ArticleTurk gogus kalp damar cerrahisi dergisi2023
Assessment of the factors that affect fast-track or early extubation following pediatric cardiac surgery.
Article in Turk gogus kalp damar cerrahisi dergisi, 2023. 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.
- Frequency and determinants of reintubation following pediatric cardiac surgery.Turk gogus kalp damar cerrahisi dergisi · 2026Article
- Nadir Oxygen Delivery During Pediatric Cardiopulmonary Bypass and Postoperative Acute Kidney Injury: A Pilot Cohort Study.Children (Basel, Switzerland) · 2026Article
- Perioperative Factors and Radiographic Brixia Scores' Effect on Early Extubation After Fallot Tetralogy Surgery.Journal of clinical medicine · 2026Article
- Clinical Characteristics and Outcomes of Patients with Constrictive Pericarditis Following Pericardiectomy: An Observational Study.JNMA; journal of the Nepal Medical Association · 2025Observational
- Review
- Response to Letter to the Editor: A closer look at fast-tracking research in pediatric cardiac surgery.Turk gogus kalp damar cerrahisi dergisi · 2023Article
- A closer look at fast-tracking research in pediatric cardiac surgery.Turk gogus kalp damar cerrahisi dergisi · 2023Article
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9 authors.
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Abstract
Background: This study aims to evaluate the early extubation rate and the factors affecting early extubation in pediatric patients undergoing cardiac surgery. Methods: Between August 1st, 2020 and December 1st, 2021, a total of 528 pediatric patients (264 males, 264 females; median age: 4 months; range, 2 days to 24 months) who were followed in the pediatric cardiac intensive care unit after congenital heart surgery were retrospectively analyzed. Demographic and clinical characteristics of the patients including operation and intensive care data were obtained from the medical records. Patients included in the study were categorized into three groups as the group of patients who were extubated in the operating room (fast-track extubation), the group of patients who were extubated in the first 6 h of the operation (early extubation), the group of patients who were extubated after the postoperative 6 h or the group of patients who were not extubated or died (delayed extubation). Results: Sixty-eight (12.9%) cases had fast-tract extubation, 124 (23.6%) cases had early extubation, and 335 (63.6%) cases had delayed extubation. The median age of the patients in the delayed extubation group was three months, which was significantly lower than those of the other groups (p<0.05). Reintubation rates were 1.5% in the fast-tract extubation group, 2.5% in early extubation group, and 9% in delayed extubation group (p<0.05). The median intensive care unit stay was 3, 5, and 10 days, respectively (p<0.05). Length of hospitalization was significantly higher in the delayed extubation group compared to the other groups (p<0.05). Neonatal age group, Risk Adjustment for Congenital Heart Surgery 1 score >4, Society of Thoracic Surgeons- European Association for Cardio-Thoracic Surgery mortality category >3, cardiopulmonary bypass time >100/min, vasoactive inotrope score >8, acute kidney injury >2, and low weight were found to be independent risk factors for delayed extubation. Conclusion: Fast-track and early extubation can be successfully applied with low reintubation rates in selected cases with congenital heart surgery. Age, body weight, presence of genetic syndrome, operational risk category, and procedure time may affect the extubation time.
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