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Factors of Davis et al for Predicting Early Extubation in Young Children After Cardiac Surgery

Description

Davis et al identified factors associated with early extubation in young children undergoing cardiac surgery. These can help separate patients before surgery into those likely to be extubated early and those who may require ventilatory support for a longer period postoperatively. The authors are from the Children's Hospital at the Cleveland Clinic.


 

Patient selection: age <= 36 months

 

Parameters:

(1) age in months

(2) gestational age at birth

(3) congestive heart failure

(4) pulmonary hypertension

 

Parameter

Finding

Points

age in months at surgery

<= 6 months

0

 

> 6 months

1

gestational age at birth

< 36 weeks (premature)

0

 

>= 36 weeks

1

congestive heart failure

absent

1

 

present

0

pulmonary hypertension

absent

1

 

present

0

 

extubation score =

= SUM(points for all 4 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 4

• The higher the score the more likely that the child can be extubated early.

 

Score

Probability of Early Extubation

0 or 1

7%

2

21%

3

40%

4

84%

from Table 6

 


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