Universität zu Köln

Geier, Luisa, Menzel, Christoph, Germund, Ingo and Trieschmann, Uwe ORCID: 0000-0003-2529-9005 (2020). RACHS-1 score as predictive factor for postoperative ventilation time in children with congenital heart disease. Cardiol. Young, 30 (2). S. 213 - 219. CAMBRIDGE: CAMBRIDGE UNIV PRESS. ISSN 1467-1107

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Abstract

Background: Congenital heart disease is the most frequent malformation in newborns. The postoperative mortality of these patients can be assessed with the Risk Adjustment in Congenital Heart Surgery-1 (RACHS-1) score. This study evaluates whether the RACHS-1 score can also be used as a predictor for the length of postoperative ventilation and what is the influence of age. Material and Methods: In a retrospective study over the period from 2007 to 2013, all patient records were evaluated: 598 children with congenital heart disease and cardiac surgery were identified and 39 patients have been excluded because of additional comorbidities. For evaluation of mortality, 559 patients could be analysed, after exclusion of 39 deceased patients, 520 cases remained for analysis of postoperative ventilation. Results: Overall mortality was 7% with a dependency on RACHS-1 categories. The median length of postoperative ventilation rose according to the RACHS-1 categories: RACHS-1 category 1: 9 hours (interquartile range (IQR) 7-13 hours), category 2: 30 hours (IQR 12-85 hours), category 4: 58 hours (IQR 13-135 hours), category 4: 71 hours (IQR 29-165 hours), and category 6: 189 hours (IQR 127-277 hours). Some of the RACHS-1 subgroups differed significantly from the categories, especially the repair of tetralogy of Fallot with a longer ventilation time and strong variability. Younger age was an independent factor for longer postoperative ventilation. Conclusion: RACHS-1 is a good predictor for the length of postoperative ventilation after cardiac surgery with the exception of some subgroups. Younger age is another independent factor for longer postoperative ventilation. These data provide better insight into ventilation times and allow better planning of operations in terms of available intensive care beds.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Geier, Luisa UNSPECIFIED UNSPECIFIED UNSPECIFIED Menzel, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Germund, Ingo UNSPECIFIED UNSPECIFIED UNSPECIFIED Trieschmann, Uwe UNSPECIFIED orcid.org/0000-0003-2529-9005 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-345780
DOI:	10.1017/S1047951120000025
Journal or Publication Title:	Cardiol. Young
Volume:	30
Number:	2
Page Range:	S. 213 - 219
Date:	2020
Publisher:	CAMBRIDGE UNIV PRESS
Place of Publication:	CAMBRIDGE
ISSN:	1467-1107
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PEDIATRIC CARDIAC-SURGERY; PROLONGED MECHANICAL VENTILATION; CATEGORIES REFLECT MORTALITY; EMPIRICALLY BASED TOOL; RISK-FACTORS; TETRALOGY; OUTCOMES; LENGTH; STAY Multiple languages Cardiac & Cardiovascular Systems; Pediatrics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34578