Research Article
Patterns and Determinants of Change in Cortisol Levels and Thyroid Function as a Function of Cardiac Risk in Children Undergoing Cardiac Surgery
Table 2
Intraoperative and postoperative characteristics (
).
| Parameter | Category | Frequency | Percentage |
| Intraoperative data | | | | CP bypass time | ≤70 min | 25 | 54.3 | >70 min | 21 | 45.7 |
| Aorta cross-clamp time (min) | Median (range) | 50 (15-157) | — |
| DHCA | No | 42 | 91.3 | | Yes | 4 | 8.7 |
| Postoperative data and complications | | | | Chest kept open postop | Yes | 8 | 17.4 | MV duration (days) | Median (range) | 1.5 (0.0-20.0) | — | PICU LOS (days) | Median (range) | 5.5 (1.0-40.0) | — | Hospital LOS (days) | Median (range) | 8.5 (1.0-60.0) | — | Urgent Cath | Yes | 5 | 10.9 | Temporary pacing | Yes | 2 | 4.3 |
| Postop heart function | Fair | 18 | 39.1 | Good | 28 | 60.9 |
| Postop medications | Inotropes | 29 | 63.0 | Antibiotics | 21 | 45.7 | Steroids | 2 | 4.3 | Milrinone | 42 | 91.3 |
| Complications | | | | AKI | Yes | 12 | 26.1 | Hypotension | Yes | 17 | 37.0 | LCOS | Yes | 17 | 37.0 | Arrhythmia | Yes | 8 | 17.4 | Sepsis | Yes | 6 | 13.0 | Pneumothorax | Yes | 4 | 8.7 | Reexploration for bleeding | Yes | 7 | 15.2 | Phrenic nerve palsy | Yes | 1 | 2.2 |
| Composite cardiac outcome | None | 4 | 8.7 | 1 | 10 | 21.7 | 2 | 12 | 26.1 | 3 | 4 | 8.7 | 4 | 9 | 19.6 | 5 | 4 | 8.7 | 6 | 3 | 6.5 |
| AKI stage | Stage I | 8 | 17.4 | Stage II | 4 | 8.7 |
| Glycemic control | 120-140 mg | 31 | 67.4 | 140-180 mg | 15 | 32.6 |
| Discharge medication | | | | Antiheart failure | Yes | 46 | 100.0 | L-Thyroxine | Yes | 3 | 6.5 |
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Results are frequencies/percentage except where otherwise specified. DHCA: deep hypothermic circulatory arrest; CP: cardiopulmonary; AKI: acute kidney injury; LCOS: low cardiac output syndrome; PICU: pediatric intensive care unit; MV: mechanical ventilation.
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