Factor Information
Data ID 452
Factor Differences in inotrope score(IS)
Description IS and VIS have been estimated in the immediate post-operativeperiod and during LCOS development and have been associated with the cardiac markers above mentioned predictors of LCOS in the paediatric population.
Biomarker NA
Classification A6 (clinical factor - other)
Association
Application prognosis
Objective To determine the predictive value of the inotropic score (IS) and vasoactive-inotropic score (VIS) in low cardiac output syndrome (LCOS) in children after congenital heart disease surgery involving cardiopulmonary bypass (CPB).
p Value 0.009
OR 1.029
Conclusion The VIS score at 2h post-CPB was identified as an independent early predictor of LCOS. This predictive value was not increased when associated with LCOS cardiac biomarkers. The VIS score was more useful than IS post-CPB in making early therapeutic decisions in clinical practice post-CPB.
Risk Factor no influencing factor
CHD Type
ID 455
CHD Type isolated CHD
CHD Subtype TOF/AVC/CAT/HLHS/CoA, IAA/MR, AOR/PA/TAPVC/TGA/VSD/ASD/other
Reference
PMID 29910113
Year 2019
Title Evaluation of the vasoactive-inotropic score,mid-regional pro-adrenomedullin and cardiac troponin Ias predictors of low cardiac output syndromein children after congenital heart disease surgery.
Sample
Population children
Source blood
Region Barcelona,Spain
Method Baseline blood samples were collected from a central venouscatheter prior to corrective surgery and at 2, 12, 24, and 48 hpost-CPB.
Race Europe
Disease History N/A
Treatment History CHD surgery requiring cardiopulmonary bypass(CPB)
Group CHD patients with low cardiac output syndrome, LCOS(Treatment) CHD patients without low cardiac output syndrome, LCOS(Control)
Number 33 82
Age 39.84 ± 52.43 months 39.84 ± 52.43 months
Gender (Male: Female) N/A N/A
Marker Level >20 <15.5