Pediatr Crit Care Me
-
Pediatr Crit Care Me · Oct 2017
Multicenter Study Observational StudyIdentifying Risk for Acute Kidney Injury in Infants and Children Following Cardiac Arrest.
Our goal was to identify risk factors for acute kidney injury in children surviving cardiac arrest. ⋯ This study is the first to identify risk factors for acute kidney injury in children after cardiac arrest. Our findings regarding the impact of epinephrine dosing are of particular interest and suggest potential for epinephrine toxicity with regard to acute kidney injury. The ability to identify and potentially modify risk factors for acute kidney injury after cardiac arrest may lead to improved morbidity and mortality in this population.
-
Pediatr Crit Care Me · Oct 2017
Multicenter Study Observational StudyNational Variation in the Use of Tracheostomy in Patients With Congenital Heart Disease.
The postsurgical care of children with congenital heart disease may be complicated by the need for cardiorespiratory support, including tracheostomy. The variation of the use of tracheostomy across multiple pediatric cardiac surgical centers has not been defined. We describe multicenter variation in the use of tracheostomy in children undergoing congenital heart surgery. ⋯ Variation in the usage of tracheostomy in infants and children undergoing congenital heart surgery exists across the country. High-tracheostomy centers had lower hospital charges. Late tracheostomy placement, higher congenital heart disease surgical risk, and extracorporeal membrane oxygenation use are independent predictors of in-hospital mortality in this population.