TY - JOUR
A2 - Frass, Michael
AU - Nafiu, Olubukola O.
AU - Carello, Katari
AU - Lal, Anjana
AU - Magee, John
AU - Picton, Paul
PY - 2017
DA - 2017/07/03
TI - Factors Associated with Postoperative Prolonged Mechanical Ventilation in Pediatric Liver Transplant Recipients
SP - 3728289
VL - 2017
AB - Introduction. Almost all pediatric orthotopic liver transplant (OLT) recipients require mechanical ventilation in the early postoperative period. Prolonged postoperative mechanical ventilation (PPMV) may be a marker of severe disease and may be associated with morbidity and mortality. We determined the incidence and risk factors for PPMV in children who underwent OLT. Methods. This was a retrospective analysis of data collected on 128 pediatric OLT recipients. PPMV was defined as postoperative ventilation ≥ 4 days. Perioperative characteristics were compared between cases and control groups. Multivariable logistic regression analysis was used to calculate odds ratios for PPMV after controlling for relevant cofactors. Results. An estimated 25% (95% CI, 17.4%–32.6%) required PPMV. The overall incidence of PPMV varied significantly by age group with the highest incidence among infants. PPMV was associated with higher postoperative mortality (p=0.004) and longer intensive care unit (p<0.001) and hospital length of stay (p<0.001). Multivariable analysis identified young patient age, preoperative hypocalcemia, and increasing duration of surgery as independent predictors of PPMV following OLT. Conclusion. The incidence of PPMV is high and it was associated with prolonged ICU and hospital LOS and higher posttransplant mortality. Surgery duration appears to be the only modifiable predictor of PPMV.
SN - 1687-6962
UR - https://doi.org/10.1155/2017/3728289
DO - 10.1155/2017/3728289
JF - Anesthesiology Research and Practice
PB - Hindawi
KW -
ER -