{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T20:11:17Z","timestamp":1774469477541,"version":"3.50.1"},"reference-count":42,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T00:00:00Z","timestamp":1704153600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951123004286_as1\"><jats:title>Objective:<\/jats:title><jats:p>This single-centre, retrospective cohort study was conducted to investigate the predictors of early peritoneal dialysis initiation in newborns and young infants undergoing cardiac surgery.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123004286_as2\"><jats:title>Methods:<\/jats:title><jats:p>There were fifty-seven newborns and young infants. All subjects received peritoneal dialysis catheter after completion of the cardiopulmonary bypass. Worsening post-operative (post-op) positive fluid balance and oliguria (&lt;1 ml\/kg\/hour) despite furosemide were the clinical indications to start early peritoneal dialysis (peritoneal dialysis +). Demographic, clinical, and laboratory data were collected from the pre-operative, intra-operative, and immediately post-operative periods.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123004286_as3\"><jats:title>Results:<\/jats:title><jats:p>Baseline demographic data were indifferent except that peritoneal dialysis + group had more newborns. Pre-operative serum creatinine was higher for peritoneal dialysis + group (p = 0.025). Peritoneal dialysis + group had longer cardiopulmonary bypass time (p = 0.044), longer aorta cross-clamp time (p = 0.044), and less urine output during post-op 24 hours (p = 0.008). In the univariate logistic regression model, pre-op serum creatinine was significantly associated with higher odds of being in peritoneal dialysis + (p = 0.021) and post-op systolic blood pressure (p = 0.018) and post-op mean arterial pressure (p=0.001) were significantly associated with reduced odds of being in peritoneal dialysis + (p = 0.018 and p = 0.001, respectively). Post-op mean arterial pressure showed a statistically significant association adjusted odds ratio = 0.89, 95% confidence interval [0.81, 0.96], p = 0.004) with peritoneal dialysis + in multivariate analysis after adjusting for age at surgery.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123004286_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>In our single-centre cohort, pre-op serum creatinine, post-op systolic blood pressure, and mean arterial pressure demonstrated statistically significant association with peritoneal dialysis +. This finding may help to better risk stratify newborns and young infants for early peritoneal dialysis start following cardiac surgery.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951123004286","type":"journal-article","created":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T02:13:31Z","timestamp":1704161611000},"page":"1239-1246","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Predictors of early peritoneal dialysis initiation in newborns and young infants following cardiac surgery"],"prefix":"10.1017","volume":"34","author":[{"given":"Elvia","family":"Rivera-Figueroa","sequence":"first","affiliation":[{"name":"Batson Children\u2019s Hospital of Mississippi, University of Mississippi"},{"name":"Puerto Rico Women\u2019s and Children\u2019s Hospital, Ponce Health Sciences University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Md Abu Yusuf 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