ArticleAnnals of pediatric cardiology
Gastrointestinal bleeding following pediatric cardiac bypass: An insight from the national inpatient sample.
Article in Annals of pediatric cardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Background: Gastrointestinal (GI) bleeding is a rare but severe complication following pediatric cardiac bypass surgery. Despite advancements in pediatric cardiac surgery, postoperative complications like GI bleeding remain a critical concern. This study investigates its incidence, risk factors, and outcomes using the National Inpatient Sample (NIS). Methods: A retrospective, cross-sectional analysis was conducted using the NIS database (2016-2020). Pediatric patients (0-18 years) undergoing cardiac bypass surgery were identified via International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) codes, with postoperative GI bleeding defined by ICD-10-CM diagnosis codes. Weighted analyses accounted for the complex survey design, and multivariable logistic regression identified independent predictors. Results: Among 24,275 weighted cases, 110 (0.45%) experienced postoperative gastrointestinal (GI) bleeding. Significant predictors included cardiac surgery (OR = 5.7, 95% CI: 3.75-8.69, Conclusions: Postoperative GI bleeding is a life-threatening complication in pediatric cardiac bypass surgery. Identifying high-risk patients and optimizing perioperative management are crucial. Future research should focus on elucidating underlying mechanisms and developing targeted interventions to improve outcomes.
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