About: Prophylactic Peritoneal Drainage is Associated with Improved Fluid Output after Congenital Heart Surgery

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About: Prophylactic Peritoneal Drainage is Associated with Improved Fluid Output after Congenital Heart Surgery Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Prophylactic Peritoneal Drainage is Associated with Improved Fluid Output after Congenital Heart Surgery
Creator	Petros, · Hermsen, Joshua Nelson, Kari Pettit, Kevin Schreiter, Nicholas Anagnostopoulos, V Degrave, Joshua Entela, · Lushaj, B Marka, · Redpath Mahon, Allison Wilhelm, ·
topic	covid:f3a34f3a7067c3d36e754eea56afc490fe6fe065#this
Source	Medline; PMC
abstract	Infants undergoing congenital heart surgery (CHS) with cardiopulmonary bypass (CPB) are at risk of acute kidney injury (AKI) and fluid overload. We hypothesized that placement of a passive peritoneal drain (PPD) can improve postoperative fluid output in such infants. We analyzed 115 consecutive patients, age birth to 60 days, admitted to the PICU after CHS with CPB between 2012 and 2018. Patients who needed postoperative ECMO were excluded. Linear and logistic regression models compared postoperative fluid balances, diuretics administration, AKI, vasoactive-inotropic scores (VIS), time intubated, and length of stay after adjusting for pre/operative predictors including STAT category, bypass time, age, weight, and open chest status. PPD patients had higher STAT category (p = 0.001), longer CPB times (p = 0.001), and higher VIS on POD 1–3 (p ≤ 0.005 daily). PPD patients also had higher AKI rates (p = 0.01) that did not reach significance in multivariable modeling. There were no postoperative deaths. Postoperative hours of intubation, hospital length of stay, and POD 1–5 fluid intake did not differ between groups. Over POD 1–5, PPD use accounted for 48.8 mL/kg increased fluid output (95% CI [2.2, 95.4], p = 0.043) and 3.41 mg/kg less furosemide administered (95% CI [1.69, 5.14], p < 0.001). No PPD complications were observed. Although PPD placement did not affect end-outcomes, it was used in higher acuity patients. PPD placement is associated with improved fluid output despite lower diuretic administration and may be a useful postoperative fluid management adjunct in some complex CHS patients.
has issue date	2020-07-30(xsd:dateTime)
bibo:doi	10.1007/s00246-020-02431-x
bibo:pmid	32734528
has license	no-cc
sha1sum (hex)	f3a34f3a7067c3d36e754eea56afc490fe6fe065
schema:url	https://doi.org/10.1007/s00246-020-02431-x
resource representing a document's title	Prophylactic Peritoneal Drainage is Associated with Improved Fluid Output after Congenital Heart Surgery
has PubMed Central identifier	PMC7391225
has PubMed identifier	32734528
schema:publication	Pediatr Cardiol
resource representing a document's body	covid:f3a34f3a7067c3d36e754eea56afc490fe6fe065#body_text
is http://vocab.deri.ie/void#inDataset of	proxy:http/ns.inria.fr/covid19/f3a34f3a7067c3d36e754eea56afc490fe6fe065
is schema:about of	named entity 'open' named entity 'There' named entity 'needed' named entity 'PPD' named entity 'higher' named entity 'daily' named entity 'PPD' named entity 'age' named entity 'LENGTH OF STAY' named entity 'INTUBATED' named entity 'TIME' named entity 'CHS' named entity 'BALANCES' named entity 'CONSECUTIVE' named entity '5B1' named entity 'VIS' named entity 'GROUPS' named entity 'PERITONEAL DRAIN' named entity 'USED' named entity 'patients' named entity 'PPD' named entity 'stage 2' named entity 'intubated' named entity 'respiratory drive' named entity 'high-risk' named entity 'Austria' named entity 'fluid balance' named entity 'urine output' named entity 'stage 2' named entity 'urine output' named entity 'AKI' named entity 'vasoactive' named entity 'hypertension' named entity 'cmH2O' named entity 'fluid intake' named entity 'catheters' named entity 'IL-8' named entity 'neonates' named entity 'multivariable analysis' named entity 'Chlorothiazide' named entity 'neonates' named entity 'higher' named entity 'chest' named entity 'POD' named entity 'heart surgery' named entity 'congenital' named entity 'univariate analysis' named entity 'significant difference' named entity 'diastolic dysfunction' named entity 'stage 2' named entity 'peritoneal' named entity 'multivariable analysis' named entity 'epigastrium' named entity 'ICU' named entity 'diuretic' named entity 'significant difference' named entity 'surgical team' named entity 'peritoneal' named entity 'urine output' named entity 'fluid balance' named entity 'heart surgery' named entity 'AKI' named entity 'hypokalemia' named entity 'AKI' named entity 'retrospective study' named entity 'Institutional Review Board' named entity 'critical illness' named entity 'vasoactive'

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