transmedТрансляционная медицинаTranslational Medicine2311-44952410-5155Almazov National Medical Research Centre, Saint Petersburg, Russia10.18705/311-4495-2024-11-3-240-247transmed-883Research ArticleАНЕСТЕЗИОЛОГИЯ И РЕАНИМАТОЛОГИЯPAIN, CRITICAL CARE, AND ANESTHESIAСравнительная оценка результатов кардиохирургического лечения детей, родившихся с низкой и нормальной массой телаComparative evaluation of the results of cardiosurgical treatment of infants born with low and normal body weighhttps://orcid.org/0000-0002-4908-8010ЧупровМ. П.ChuprovM. P.

Чупров Максим Петрович, к.м.н., врач — анестезиолог-реаниматолог отделения анестезиологии и интенсивной терапии

ул. Стасова, д. 6, Пенза, 440071

Maksim P. Chuprov, PhD Med, anesthesiologist-resuscitator at Dept. of Anesthesiology and Intensive care

Stasova str., 6, Penza, 440071

maks13chup@bk.ruhttps://orcid.org/0000-0003-0586-5671МагилевецА. И.MagilevetsA. I.

Магилевец Антон Игоревич, заведующий отделением анестезиологии и интенсивной терапии

Пенза

Anton I. Magilevets, head of Dept of Anesthesiology and Intensive Care

Penza

citadel1943@inbox.ruhttps://orcid.org/0000-0002-0224-1495ТунгусоваМ. А.TungusovaM. A.

Тунгусова Маргарита Андреевна, врач — детский кардиолог

Пенза

Margarita A. Tungusova, pediatric cardiologist

Penza

mtungusova@hotmail.comhttps://orcid.org/0000-0002-1815-7116КарнахинВ. А.KarnakhinV. A.

Карнахин Вадим Александрович, к.м.н., врач — сердечно-сосудистый хирург кардиохирургического отделения № 2

Пенза

Vadim A. Karnakhin, PhD Med, Cardiovascular Surgeon, Cardiac Surgery Dept N. 2

Penza

vkhin@mail.ruhttps://orcid.org/0000-0003-4979-5388АртемьевН. Н.ArtemyevN. N.

Артемьев Николай Николаевич, врач — анестезиолог-реаниматолог отделения анестезиологии и интенсивной терапии

Пенза

Nikolay N. Artemyev, anesthesiologist-resuscitator at Dept. of Anesthesiology and Intensive care

Penza

nikardo@mail.ruhttps://orcid.org/0000-0003-0492-8845БофановД. А.BofanovD. A.

Бофанов Дмитрий Алексеевич, к.м.н., врач — сердечно-сосудистый хирург кардиохирургического отделения № 2

Пенза

Dmitry A. Bofanov, PhD Med, Cardiovascular Surgeon, Cardiac Surgery Dept N. 2

Penza

bofanov83@mail.ruhttps://orcid.org/0000-0001-6089-9722БазылевВ. В.BazylevV. V.

Базылев Владлен Владленович, д.м.н., профессор, главный врач

Пенза

Vladlen V. Bazylev, DM Sci (habil.), professor, chief physician

Penza

cardio-penza@yandex.ruФедеральное государственное бюджетное учреждение «Федеральный центр сердечно-сосудистой хирургии» Министерства здравоохранения Российской ФедерацииРоссияFederal Center for cardiovascular surgeryRussian Federation202404082024113240247Copyright © Чупров М.П., Магилевец А.И., Тунгусова М.А., Карнахин В.А., Артемьев Н.Н., Бофанов Д.А., Базылев В.В., 20242024Чупров М.П., Магилевец А.И., Тунгусова М.А., Карнахин В.А., Артемьев Н.Н., Бофанов Д.А., Базылев В.В.Chuprov M.P., Magilevets A.I., Tungusova M.A., Karnakhin V.A., Artemyev N.N., Bofanov D.A., Bazylev V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://transmed.almazovcentre.ru/jour/article/view/883

Несмотря на успехи в хирургической технике, анестезиологии и интенсивной терапии, низкая масса тела при рождении остается фактором риска неблагоприятного исхода у детей после кардиохирургического лечения.

Целью исследования является сравнительная оценка периоперационных показателей, послеоперационных осложнений и исходов у детей с низкой и нормальной массой тела при рождении после кардиохирургических вмешательств.

Материалы и методы

Материалы и методы. Проведено ретроспективное одноцентровое исследование течения периоперационного периода у детей после вмешательств на открытом сердце и сосудах. В исследование были отобраны 103 пациента. Они были разделены на две группы: группа 1 — дети с массой тела на момент операции менее 2,5 кг и группа 2 — дети с массой тела от 2,5 до 3,5 кг. Оценивались дооперационные клинико-демографические данные, интраоперационные показатели, послеоперационные осложнения и исходы.

Результаты

Результаты. Сравнительный анализ периоперационных показателей, послеоперационных осложнений и летальности не показал статистически значимых различий между двумя группами. Регрессионный анализ не показал статистически значимого влияния НМТ на летальность. Выявлен значительный риск смертельного исхода при проведении повторного незапланированного хирургического вмешательства и продолжительности нахождения ребенка в ОРИТ.

Заключение

Заключение. НМТ при рождении у детей с ВПС не приводила к увеличению частоты послеоперационных осложнений и летальности.

Despite advances in surgical technique, anesthesiology and intensive care, low birth weight remains to be a risk factor for adverse outcome in children after cardiac surgery.

The aim of the study is to compare perioperative parameters, postoperative complications and outcomes in low and normal birth weight infants undergoing cardiac surgery.

Materials and methods

Materials and methods. A retrospective single-center study of the course of the perioperative period in children after operations on the open heart and vessels. 103 patients were selected for the study. The patients were divided into two groups: group 1 — infant with a body weight at the time of surgery less than 2.5 kg. and group 2 — infant with body weight from 2.5 to 3.5 kg. Preoperative clinical and demographic data, intraoperative parameters, postoperative complications and outcomes were assessed.

Results

Results. Comparative analysis of perioperative parameters, postoperative complications and mortality did not show statistically significant differences between the two groups. Regressing analysis did not show a statistically significant effect of LBW on mortality. A significant risk of death was revealed during repeated unplanned surgical intervention and the duration of the child stay in the ICU.

Conclusion

Conclusion. LBW at birth in children with CHD did not lead to an increase in the incidence of postoperative complications and mortality.

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The authors declare that there are no conflicts of interest present.