Effect of timing of cannulation on outcome for pediatric extracorporeal life support.
Pediatr Surg Int
; 32(7): 665-9, 2016 Jul.
Article
em En
| MEDLINE
| ID: mdl-27220493
ABSTRACT
PURPOSE:
Literature reports worse outcomes for operations performed during off-hours. As this has not been studied in pediatric extracorporeal life support (ECLS), we compared complications based on the timing of cannulation..METHODS:
This is a retrospective review of 176 pediatric ECLS patients between 2004 and 2015. Patients cannulated during daytime hours (700 A.M. to 700 P.M., M-F) were compared to off-hours (nighttime or weekend) using t-test and Chi-square.RESULTS:
The most common indications for ECLS were congenital diaphragmatic hernia (33 %) and persistent pulmonary hypertension (23 %). When comparing regular hours (40 %) to off-hours cannulation (60 %), there were no significant differences in central nervous system complications, hemorrhage (extra-cranial), cannula repositioning, conversion from venovenous to venoarterial, mortality on ECLS, or survival-to-discharge. The overall complication rate was slightly lower in the off-hours group (45.7 % versus 61.9 %, P = 0.034).CONCLUSION:
Outcomes were not significantly worse for patients undergoing ELCS cannulation during off-hours compared to normal weekday working hours.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Anormalidades Congênitas
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Cateterismo
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Oxigenação por Membrana Extracorpórea
Tipo de estudo:
Observational_studies
Limite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
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Newborn
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article