Prevalence of dysglycemia following paediatric cardiac surgery: a systematic review and meta-analysis
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By
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Eyob Girma Abera
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Habtamu Sime
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May 13, 2026
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Clinical Scorecard: Incidence of Dysglycemia After Pediatric Cardiac Surgery: A Systematic Review and Meta-Analysis
At a Glance
| Category | Detail |
|---|
| Condition | Postoperative Dysglycemia |
| Key Mechanisms | Physiologic stress, hormonal changes, and cardiopulmonary bypass |
| Target Population | Pediatric patients (≤18 years) undergoing cardiac surgery |
| Care Setting | Postoperative care in pediatric cardiac surgery |
Key Highlights
- Pooled prevalence of postoperative dysglycemia is 68.6%
- Hyperglycemia accounts for 71.2% of cases, while hypoglycemia is 8.1%
- Higher prevalence observed in Asia and North America (~75%) compared to Europe (45.2%)
- Mean ICU stay for dysglycemic patients is 180.3 hours
- Mean mechanical ventilation duration is 94.6 hours
Guideline-Based Recommendations
Diagnosis
- Standardized definitions of dysglycemia are needed
Management
- Vigilant perioperative glucose monitoring is essential
- Evidence-based glycemic management protocols should be established
Monitoring & Follow-up
- Regular monitoring of glucose levels in postoperative pediatric cardiac patients
Risks
- Persistent hyperglycemia is associated with higher complication rates
Patient & Prescribing Data
Pediatric patients undergoing cardiac surgery
Targeted interventions are warranted to improve postoperative outcomes
Clinical Best Practices
- Implement standardized glucose monitoring protocols
- Evaluate optimal glycemic thresholds for this population
- Conduct multicenter studies to assess interventions
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