January 1, 2019Heart ViewsOpen Access

Incidence, risk factors, and outcome of cardiac arrhythmia postcardiac surgery in children

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Why the study?

The incidence, risk factors, and outcomes of postoperative cardiac arrhythmias in children undergoing cardiac surgery needed evaluation.

Population

Children <18 years of age undergoing cardiac surgery in a cardiac pediatric intensive care unit

Design

Retrospective observational study

Follow-up

72 h

Authors

SAShahzad AlamTeerthanker Mahaveer Medical College & Research Centre AJAkanksha JainUniversity of Delhi SVSKiran Viralam

Discussion

Member takes

Implication

Postoperative arrhythmia incidence, risks, and outcomes in children after cardiac surgery are characterized; hypothesis-generating and requires prospective validation before guiding practice.

Structured PICO

Population

536 children <18 years of age undergoing cardiac surgery at a pediatric cardiac ICU in India. Median age 16 months. Excluded patients with preexisting rhythm abnormality or transient rhythm abnormalities in the operation theater which did not recur postoperatively.

Outcome

Incidence of postoperative cardiac arrhythmias in the early postoperative period (72 h)hard clinical

In children undergoing cardiac surgery, postoperative arrhythmias occurred in 14.4% of cases and were independently associated with age <1 year, higher surgical complexity, and prolonged cross-clamp time.

Limitations

Possibility of missing data due to the retrospective nature of the study
Small study from a single center
Monitored on real-time monitors and confirmation was done by 12-lead ECG, which is a less sensitive method and could have missed few abnormalities
Could not establish the association of arrhythmia and specific procedure
Association of mortality and morbidity outcome with different arrhythmias was not studied

Cite This Study

Alam et al. (2019) studied this question.

synapsesocial.com/papers/6a766d2698f24dbf64bd2ddd https://doi.org/10.4103/heartviews.heartviews_88_18

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Implication

Postoperative arrhythmia incidence, risks, and outcomes in children after cardiac surgery are characterized; hypothesis-generating and requires prospective validation before guiding practice.

Incidence, risk factors, and outcome of cardiac arrhythmia postcardiac surgery in children

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Incidence, risk factors, and outcome of cardiac arrhythmia postcardiac surgery in children

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider