Turk Kardiyol Dern Ars. Ahead of Print: TKDA-13844 | DOI: 10.5543/tkda.2020.13844
Low Cardiac Debi Syndrome Score for evaluating postoperative cardiac surgery patients in pediatric intensive care unit
, Dincer yildizdas1
, UGUR GOÇEN2
, Sevcan Erdem3
, Fadli demir3
, Ahmet Yontem1
, Ozden Ozgur Horoz1
, Yasar Sertdemir41
Cukurova University Medical Faculty, Department of Pediatric Intensive Care2
Cukurova University Medical Faculty, Department of Pediatric Cardiovascular Surgery3
Cukurova University Medical Faculty, Department of Pediatric Cardiology4
Cukurova University Medical Faculty, Department of Biostatistics
There is no clear consensus regarding the definition of low cardiac output syndrome (LCOS) and follow-up of this patient group. Based on this lack of clinical definition, we used a LCOS score (LCOSs) similar to a low cardiac output score previously presented in the literature and aimed to evaluate the relation between high LCOSs and poor clinical outcome.
We evaluated 54 patients prospectively after cardiac surgery. In order to evaluate the development of low cardiac output, a LCOSs was used. Each parameter was scored as 1 point. Score was calculated every hour for 24 hours postoperatively and the highest score was recorded as peak score (pLOCSs). LOCSs at the time of admission to the pediatric intensive care unit, at 4th hour, 8th hour and 16th hour were recorded and a cumulative score (cLOCSs) consisting of the total score was recorded.
Mean age was 49,40±53,15 months and LOCS rate was 24,07%. In the group with LCOS, cLOCSs, VISt, lactate mean, aortic clamp and total cardiopulmonary bypass times were significantly higher. In our study, a significant and positive correlation was found between cLOCSs and tLOCSs and length of hospital stay, length of stay in pediatric intensive care unit, VISt, lactate average and aortic clamp duration.
Our aim was to draw attention to the use of a common language in the care of critical pediatric patients undergoing cardiac surgery with a previously defined scoring that includes parameters indicating poor perfusion in the patient.
child, low cardiac output syndrome, cardiac intensive care, score
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Corresponding Author: Nagehan Aslan, Türkiye