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- W3134688081 abstract "Aims & Objectives: Prolonged Aortic cross clamp (XCT) and cardiopulmonary bypass time (CPBT) are associated with increased morbidity and mortality following cardiac surgery. The aim of this study was to assess the relation with adverse outcomes, length of stay (LOS), lenght of mechanical ventilation (LMV) and mortality. Methods: A retrospective single-center study was conducted from January 2015 to December 2019, including all pediatric patients with congenital heart disease undergoing cardiac surgery. Results: During the period, 961 patients were studied. We divide them in two groups, Group 1 CPBT <120 min and XCT <90 min, Group 2 with prolonged CPBT >120 min and XCT > 90 min. Group 2 included 36.5% of the patients. In which 28% developed acute kidney injury, 24% cardiac failure, 5.4% neurological disorders and 1% hepatic failure. Mortality in Group 2 was 70% (p <0.05, OR 5.5 CI 3.7-8.1) in comparison with Group 1 with 30%. The median time in Group 2 was CPBT 174.61± 90.5 s and XCT 98.89 s± 66.2 s (p<0.05). Group 2 had higher LOS and LMV than Group 1 (p<0.05). Conclusions: In our study, pronlonged CPBT and XCT was associated with higher morbidity and mortality, LOS and prolonged duration of mechanical ventilation. Identifying these risk factors in our patients may predict early postoperative outcomes." @default.
- W3134688081 created "2021-03-15" @default.
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- W3134688081 date "2021-03-01" @default.
- W3134688081 modified "2023-10-12" @default.
- W3134688081 title "P0343 / #1255: ASSOCIATION BETWEEN PROLONGED CARDIOPULMONARY BYPASS AND AORTIC CROSS CLAMP TIME WITH EXTRACARDIAC OUTCOMES AFTER PEDIATRIC CARDIAC SURGERY." @default.
- W3134688081 doi "https://doi.org/10.1097/01.pcc.0000739712.50153.a3" @default.
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