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Table 2 Clinical outcome comparison between the groups following the left coronary transfer procedure

From: The salutary effect of peritoneal dialysis catheters on enhanced recovery among high-risk pediatric patients undergoing the left coronary transfer procedure: a cohort study

 

No PDC (n = 67)

PDC (n = 17)

P

Variance of fluid balance

  POD 1a, n (%)

  

0.212

  Negative

8 (11.9)

2 (12.5)

 

  0–5%

39 (58.2)

5 (21.3)

 

  5–10%

15 (22.4)

6 (37.5)

 

  >10%

5 (7.5)

3 (18.8)

 

POD 2 a, n (%)

  

0.266

  Negative

55 (82.1)

10 (62.5)

 

  0–5%

10 (14.9)

5 (31.3)

 

  5–10%

2 (3.0)

1 (6.3)

 

  >10%

0 (0)

0 (0)

 

POD 3 a, n (%)

  Negative

46 (68.7)

14 (87.5)

0.227

  0–5%

19 (28.4)

2 (12.5)

 

  5–10%

2 (3.0)

0 (0)

 

  >10%

0 (0)

0 (0)

 

  Negative fluid balance by cumulative 3 days, n (%)

20 (29.9)

6 (37.5)

0.553

VIS score, median (IQR)

  1 h

12.0 (8.8, 15.3)

20.5 (17.5, 23.0)

< 0.001

  6 h

12.5 (10.0, 18.0)

17.3 (13.3, 20.5)

0.024

  12 h

11.5 (8.0, 17.0)

19.0 (12.0, 22.0)

0.012

  24 h

12.0 (8.0, 16.0)

22.0 (14.5, 23.4)

0.002

  48 h

9.5 (2.0, 13.0)

16.0 (12.3, 17.0)

< 0.001

  AKI, n (%)

42 (62.7)

14 (82.4)

0.124

  Severe AKI, n (%)

12 (17.9)

9 (52.9)

0.008

  Injury

10 (83.3)

8 (88.9)

 

  Failure

2 (16.7)

1 (11.1)

 

  Duration of MV, h, median (IQR)

17.0 (8.0, 27.0)

231.0 (97.5, 969.5)

< 0.001

  Prolonged MV ≥100 h, n (%)

7 (10.4)

13 (76.5)

< 0.001

  Change in LVEF until hospital dischargeb, median (IQR)

0 (−7.4, 13.5)

49.4 (7.0, 80.7)

0.001

  The entire hospital LOS, d, median (IQR)

8.0 (7.0, 11.0)

28.0 (18.0, 91.0)

< 0.001

  POD-ICU LOS, d, median (IQR)

2.0 (1.0, 5.0)

20.0 (8.5, 62.0)

< 0.001

  POD-general ward LOS, d, median (IQR)b

6.0 (5.0, 7.0)

10.0 (7.0, 21.0)

< 0.001

  LOS ratio of ward/hospitalb, median (IQR)

0.71(0.50, 0.86)

0.39 (0.20, 0.50)

< 0.001

  LOS ratio of ward/ICUb, median (IQR)

2.5 (1.0, 6.0)

0.65 (0.25, 1.0)

< 0.001

1-year follow up

  Change in LVEFb, %, median (IQR)

6.7 (−3.1, 44.7)

120.8 (50.0, 203.4)

< 0.001

  Improvement of mitral regurgitationb, n (%)

43 (64.2)

8 (53.3)

0.434

  1. aOne child was excluded in the PDC group who underwent catheter placement on POD 7. bTwo children were not included in the PDC group because both died in the ICU before their readmission to the ward. PDC peritoneal dialysis catheter; POD postoperative day; VIS vasoactive-inotropic score; AKI acute kidney injury; MV mechanical ventilation; LOS length of stay; ICU intensive care unit; h hours; d days; LVEF left ventricular ejection fraction; IQR interquartile range; SD standard deviation