoing cardiac surgery are essential to improve care. We evaluated short-term outcomes of postcardiac surgery and predictors of major complications in a national referral hospital in Indonesia.
methodsA prospective cohort study was conducted from April 2014 to March 2015 on all children undergoing cardiac surgery. Participants were followed up from the time of surgery until hospital discharge and 30-day mortality. We performed univariate and multivariate logistic regression using STATA 12-1 to identify predictors of postsurgical major complications.
resultsA total of 257 patients (median age: 36 months) were recruited; 217 (84.1%) had complications, including low cardiac output syndrome (19.8%), arrhythmia (18.6%), sepsis (17.4%), and pleural effusion (14.8%). Forty-nine (19%) patients had major complications, including cardiac arrest (5%), need for emergency chest opening (3.9%), and multiple organ failure (7.4%). 12.8% died during hospital stay, and 30-day mortality was 13.6%. Predictors of major complications were cyanotic congenital heart disease (odds ratio [OR]: 4.6, 95% confidence interval [CI]: 1.5-14.2), longer duration of cardiopulmonary bypass (CPB, OR: 4.4, 95% CI: 1.5-13.4), high inotropes (OR: 13.1, 95% CI: 3.2-54.2), and increase in lactate >0.75 mmol/L/h or more in the first 24 h (OR: 37.1, 95% CI: 10.1-136.3).
conclusionOne-fifth of children undergoing cardiac surgery experienced major complications with around 13% mortality. Cyanotic congenital heart disease, longer duration of CPB, high inotropes on leaving operating theater, and increase in blood lactate are associated with major complications in children after cardiac surgery.
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Registered trials
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