{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T15:33:22Z","timestamp":1789572802346,"version":"build-2803163510"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T00:00:00Z","timestamp":1678924800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951123000379_as1\"><jats:title>Background:<\/jats:title><jats:p>Long hospital stays for neonates following cardiac surgery can be detrimental to short- and long-term outcomes. Furthermore, it can impact resource allocation within heart centres' daily operations. We aimed to explore multiple clinical variables and complications that can influence and predict the post-operative hospital length of stay.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123000379_as2\"><jats:title>Methods:<\/jats:title><jats:p>We conducted a retrospective observational review of the full-term neonates (&lt;30 days old) who had cardiac surgery in a tertiary paediatric cardiac surgery centre \u2013 assessment of multiple clinical variables and their association with post-operative hospital length of stay.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123000379_as3\"><jats:title>Results:<\/jats:title><jats:p>A total of 273 neonates were screened with a mortality rate of 8%. The survivors (number = 251) were analysed; 83% had at least one complication. The median post-operative hospital length of stay was 19.5 days (interquartile range 10.5, 31.6 days). The median post-operative hospital length of stay was significantly different among patients with complications (21.5 days, 10.5, 34.6 days) versus the no-complication group (14 days, 9.6, 19.5 days), p &lt; 0.01. Among the non-modifiable variables, gastrostomy, tracheostomy, syndromes, and single ventricle physiology are significantly associated with longer post-operative hospital length of stay. Among the modifiable variables, deep vein thrombosis and cardiac arrest were associated with extended post-operative hospital length of stay.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123000379_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>Complications following cardiac surgery can be associated with longer hospital stay. Some complications are modifiable. Deep vein thrombosis and cardiac arrest are among the complications that were associated with longer hospital stay and offer a direct opportunity for prevention which may be reflected in better outcomes and shorter hospital stay.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951123000379","type":"journal-article","created":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T08:27:19Z","timestamp":1678955239000},"page":"2487-2492","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Risk factors for long post-operative hospital stays after cardiopulmonary bypass surgery in full-term neonates"],"prefix":"10.1017","volume":"33","author":[{"given":"Ahmed","family":"Asfari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago","family":"Borasino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Mendoza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4301-3616","authenticated-orcid":false,"given":"Kristal M.","family":"Hock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan L.","family":"Huskey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.K.M. Fazlur","family":"Rahman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayden","family":"Zaccagni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan W.","family":"Byrnes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,3,16]]},"reference":[{"key":"S1047951123000379_ref11","first-page":"1","article-title":"Clinical epidemiology and center variation in chylothorax rates after cardiac surgery in children: a report from the pediatric cardiac critical care consortium","volume":"29","author":"Buckley","year":"2017","journal-title":"Cardiol Young"},{"key":"S1047951123000379_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)01562-3"},{"key":"S1047951123000379_ref8","first-page":"3","article-title":"Diaphragm paralysis after pediatric cardiac surgery: an STS congenital heart surgery database study","volume":"112","author":"Fraser","year":"2020","journal-title":"Ann Thorac Surg"},{"key":"S1047951123000379_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2016.05.006"},{"key":"S1047951123000379_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12779"},{"key":"S1047951123000379_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003504"},{"key":"S1047951123000379_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2016.04.040"},{"key":"S1047951123000379_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2013.07.063"},{"key":"S1047951123000379_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000001884"},{"key":"S1047951123000379_ref14","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002306"},{"key":"S1047951123000379_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.09.046"},{"key":"S1047951123000379_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2014.07.029"},{"key":"S1047951123000379_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.07.004"},{"key":"S1047951123000379_ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-018-1159-2"},{"key":"S1047951123000379_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2016.12.042"},{"key":"S1047951123000379_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.06.008"},{"key":"S1047951123000379_ref1","unstructured":"1. The Society of Thoracic Surgeons Congenital Heart Surgery Database., Available at: https:\/\/www.sts.org\/registries-research-center\/sts-national-database\/congenital-heart-surgery-database, Accessed March 7, 2021."},{"key":"S1047951123000379_ref25","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200301000-00004"},{"key":"S1047951123000379_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.09.142"},{"key":"S1047951123000379_ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-013-0797-y"},{"key":"S1047951123000379_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.06.027"},{"key":"S1047951123000379_ref9","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.120.046962"},{"key":"S1047951123000379_ref22","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0b013e3181b806fc"},{"key":"S1047951123000379_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2019.03.052"},{"key":"S1047951123000379_ref2","doi-asserted-by":"crossref","first-page":"e557","DOI":"10.1097\/CCM.0000000000004354","article-title":"Predicting and surviving prolonged critical illness after congenital heart surgery","volume":"48","author":"DeWitt","year":"2020","journal-title":"Crist Care Med"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951123000379","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T01:32:12Z","timestamp":1702431132000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951123000379\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,16]]},"references-count":25,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["S1047951123000379"],"URL":"https:\/\/doi.org\/10.1017\/s1047951123000379","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,16]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}