ABSTRACT
Objective: To observe the potential effect of gender difference on the survival after pediatric cardiac surgery
Materials and Methods: This retrospective cross sectional study was carried out in PCICU of Pediatric Cardiac surgery department at National institute of cardiovascular diseases Karachi, Pakistan from October 2013 till September 2015. Data was evaluated to find out the effect of gender on survival of patient during their post-cardiac surgery PCICU stay for structural heart defects
Results: A total of 518 patients were operated for structural heart defects on pump and including glenn shunt and fonton procedure irrespective of use of pump. 68% of these were boys and 32% were girls. Unadjusted mortality was similar for both boys and girls [9% versus 8%, P=0.87]. After adjustment of complex surgeries with Aristotle basic score > 8 like intervention for TGA , univentricular hearts and DVR ,more prevalent in male population , the outcome was not significantly different with 5% v/s 4% for boys and girls respectively
Conclusions: Patient's gender has a no significant effect on mortality after pediatric cardiac surgeries
ABSTRACT
To study the frequency of admissions, complications and death rates in patients with chronic liver disease [CLD] in a rural medical Intensive Care Unit [ICU]. Retrospective analysis of 174 consecutive admissions. Out of 174 consecutive admissions, 69 patients [40%] had background liver disease. However, 55 patients out of this total [32%] were admitted directly in ICU because of the features of complications of their liver disease. Twenty six out of fifty five [47%] died. Thirteen out of twenty six had signs of encephalopathy. Seven out of fifty five had more than one complications of liver disease-only one of them survived. Hepatitis C was the cause of liver-related deaths in 18/26 [69%]. CLD is the commonest cause of admissions [32%] in medical ICU-Hepatitis C being responsible for 69%. Liver disease and its complications were also the commonest cause of all deaths in medical ICU, of which Hepatitis C contributed 69%. Encephalopathy was the most common manifested complication of cirrhosis, causing highest mortality