Performance of a Risk Analytic Tool (Index of Tissue Oxygen Delivery “IDO2”) in Pediatric Cardiac Intensive Care Unit of a Developing Country

Frontiers in Pediatrics

article

Qalab Abbas¹  Muhammad Zaid H. Hussain²  Fatima Farrukh Shahbaz²  Naveed ur Rehman Siddiqui¹  Babar S. Hasan¹ 

[1] Department of Pediatrics and Child Health, Aga Khan University;Medical College, Aga Khan University

关键词: children;    cardiac intensive care unit;    developing country;    cardiac surgery;    risk estimates;   

DOI  :  10.3389/fped.2022.846074

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objective To determine the performance of a commercially available risk analytic tool (IDO2) to estimate the risk for SVO2 2 kg) who received care in the CICU between October 1st, 2019 and October 1st, 2020, had SvO2 lab(s) drawn during CICU course and whose data was transmitted to T3, were included. The average IDO2 Index was computed in the 30-min period immediately prior to each SvO2 measurement and used as a predictor score for SvO2 < 40%. Results A total of 69 CICU admissions from 65 patients, median age 9.3 months (interquartile range 20.8) were identified. Surgical and medical patients were 61 (88%) and 8 (12%) respectively; 4 (5.7%) patients had single ventricle physiology. Tetralogy of Fallot n = 23 (33.3%) and ventricular septal defects 17 (24.6%) were major cardiac diagnosis. Sixty-one (89.9%) of the admissions were successfully discharged from the hospital. Of the 187-total included SvO2 labs, 17 (9%) were <40%. The AUC of estimating SvO2 < 40% IDO2 was 0.87 [confidence interval (CI): 0.79–0.94]. Average IDO2 above 75 had the highest absolute risk (42.11, CI: 20.25–66.50) and highest RR (4.63, CI: 2.31–9.28, p -value < 0.0001) of SvO2 < 40%. Conclusion IDO2 performed well in estimating low SvO2 (<40%) in pediatric patients presenting to a CICU in a low resource setting. Future work is needed to determine the effect of this risk analytic tool on clinical outcomes in such a setting.

【 授权许可】

CC BY