caa a22 4500 445823933 CHVBK 20180317145253.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00246-011-9985-9 doi (NATIONALLICENCE)springer-10.1007/s00246-011-9985-9 Impact of the Viral Respiratory Season on Postoperative Outcomes in Children Undergoing Cardiac Surgery [Elektronische Daten] [Michael Spaeder, Kathryn Carson, Luca Vricella, Diane Alejo, Kathryn Holmes] To compare postoperative outcomes in children undergoing cardiac surgery during the viral respiratory season and nonviral season at our institution. This was a retrospective cohort study and secondary matched case-control analysis. The setting was an urban academic tertiary-care children's hospital. The study was comprised of all patients <18years of age who underwent cardiac surgery at Johns Hopkins Hospital from October 2002 through September 2007. Patients were stratified by season of surgery, complexity of cardiac disease, and presence or absence of viral respiratory infection. Measurements included patient characteristics and postoperative outcomes. The primary outcome was postoperative length of stay (LOS). A total of 744 patients were included in the analysis. There was no difference in baseline characteristics or outcomes, specifically, no difference in postoperative LOS, intensive care unit (ICU) LOS, and mortality, among patients by seasons of surgery. Patients with viral respiratory illness were more likely to have longer postoperative LOS (p<0.01) and ICU LOS (p<0.01) compared with matched controls. We identified no difference in postoperative outcomes based on season in patients undergoing cardiac surgery. Children with viral respiratory infection have significantly worse outcomes than matched controls, strengthening the call for universal administration of influenza vaccination and palivizumab to appropriate groups. Preoperative testing for respiratory viruses should be considered during the winter months for children undergoing elective cardiac surgery. Springer Science+Business Media, LLC, 2011 Heart defects nationallicence Congenital nationallicence Cardiac surgical procedures nationallicence Respiratory tract infections nationallicence Pediatrics nationallicence Outcomes research nationallicence Spaeder Michael Division of Critical Care Medicine, Children's National Medical Center, Washington, DC, USA aut Carson Kathryn Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA aut Vricella Luca Department of Cardiac Surgery, School of Medicine, Johns Hopkins University, Baltimore, MD, USA aut Alejo Diane Department of Cardiac Surgery, School of Medicine, Johns Hopkins University, Baltimore, MD, USA aut Holmes Kathryn Division of Pediatric Cardiology, Department of Pediatrics, School of Medicine, Johns Hopkins University, Baltimore, MD, USA aut Pediatric Cardiology Springer-Verlag 32/6(2011-08-01), 801-806 0172-0643 32:6<801 2011 32 246 https://doi.org/10.1007/s00246-011-9985-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-011-9985-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Spaeder Michael Division of Critical Care Medicine, Children's National Medical Center, Washington, DC, USA aut NATIONALLICENCE 700 1- Carson Kathryn Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Vricella Luca Department of Cardiac Surgery, School of Medicine, Johns Hopkins University, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Alejo Diane Department of Cardiac Surgery, School of Medicine, Johns Hopkins University, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Holmes Kathryn Division of Pediatric Cardiology, Department of Pediatrics, School of Medicine, Johns Hopkins University, Baltimore, MD, USA aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/6(2011-08-01), 801-806 0172-0643 32:6<801 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer