Association of Previous Cardiac Surgery With Postoperative Pneumonia in Infants Undergoing Abdominal Operations: A Cohort Study

Children with congenital heart disease (CHD) often require other, non-cardiac related surgical procedures following their initial cardiac surgery. After full or partial CHD repair, they remain at increased risk of postoperative complications. We examined the association of previous cardiac intervent...

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Bibliographic Details
Published in:Journal of pediatric surgery 2024-11, Vol.59 (11), p.161676, Article 161676
Main Authors: Zlotolow, Morgan, Mpody, Christian, Carrillo, Sergio A., Elmitwalli, Islam, Nazir, Wajahat, Nafiu, Olubukola O., Tobias, Joseph D.
Format: Article
Language:English
Subjects:
Abdomen - surgery
Cardiac Surgical Procedures - adverse effects
Congenital heart disease
Female
Heart Defects, Congenital - surgery
Hospital length of stay
Humans
Infant
Infant, Newborn
Length of Stay - statistics & numerical data
Male
Mechanical ventilation
Pediatric anesthesiology
Pediatric cardiac surgery
Pneumonia - epidemiology
Pneumonia - etiology
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative pneumonia
Propensity Score
Respiration, Artificial - statistics & numerical data
Retrospective Studies
Risk Factors
Citations: Items that this one cites
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Summary:Children with congenital heart disease (CHD) often require other, non-cardiac related surgical procedures following their initial cardiac surgery. After full or partial CHD repair, they remain at increased risk of postoperative complications. We examined the association of previous cardiac intervention (surgery or percutaneous catheterization intervention) with postoperative pneumonia in infants undergoing abdominal general surgery. A 1:1 propensity score-matched study was conducted using a retrospective cohort of 104,820 infants (72 h), and extended hospital stay (>75th percentile for the study cohort). Of the study cohort, 9736 infants (9.3%) had previous cardiac interventions. In the propensity score-matched sample, infants with previous cardiac surgery had increased risks of postoperative pneumonia (1.3% vs 0.8%; adjusted relative risk [RRadj]: 1.64, 95% CI: 1.22, 2.18, p = 0.001), unplanned reintubation (57.8% vs 32.6%; RRadj: 1.77, 95% CI: 1.77, 1.85, p 
ISSN:0022-3468
1531-5037
1531-5037
DOI:10.1016/j.jpedsurg.2024.08.016