Table 1.
Demographic and perioperative data
| Demographic data | Total (n = 93) |
ventilation < 48 hours (n = 34) |
ventilation ≥ 48 hours (n = 59) |
p-value | OR | 95%CI | p-value | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Age (day) | 4.0 (3.0–5.0) | 3.5 (3.0–5.0) | 4.0 (3.0–5.0) | 0.160 | |||||||
| Gestational age (wk) | 38.5 ± 1.7 | 39.0 ± 0.7 | 38.2 ± 0.2 | 0.016 | 1.26 | 0.98–1.62 | 0.07 | ||||
| Gestational age < 37 wks | 10 (11.1%) | 0 (0.0%) | 10 (17.5%) | 0.011 | n/a | ||||||
| Male gender | 64 (68.8%) | 23 (67.6%) | 41 (69.5%) | 0.85 | |||||||
| Weight (kg) | 3.3 ± 0.5 | 3.4 ± 0.4 | 3.2 ± 0.6 | 0.150 | |||||||
| Chromosome abnormality | 11 (11.8%) | 3 (8.8%) | 8 (13.6%) | 0.740 | |||||||
| Preoperative mechanical ventilation | 71 (76.3%) | 28 (82.4%) | 43 (72.9%) | 0.450 | |||||||
| Balloon atrial septostomy | 42 (45.2%) | 17 (50.0%) | 25 (42.4%) | 0.520 | |||||||
| Preoperative Hb (g/dL) | 14.1 ± 1.9 | 14.3 ± 1.6 | 13.9 ± 2.0 | 0.350 | |||||||
| Preoperative platelet (per uL) | 239.7 ± 66.4 | 245.4 (69.6) | 236.4 ± 64.9 | 0.530 | |||||||
| Preoperative lactate (mmol/L) | 2.1 ± 0.7 | 2.1 ± 0.6 | 2.2 ± 0.8 | 0.510 | |||||||
| Intraoperative and CPB data | |||||||||||
| CPB time (min) | 180.9 ± 39.0 | 183.5 ± 40.9 | 179.4 ± 38.1 | 0.630 | |||||||
| Cross-clamp time (min) | 122.9 ± 23.8 | 130.5 ± 27.9 | 118.5 ± 20.1 | 0.018 | 0.98 | 0.96–1.00 | 0.02 | ||||
| Circulatory arrest | 19 (20.4%) | 5 (14.7%) | 14 (23.7%) | 0.420 | |||||||
| Modified ultrafiltration | 73 (78.5%) | 30 (88.2%) | 43 (72.9%) | 0.120 | |||||||
| CPB crystalloid (ml) | 370.0 (250.0–520.0) | 362.5 (292.5–520.0) | 370.0 (245.0–540.0) | 0.960 | |||||||
| Surgical duration (hour) | 5.8 ± 1.0 | 5.7 ± 0.9 | 5.8 ± 1.0 | 0.430 | |||||||
| Delayed sternal closure | 14 (15.1%) | 0 (0.0%) | 14 (23.7%) | 0.002 | n/a | ||||||
| Intraoperative lactate | 1.7 ± 0.7 | 1.6 ± 0.7 | 1.8 ± 0.7 | 0.280 | |||||||
| Post CPB lactate | 3.2 ± 0.6 | 3.1 ± 0.6 | 3.2 ± 0.6 | 0.550 | |||||||
| Tranexamic acid (mg/kg) | 233.0 ± 40.8 | 234.4 ± 58.6 | 232.1 ± 26.0 | 0.790 | |||||||
| Post CPB PRC (ml) | 0.0 (0.0–0.0) | 0.0 (0.0–0.0) | 0.0 (0.0–0.0) | 0.290 | |||||||
| Post CPB salvaged blood (ml/kg) | 22.8 (14.5–35.7) | 17.1 (14.3–27.4) | 29.6 (15.5–41.9) | 0.007 | 1.04 | 1.01–1.08 | 0.01 | ||||
| post CPB FFP (ml/kg) | 0.0 (0.0–0.0) | 0.0 (0.0–0.0) | 0.0 (0.0–0.0) | 0.450 | |||||||
| Post CPB cryoprecipitate (ml/kg) | 7.8 (0.0–13.6) | 5.2 (0.0–8.6) | 8.3 (0.0–17.8) | 0.014 | 1.09 | 1.02–1.16 | 0.01 | ||||
| Post CPB platelet (ml/kg) | 19.8 (14.3–30.3) | 18.5 (13.9–22.2) | 22.5 (14.3–33.3) | 0.043 | 1.04 | 1.01–1.08 | 0.03 | ||||
| Post-CPB transfused volume (ml/kg) | 54.0 (36.2–74.2) | 41.2 (34.4–55.0) | 58.5 (42.3–86.2) | 0.002 | 1.03 | 1.01 | 1.05 | 0.009 | |||
| Post CPB epinephrine use | 58 (62.4%) | 20 (58.8%) | 38 (64.4%) | 0.660 | |||||||
| Postoperative data, outcomes | |||||||||||
| Mechanical ventilation (hour) | 66.8 (41.7–94.5) | 33.5 (24.8–42.9) | 90.3 (68.6–124.8) | <0.001 | |||||||
| ICU length-of-stay (hour) | 190.3 (141.6–249.8) | 149.4 (118.2–183.6) | 225.9 (174.7–323.7) | <0.001 | |||||||
| Respiratory complications | 10 (11.5%) | 4 (13.3%) | 6 (10.5%) | 0.730 | |||||||
| Postoperative infection (any) | 7 (7.5%) | 3 (8.8%) | 4 (6.8%) | 0.700 | |||||||
| Pacemaker insertion | 29 (31.2%) | 10 (29.4%) | 19 (32.2%) | 0.820 | |||||||
| Fluid balance POD0 (ml/kg) | 3.2 (−9.7–18.4) | 4.6 (−2.2–14.3) | 2.6 (−12.7–20.3) | 0.600 | |||||||
| Fluid balance POD1 (ml/kg) | −5.2 (−44.8–30.6) | −30.5 (−50.3–12.0) | 5.6 (−32.8–42.7) | 0.024 | 1.00 | 1.00–1.01 | 0.03 | ||||
| Fluid balance POD2 (ml/kg) | −50.9 (−80.6-−28.2) | −44.2 (−75.3-−27.4) | −53.4 (−103.9-−31.9) | 0.290 | |||||||
| PRC transfusion on POD0 | 16 (17.2%) | 5 (14.7%) | 11 (18.6%) | 0.780 | |||||||
| PRC transfusion on POD1 | 15 (16.1%) | 2 (5.9%) | 13 (22.0%) | 0.046 | 4.52 | 0.95–21.42 | 0.06 | ||||
| Postoperative to 24hr minimum Hb (g/dL) | 13.4 (12.5–14.4) | 14.0 (13.3–14.6) | 13.0 (12.2–14.0) | 0.004 | 0.67 | 0.49–0.92 | 0.01 | ||||
| 24 to 48hr minimum (g/dL) | 13.5 (11.7–14.7) | 13.4 (11.7–14.4) | 13.7 (11.6–14.9) | 0.670 | |||||||
| Thromboelastogram data | |||||||||||
| Angle | |||||||||||
| Rewarm | 55.1 (50.1–62.2) | 54.0 (49.8–63.3) | 55.4 (50.4–61.6) | 0.980 | |||||||
| ICU admission | 64.0 (49.9–71.1) | 58.1 (49.5–70.5) | 64.8 (53.2–71.4) | 0.370 | |||||||
| POD1 | 70.5 (66.7–74.2) | 70.4 (62.7–72.6) | 70.9 (66.9–75.1) | 0.190 | |||||||
| Reaction (R) | |||||||||||
| Rewarm | 3.5 (2.8–5.1) | 3.8 (2.8–5.1) | 3.3 (2.8–5.0) | 0.470 | |||||||
| ICU admission | 2.0 (1.3–4.6) | 2.1 (1.3–6.7) | 1.9 (1.2–4.5) | 0.650 | |||||||
| POD1 | 1.3 (1.1–1.8) | 1.5 (1.2–5.2) | 1.3 (1.0–1.7) | 0.051 | |||||||
| Maximum amplitude (MA) | 45.7 (40.1–53.3) | 47.0 (40.2–56.4) | 45.4 (40.1–51.0) | 0.300 | |||||||
| Rewarm | |||||||||||
| ICU admission | 52.2 (40.0–63.4) | 45.1 (40.0–61.9) | 54.8 (40.0–64.7) | 0.250 | |||||||
| POD1 | 66.5 (60.9–73.3) | 62.6 (58.5–69.0) | 67.6 (61.6–73.6) | 0.060 | |||||||
| Clotting (K) | |||||||||||
| Rewarm | 6.9 (5.8–8.8) | 6.6 (5.7–8.3) | 7.2 (5.9–9.3) | 0.360 | |||||||
| ICU admission | 6.3 (5.3–7.5) | 5.9 (4.5–7.5) | 6.7 (5.6–7.9) | 0.200 | |||||||
