Predictors of increased postoperative length of stay after complete atrioventricular canal repair Article Swipe
Alyssa Habermann
,
James M. Meza
,
Ashley N. Dischinger
,
Lillian Kang
,
Neel K. Prabhu
,
Abigail R. Benkert
,
Joseph W. Turek
,
Nicholas D. Andersen
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1017/s1047951122003067
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1017/s1047951122003067
Background: The optimal timing of surgical repair for infants with complete atrioventricular canal defect remains controversial, as there are risks to both early and late repair. We address this debate by investigating the association of various risk factors, including age and weight at surgery, markers of failure to thrive, and pulmonary vascular disease, with postoperative length of stay following complete atrioventricular canal repair. Methods: Infants who underwent repair of complete atrioventricular canal were identified from our institutional Society of Thoracic Surgeons Congenital Heart Surgery Database. Additional clinical data were collected from the electronic medical record. Descriptive statistics were computed. Associations between postoperative length of stay and covariates of interest were evaluated using linear regression with bootstrap aggregation. Results: From 2001 to 2020, 150 infants underwent isolated complete atrioventricular canal repair at our institution. Pre-operative failure to thrive and evidence of pulmonary disease were common. Surgical mortality was 2%. In univariable analysis, neither weight nor age at surgery were associated with mortality, postoperative length of stay, duration of mechanical ventilation, or post-operative severe valvular regurgitation. In multivariable analysis of demographic and preoperative clinical factors using bootstrap aggregation, increased postoperative length of stay was only significantly associated with previous pulmonary artery banding (33.9 day increase, p = 0.03) and preoperative use of supplemental oxygen (19.9 day increase, p = 0.03). Conclusions: Our analysis shows that previous pulmonary artery banding and preoperative use of supplemental oxygen were associated with increased postoperative length of stay after complete atrioventricular canal repair, whereas age and weight were not. These findings suggest operation prior to the onset of pulmonary involvement may be more important than reaching age or weight thresholds.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1017/s1047951122003067
- OA Status
- green
- Cited By
- 2
- References
- 18
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4297457322
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4297457322Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1017/s1047951122003067Digital Object Identifier
- Title
-
Predictors of increased postoperative length of stay after complete atrioventricular canal repairWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-09-28Full publication date if available
- Authors
-
Alyssa Habermann, James M. Meza, Ashley N. Dischinger, Lillian Kang, Neel K. Prabhu, Abigail R. Benkert, Joseph W. Turek, Nicholas D. AndersenList of authors in order
- Landing page
-
https://doi.org/10.1017/s1047951122003067Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.ncbi.nlm.nih.gov/pmc/articles/11075806Direct OA link when available
- Concepts
-
Medicine, Atrioventricular canal, Atrioventricular Septal Defect, Surgery, Failure to thrive, Pulmonary artery banding, Mechanical ventilation, Regurgitation (circulation), Cardiology, Heart disease, Pulmonary artery, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2Per-year citation counts (last 5 years)
- References (count)
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18Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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