ArticleThe Annals of thoracic surgery2020
Intensive Care Unit and Acute Care Unit Length of Stay After Congenital Heart Surgery.
Article in The Annals of thoracic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Standardized Treatment and Diagnostic Approach to Reduce Disease burden in the early postoperative phase in children with congenital heart defects-STANDARD study: a pilot randomized controlled trial.European journal of pediatrics · 2023Trial
- Acuity of Patients Undergoing Congenital Heart Surgery During Hospitalization.Journal of the American Heart Association · 2026Article
- Adoption of a Pediatric Acute Care Cardiology Inpatient Model.JAMA network open · 2026Article
- Osteopathic Manipulative Treatment in 564 Children with Congenital Heart Disease: A Project Report.Children (Basel, Switzerland) · 2026Article
- Development and validation of a nomogram for predicting prolonged ICU stays after pediatric cardiac surgery.World journal of emergency medicine · 2025Article
- High Acuity Therapy Variation Across Pediatric Acute Care Cardiology Units: Results from the Pediatric Acute Care Cardiology Collaborative Hospital Surveys.Pediatric cardiology · 2021Article
- Severe Acute Respiratory Syndrome-Associated Coronavirus 2 Infection and Organ Dysfunction in the ICU: Opportunities for Translational Research.Critical care explorations · 2021Review
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
backgroundPostoperative length of stay (LOS) is an important quality metric and is known to vary widely across hospitals after congenital heart surgery. Whether this variability is explained by factors associated with the intensive care unit (ICU) or acute care unit (ACU) remains unclear. We evaluated the relationship between ICU and ACU LOS and the impact of ACU characteristics on postoperative LOS.
methodsHospitalizations for congenital heart surgery within the Pediatric Cardiac Critical Care Consortium (PC
resultsOverall, 19,674 hospitalizations across 27 hospitals were included. There was significant variation in ICU and ACU LOS. Postperative LOS appeared to be most closely related to ICU LOS; 75% (6 of 8) of hospitals with shorter than expected postoperative LOS also had shorter than expected ICU LOS. A clear relationship between postoperative and ACU LOS was not observed. Hospitals with an ACU able to provide higher-acuity care as indexed according to the PAC
conclusionsFor hospitals that achieve shorter than expected postoperative LOS after congenital heart surgery, ICU LOS appears to be the primary driver. Higher-acuity resources in the ACU may be an important factor facilitating earlier transfer from the ICU. These data are key to informing quality improvement initiatives geared toward reducing postoperative LOS.
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