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Table 3 Postoperative data of the two groups

From: Predictive factors contributing to prolonged recovery in patients after Fontan operation

 

Prolonged recovery

(N = 70)

Standard recovery

(N = 212)

P-value

Mechanical ventilation time (h), median (IQR)

44 (20–95)

10 (8–20)

 < 0.001*

Mechanical ventilation time, n (%)

  

 < 0.001*

  ≤ 12 h

12 (17.1%)

133 (62.7%)

 

 12–24 h

14 (20.0%)

57 (26.9%)

 

 24–48 h

15 (21.4%)

16 (7.5%)

 

  > 48 h

29 (41.4%)

6 (2.8%)

 

P/F ratio after extubation, median (IQR)

168.15 (138.64–196.79)

202.06 (165.97–249.03)

 < 0.001*

Hemodynamics in POD 0

   

 mPAP (mmHg), mean ± SD

18.13 ± 3.101

16.80 ± 2.807

0.002*

 mABP (mmHg), mean ± SD

58.27 ± 9.095

63.45 ± 9.101

 < 0.001*

 Pp/Ps, mean ± SD

0.32 ± 0.077

0.27 ± 0.067

 < 0.001*

PH treatment after Fontan operation, n (%)

63 (90.0%)

139 (65.6%)

 < 0.001*

Drugs in treating PH, n (%)

  

0.034*

 Endothelin receptor antagonists

13 (20.6%)

51 (37.0%)

 

 Prostacyclin analogues

16 (25.4%)

20 (14.5%)

 

 Combined

34 (54.0%)

67 (48.6%)

 

PH treatment within two days, n (%)

57 (81.4%)

127 (59.9%)

0.001*

Chest drainage time (day), median (IQR)

13 (10–18)

9 (7–14)

 < 0.001*

Total drainage volume (ml/kg), median (IQR)

93.12 (62.50–129.56)

41.55 (28.48–61.82)

 < 0.001*

Drainage volume within two days (ml/kg), median (IQR)

67.50 (51.25–87.11)

39.38 (27.01–57.89)

 < 0.001*

Volume resuscitation within two days (ml/kg), n (%)

132.14 (96.88–185.71)

78.46 (51.72–111.00)

 < 0.001*

Inotropic score (IS), median (IQR)

 IS in POD 0 (μg/kg/min)

20.5 (13.5–35)

15 (10.5–18.5)

 < 0.001*

 IS in POD 1 (μg/kg/min)

20 (13–30)

11 (7.5–14.3)

 < 0.001*

 IS in POD 2 (μg/kg/min)

17 (10–29.6)

8 (6–12.5)

 < 0.001*

Surgical reintervention, n (%)

16 (22.9%)

11 (5.2%)

 < 0.001*

Hospital stay (day), median (IQR)

21 (15–28)

15 (12–19)

 < 0.001*

Hospitalization costs (dollar), mean ± SD

18,093.81 ± 6953.094

12,535.55 ± 10,039.343

 < 0.001*

Readmission within two months after discharge, n (%)

13 (18.6%)

18 (8.5%)

0.019*

Complications

 Hypoxemia, n (%)

49 (70%)

66 (31.1%)

 < 0.001*

 cardiac output syndrome, n (%)

44 (62.9%)

53 (25.0%)

 < 0.001*

 Liver disfunction, n (%)

26 (37.1%)

34 (16.0%)

 < 0.001*

 Arrhythmia n (%)

24 (34.3%)

60 (28.3%)

0.343

 disfunction, n (%)

20 (28.6%)

17 (8.0%)

 < 0.001*

 Atrioventricular valve regurgitation, n (%)

13 (18.6%)

21 (9.9%)

0.054

  1. POD 0 was defined as the time from the patient transfer to CICU to 7 a.m. the next day. POD 1 was the time from 8 a.m. on day 1 of surgery to 7 a.m. the next day. POD 2 was the time from 8 a.m. on the second day of surgery to 7 a.m. on day 3
  2. P/F ratio oxygen index, mPAP mean pulmonary artery pressure, mABP mean aorta blood pressure, Pp/Ps mean pulmonary artery pressure/mean aorta blood pressure, PH Pulmonary hypertension
  3. * P < 0.05