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Table 5 Perioperative outcomes between 2013–2017 and 2018–2022

From: Clinical characteristics and outcomes of patients who underwent neonatal cardiac surgery: ten years of experience in a tertiary surgery center

 

2013–2017

(n = 73)

2018–2022

(n = 151)

P value

Hospital mortality, n (%)

16 (21.9)

16 (10.6)

0.023

Mortality of STAT1-3, n (%)

11 (19.0)

7 (8.5)

0.069

Mortality of STAT4-5, n (%)

4 (26.7)

9 (13.0)

0.186

Age at admission, days

8 (3–14)

2 (0–13)

0.005

Age at surgery, days

12 (8–20)

12 (6–19)

0.465

Weight, kg

3.5 (3.0–4.0)

3.3 (2.9–3.7)

0.008

Male, n (%)

53 (72.6)

98 (64.9)

0.249

Gestational age, weeks

38 (37–38)

39 (38–39)

0.000

 < 37 wk n (%)

2 (2.7)

12 (7.9)

0.131

Prenatal diagnosis of CHD, n (%)

19 (26.0)

108 (71.5)

0.000

Preoperative location, n (%)

  

0.000

 Pediatric ward

61 (83.6)

24 (15.9)

 

 NICU

8 (11.0)

12 (7.9)

 

 CICU

4 (5.5)

115 (76.2)

 

Preoperative emergent resuscitation, n (%)

16 (21.9)

16 (10.6)

0.023

Emergent procedure, n (%)

15 (20.5)

15 (9.9)

0.029

Preoperative vasoactive support, n (%)

13 (17.8)

31 (20.5)

0.631

Preoperative respiratory support, n (%)

  

0.245

 Room air

55 (75.3)

100 (66.2)

 

 Noninvasive ventilation

5 (6.8)

21 (13.9)

 

 Invasive mechanical ventilation

13 (17.8)

30 (19.9)

 

STAT, n (%)

  

0.000

 1

1 (1.4)

15 (9.9)

 

 2

49 (67.1)

55 (36.4)

 

 3

8 (11.0)

12 (7.9)

 

 4

15 (20.5)

68 (45.0)

 

 5

0 (0)

1 (0.7)

 

Preoperative lac, mmol/L

2.3 (1.3–4.3)

1.5 (1.0–2.6)

0.001

Lactate on ICU arrival, mmol/L

4.0 (2.7–6.6)

2.9 (1.7–4.8)

0.007

Lac on 24 h after operation, mmol/L

3.0 (1.9–5.1)

2.2 (1.5–3.4)

0.005

Bypass, n (%)

69 (94.5)

141 (93.4)

0.74

Bypass time, minutes

170 (119–224)

145 (100–187)

0.134

Aortic cross‑clamp time, minutes

95 (50–125)

76 (53–106)

0.192

Circulatory arrest

5 (6.8)

25 (16.6)

0.046

Postoperative mechanical ventilation, hours

96 (66–142)

93 (47–142)

0.416

Postoperative ICU LOS, days

9 (7–13)

11 (8–16)

0.053

Postoperative hospital LOS, days

13 (10–18)

15 (11–20)

0.124

VIS

15 (9–22)

10 (7–18)

0.002

ECMO use

2 (2.7)

7 (4.6)

0.498

Delayed sternal closure

29 (39.7)

38 (25.2)

0.026

Peritoneal dialysis

14 (19.2)

31 (20.5)

0.813

Residual lesion, n (%)

6 (8.2)

15 (9.9)

0.680

Extubation failure, n (%)

10 (13.7)

13 (8.6)

0.240