Key result
The VVR score at 48 hours postoperatively was strongly associated with prolonged ICU length of stay (OR 1.24) and mortality (OR 1.16) in children recovering from cardiac surgery.
Why the study?
Does the vasoactive-ventilation-renal (VVR) score predict prolonged LOS and mortality in children postcardiac surgery?
Cohort (n=1,097)
No
Does the vasoactive-ventilation-renal (VVR) score predict prolonged LOS and mortality in children postcardiac surgery?
Odds Ratio: 1.24 (95% CI 1.19–1.29)
p-value: p=0.000
The VVR score at 48 hours is an effective bedside method to predict prolonged length of stay and mortality in children following cardiac surgery.
May inform early risk stratification after pediatric cardiac surgery; leaves open prospective validation before routine use.
OBJECTIVE: The objective of this study was to evaluate vasoactive-ventilation-renal (VVR) score to predict outcome postcardiac surgery in children and establish the time at which the score is best to predict outcome. MATERIALS AND METHODS: percentile) and ICU mortality. Correlation between the outcome and scores was obtained and receiver operating characteristic (ROC) curves generated. Independent association of the scores with the outcome was also established. RESULTS: = 0.000). CONCLUSION: VVR score is effective and robust bedside method to predict prolonged LOS and mortality postpediatric cardiac surgery. VVR score at 48 h was the best to predict outcome.
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Akunuri et al. (2018) conducted a cohort in Congenital heart disease requiring cardiac surgery (n=1,097). Vasoactive-ventilation-renal (VVR) score at 48 hours vs. Lower VVR score was evaluated on Prolonged length of ICU stay (>89 hours) (OR 1.24, 95% CI 1.19-1.29, p=0.000). The VVR score at 48 hours postoperatively was strongly associated with prolonged ICU length of stay (OR 1.24) and mortality (OR 1.16) in children recovering from cardiac surgery.
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