| POD1 | 6.5 (5.5–7.2) | 5.9 (2.1–7.0) | 6.7 (5.6–7.4) | 0.097 | |||||||
| Respiratory variables | |||||||||||
| P/F ratios | |||||||||||
| Intraoperative | 55.9 (49.1–65.9) | 53.8 (48.6–61.2) | 57.7 (49.7–68.3) | 0.087 | |||||||
| Post CPB | 198.0 (113.0–313.0) | 188.0 (111.0–306.0) | 216.0 (113.0–344.0) | 0.630 | |||||||
| ICU admission | 255.0 (167.5–348.0) | 197.0 (164.0–302.0) | 271.5 (191.0–380.0) | 0.029 | 1.00 | 1.00–1.01 | 0.03 | ||||
| 6-hour | 303.0 (251.0–368.5) | 285.5 (252.0–380.0) | 313.0 (245.0–360.0) | 0.650 | |||||||
| 12-hour | 335.0 (253.0–413.0) | 341.5 (272.5–424.5) | 303.0 (246.0–413.0) | 0.410 | |||||||
| 24-hour | 350.0 (271.0–410.0) | 395.0 (310.0–420.0) | 329.0 (255.5–386.5) | 0.021 | 0.99 | 0.98–1.00 | 0.02 | ||||
| 48-hour | 347.5 (273.0–404.0) | 347.5 (273.0–404.0) | |||||||||
| P/F ratio <300 | |||||||||||
| ICU admission | 58 (63.0%) | 25 (73.5%) | 33 (56.9%) | 0.120 | |||||||
| 6-hour | 42 (47.7%) | 19 (55.9%) | 23 (42.6%) | 0.280 | |||||||
| 12-hour | 37 (43.5%) | 11 (34.4%) | 26 (49.1%) | 0.260 | |||||||
| 24-hour | 26 (34.7%) | 2 (10.5%) | 24 (42.9%) | 0.012 | 6.38 | 1.34–30.27 | 0.02 | ||||
| 48-hour | 16 (33.3%) | 16 (33.3%) | |||||||||
| P/F ratio <200 | |||||||||||
| ICU admission | 33 (35.9%) | 18 (52.9%) | 15 (25.9%) | 0.013 | 0.31 | 0.13–0.76 | 0.01 | ||||
| 6-hour | 10 (11.4%) | 4 (11.8%) | 6 (11.1%) | 1.000 | |||||||
| 12-hour | 9 (10.6%) | 3 (9.4%) | 6 (11.3%) | 1.000 | |||||||
| 24-hour | 6 (8.0%) | 0 (0.0%) | 6 (10.7%) | 0.330 | |||||||
| 48-hour | 2 (4.2%) | 2 (4.2%) | |||||||||
| Oxygenation index | |||||||||||
| ICU admission | 3.6 (2.5–5.5) | 4.1 (3.1–5.9) | 3.3 (2.3–4.7) | 0.067 | |||||||
| 6-hour | 3.0 (2.2–3.7) | 3.1 (2.1–3.5) | 2.9 (2.3–3.7) | 0.860 | |||||||
| 12-hour | 2.3 (1.8–3.4) | 2.1 (1.8–3.0) | 2.6 (1.9–3.7) | 0.200 | |||||||
| 24-hour | 2.3 (2.0–3.2) | 2.2 (1.9–2.5) | 2.5 (2.0–3.4) | 0.073 | |||||||
| 48-hour | 2.6 (2.0–3.1) | 2.6 (2.0–3.1) | |||||||||
| Oxygen saturation index | |||||||||||
| ICU admission | 5.0 (4.0–6.9) | 4.7 (3.6–5.6) | 5.1 (4.2–8.0) | 0.088 | |||||||
| 6-hour | 3.6 (3.2–4.4) | 3.6 (3.2–4.1) | 3.7 (3.2–4.4) | 0.380 | |||||||
| 12-hour | 3.2 (2.8–3.7) | 3.2 (2.8–3.6) | 3.2 (2.8–4.0) | 0.160 | |||||||
| 24-hour | 3.2 (2.8–3.6) | 3.2 (2.5–3.6) | 3.2 (2.8–3.6) | 0.740 | |||||||
| 48-hour | 3.2 (2.7–3.6) | 3.2 (2.7–3.6) | |||||||||
Note: data are presented as n (%), mean ± SD, or median (IQR); OR, crude odds ratio
Abbreviations: CPB, cardiopulmonary bypass; PRC, packed red cells; FFP, fresh frozen plasma; POD, postoperative day; Hb, hemoglobin; P/F ratio, PaO2/FiO2 ratio