Abstract 2080: Glycemic Profile in Infants: Are Postoperative Glucose Levels Associated With Adverse Events After Congenital Heart Surgery?
Background: Hyperglycemia occurs commonly and has been associated with increased morbidity and mortality in critically ill adults following cardiac surgery. However, limited data exist regarding the effect of glycemic profiles after congenital cardiac operations in infants, who are more reliant on glucose for energy use. The aim of this cohort study was to determine whether adjusted associations exist between postoperative glucose levels and adverse outcomes after infant cardiac surgery. Methods: From 2007 through 2008, 702 consecutive infants (<12 months of age) underwent the congenital heart surgery. Serum glycemic profile, including average, peak and nadir of glucose levels during the first 72 postoperative hours was documented. Multivariable regression analyses were used to determine relationships between these glucose levels, a composite morbidity-mortality outcome (primary end point), and length of ICU stay after controlling for multiple variables known to influence early outcome
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