Cardiac Surgical Procedures, Cardiopulmonary Bypass, Pediatrics
Conditions
Brief summary
Pediatric cardiac surgery with cardiopulmonary bypass is associated with significant morbidity and mortality. Also score systems for risk factors, such as Risk Adjustment for Congenital Heart surgery (RACHS 1) score or the ARISTOTLE score, have been developed, outcome prediction remains difficult. New mathematical methods using deep neural networks associated with Bayesian statistical methods have been developed to give a better understanding of the complex interaction between different risk factors, to identify risk factors and group them in related families. This method has been successfully used to predict mortality in dialysis patient as well as to better describe complex psychiatric syndromes. The primary hypothesis of this study is that the use of these tools will give a better understanding on the factors affecting outcome after pediatric cardiac surgery. A network analysis using Gaussian Graphical Models, Mixed Graphical models and Bayesian networks will be used to identify single or groups of risk factors for morbidity and mortality after pediatric cardiac surgery under cardiopulmonary bypass.
Interventions
All patients with pediatric cardiac surgery under cardiopulmonary bypass between 2008 and 2018 operated at our institution
Sponsors
Study design
Eligibility
Inclusion criteria
* 0 to 16 years * cardiac surgery under cardiopulmonary bypass
Exclusion criteria
* ASA (American Society of Anesthesiologists) status 5 * Jehovah's Witness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Outcome predictors | 28 days | All preoperative, peroperative and postoperative variables will be entered into a deep neural network with Bayesian statistics to identify groups or individual risk factors for postoperative morbidity and mortality |
Countries
Belgium