Related Experiment Video

Updated: Nov 4, 2025

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit
06:11

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit

Published on: May 14, 2020

2.5K

Risk Factors for Increased Post-operative Length of Stay in Children with Coarctation of Aorta

Laura Schoeneberg1, Parthak Prodhan1, Beverly Spray2

  • 1Department of Pediatrics (Cardiology and Pediatric Intensive Care), University of Arkansas for Medical Sciences, Arkansas Children's Hospital, 1 Children's Way, Slot 512-1, Little Rock, AR, 72202, USA.

Pediatric Cardiology
|May 30, 2021
PubMed

Insights

This study found that post-operative hospital length of stay (PH-LOS) for infant coarctation of the aorta (COA) repair is increasing. Prematurity and other congenital anomalies are key risk factors for longer stays and higher mortality.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Surgical Outcomes

Background:

  • Coarctation of the aorta (COA) is a common congenital heart defect.
  • Infant surgical repair of isolated COA typically has a low mortality rate.
  • Understanding factors influencing post-operative hospital length of stay (PH-LOS) is crucial for resource management and patient care.

Purpose of the Study:

  • To assess trends in PH-LOS and NICU hospital length of stay (NICU-LOS) for isolated COA repair in infants.
  • To identify independent risk factors associated with prolonged PH-LOS and in-hospital mortality.
  • To provide the largest published systematic assessment of PH-LOS in this patient population.

Main Methods:

  • Retrospective study using data from the Pediatric Health Information System (PHIS) database.
  • Included pediatric patients (≤3 months) undergoing surgical repair of isolated COA between 2004 and 2018.
  • Analyzed demographics, comorbidities, procedures, and outcomes, comparing different time periods.

Main Results:

  • A total of 5354 patients were included.
  • Observed an increasing trend in PH-LOS and NICU-LOS over the study period.
  • Prematurity (<37 weeks gestation), congenital anomalies, and additional respiratory/abdominal surgeries were independent risk factors for longer PH-LOS and higher mortality.

Conclusions:

  • This study represents the largest systematic assessment of PH-LOS in infants with isolated COA repair.
  • Identified prematurity and other comorbidities as significant independent risk factors for increased PH-LOS.
  • Highlights the need for further investigation into strategies to mitigate prolonged hospital stays in this vulnerable population.

Keywords:
ChildrenCoarctation of aortaLength of stayOutcomes

More Related Videos

A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position11:20

A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position

Published on: April 1, 2022

3.2K
O-Ring Aortic Banding Versus Traditional Transverse Aortic Constriction for Modeling Pressure Overload-Induced Cardiac Hypertrophy09:24

O-Ring Aortic Banding Versus Traditional Transverse Aortic Constriction for Modeling Pressure Overload-Induced Cardiac Hypertrophy

Published on: October 6, 2022

3.9K

Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
87
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
90
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
87
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
132
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
75
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
99