Clinical Report: Incidence of Dysglycemia After Pediatric Cardiac Surgery

Overview

This systematic review and meta-analysis estimates the pooled prevalence of postoperative dysglycemia in pediatric cardiac surgery patients at 68.6%, with hyperglycemia being the predominant form.

Background

Postoperative dysglycemia is a significant complication following pediatric cardiac surgery, often resulting from physiological stress and hormonal changes. Understanding its prevalence and associated outcomes is crucial.

Data Highlights

Key Findings

• Pooled prevalence of postoperative dysglycemia is 68.6%.
• Hyperglycemia accounts for 71.2% of dysglycemia cases.
• Hypoglycemia is observed in 8.1% of patients.
• Prevalence is higher in Asia and North America (~75%) compared to Europe (45.2%).
• Mean ICU stay for dysglycemic patients is 180.3 hours.
• Mean duration of mechanical ventilation is 94.6 hours.

Clinical Implications

The high prevalence of dysglycemia, particularly hyperglycemia, following pediatric cardiac surgery indicates a need for vigilant perioperative glucose monitoring. Standardized definitions and management protocols for dysglycemia may improve postoperative outcomes.

Conclusion

Dysglycemia is a prevalent complication in pediatric cardiac surgery.

Related Resources & Content

1. Author(s)/Org, Source, Year -- Title
2. Pediatric Cardiology — Alterations in Glucose Regulation Following Cardiac Surgery in Pediatric Patients
3. Pediatric Cardiology — Frequency, Clinical Determinants, and Consequences of Dysphagia Following Cardiac Surgery for Congenital Heart Conditions
4. Frontiers in Endocrinology — Changes in incretin hormone concentrations after pancreaticoduodenectomy: a systematic review and exploratory meta-analysis
5. Obesity Surgery — Efficacy of Metabolic and Bariatric Surgery Compared with GLP-1 Receptor Agonist Treatment in Preventing Mortality and Major Adverse Cardiac Events Among Individuals with Obesity and Type 2 Diabetes: A Systematic Review and Meta-analysis
6. Guidelines on Glycemic Control in Critically Ill Children
7. Tight Glycemic Control versus Standard Care after Pediatric Cardiac Surgery - PMC
8. Prevalence of dysglycemia following paediatric cardiac surgery: a systematic review and meta-analysis - PMC