What question did this study set out to answer?

To evaluate the incidence of hospital-acquired infections and identify independent clinical risk factors following cardiac surgery in pediatric patients with congenital heart disease.

October 18, 2023The Turkish Journal of PediatricsOpen Access

Risk factors for and incidence of hospital-acquired infections after cardiac surgery in children with congenital heart disease: a single center experience

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Authors

NCNimet CındıkUniversity of Health Sciences Antigua MGMahmut GökdemirBaşkent University MÇMehmet ÇelıkKartal Koşuyolu High Specialization Training and Research Hospital

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Implication

Cohort study reveals high incidence and risk factors for hospital-acquired infections after pediatric cardiac surgery, indicating a need for targeted prevention in vulnerable infants.

Key Points

To evaluate the incidence of hospital-acquired infections and identify independent clinical risk factors following cardiac surgery in pediatric patients with congenital heart disease.
Retrospective cohort analysis of 574 pediatric patients undergoing congenital heart surgery and admitted to a single cardiothoracic intensive care unit from September 2016 to December 2020.
Patients were categorized across four age strata (0-1 month, 1-6 months, 6-12 months, and 1-18 years) and evaluated for infection risk factors using multivariable logistic regression.
Hospital-acquired infections developed in 223 of 574 patients (38.9%), resulting in 21 infection-related deaths.
Independent risk factors included surgical weight < 5 kg (OR: 2.55; 95% CI: 1.56-4.17; p < 0.001), preoperative mechanical ventilation (OR: 2.00; 95% CI: 1.26-3.12; p = 0.003), and surgical complexity score 3 (OR: 3.13; 95% CI: 1.24-7.92; p = 0.016).
Presence of a concomitant syndrome (OR: 1.56; 95% CI: 1.02-2.88; p = 0.040) and age (OR: 1.01; 95% CI: 1.01-1.04; p = 0.044) also independently predicted infection occurrence.

Cite This Study

Cındık et al. (2023) studied this question.

synapsesocial.com/papers/6a98d93508ab6325d2e10ecf https://doi.org/10.24953/turkjped.2022.169

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Implication

Cohort study reveals high incidence and risk factors for hospital-acquired infections after pediatric cardiac surgery, indicating a need for targeted prevention in vulnerable infants.

Risk factors for and incidence of hospital-acquired infections after cardiac surgery in children with congenital heart disease: a single center experience

Discussion

Member takes

Implication

Key Points

Cite This Study

Risk factors for and incidence of hospital-acquired infections after cardiac surgery in children with congenital heart disease: a single center experience

Discussion

Member takes

Implication

Key Points

Cite This Study

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