Abstract
The management of fluid overload after congenital heart surgery has been limited to diuretics, fluid restriction, and dialysis. This study was conducted to determine the association between peritoneal dialysis and important clinical outcomes in children undergoing congenital heart surgery. A retrospective review was conducted to identify patients under 18 years of age who underwent congenital heart surgery. The data were obtained over a 16-year period (1997-2012) from the Kids' Inpatient Database. Data analysed consisted of demographics, diagnoses, type of congenital heart surgery, length of stay, cost of hospitalisation, and mortality. Logistic regression was performed to determine factors associated with peritoneal dialysis. A total of 46,176 admissions after congenital heart surgery were included in the study. Of those, 181 (0.4%) utilised peritoneal dialysis. The mean age of the peritoneal dialysis group was 7.6 months compared to 39.6 months in those without peritoneal dialysis. The most common CHDs were atrial septal defect (37%), ventricular septal defect (32.6%), and hypoplastic left heart syndrome (18.8%). Univariate analyses demonstrated significantly greater length of stay, cost of admission, and mortality in those w...Continue Reading
References
Oct 1, 1992·Pediatric Cardiology·R M GiuffreR M Freedom
Feb 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·F FlemingW G Williams
Jan 1, 1997·The Journal of Thoracic and Cardiovascular Surgery·H A WernerJ G LeBlanc
Sep 29, 1999·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·J M SorofC D Fraser
Jul 17, 2001·Pediatric Cardiology·J E Kist-van Holthe tot EchtenM G Hazekamp
Nov 7, 2003·The Annals of Thoracic Surgery·Kwok-lap ChanYiu-fai Cheung
Jun 18, 2004·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jan-Peter BraunJianshi Liu
Nov 23, 2006·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Tijen AlkanAydn Aytaç
May 12, 2009·Seminars in Dialysis·Stuart L Goldstein
Oct 20, 2009·The Journal of Thoracic and Cardiovascular Surgery·Sean M O'BrienFred H Edwards
Jan 1, 2010·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Scott M SutherlandStuart L Goldstein
May 3, 2011·Intensive Care Medicine·David T SelewskiMichael Heung
May 25, 2012·Kidney International·Mirela BojanPhilippe Pouard
Jun 2, 2012·Critical Care : the Official Journal of the Critical Care Forum·Anna SteinMaria Cláudia Irigoyen
Aug 11, 2012·The Journal of Pediatrics·Catherine J MorganUNKNOWN Western Canadian Complex Pediatric Therapies Follow-Up Group
Nov 13, 2012·The Journal of Thoracic and Cardiovascular Surgery·Arin L MadenciChristopher B Weldon
Nov 28, 2012·Renal Failure·Emre ÖzkerRiza Türköz
Jul 13, 2013·Journal of Pediatric Surgery·Arin L MadenciChristopher B Weldon
Feb 8, 2014·The Journal of Thoracic and Cardiovascular Surgery·David M KwiatkowskiDavid S Cooper
Sep 26, 2014·Medicine·Qiang ChenJia-Jun He
Mar 31, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Nicole S WilderNeal B Blatt
Dec 14, 2016·The New England Journal of Medicine·Ahmad KaddourahUNKNOWN AWARE Investigators
Feb 28, 2017·JAMA Pediatrics·David M KwiatkowskiCatherine D Krawczeski
Jul 22, 2017·Journal of Intensive Care·Yuichiro Toda, Kentaro Sugimoto
Oct 17, 2018·World Journal for Pediatric & Congenital Heart Surgery·Matthew F BarhightKatja M Gist
Dec 6, 2018·Journal of Clinical Medicine·Vladimir MilovanovicSlobodan Ilic
Jan 4, 2019·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Allison C Redpath MahonUNKNOWN SCOPE Investigators
Apr 27, 2019·The Annals of Thoracic Surgery·Saul FloresFares Alahdab