A COMPARATIVE STUDY OF CYANOTIC & ACYANOTIC PATIENT’S OUTCOMES IN A POSTOPERATIVE INTENSIVE CARE UNIT AT AFIC/NIHD

Abstract

Objective: To compare the outcome of cyanotic and Acyanotic patients undergone congenital cardiac surgery.
Study Design: Descriptive cross sectional study.
Place and Duration of Study: Paeds cardiac surgical intensive care unit of AFIC/NIHD, Rawalpindi, from Jan to
Sep 2016.
Methodology: This Retrospective cross sectional study was conducted at AFIC/NIHD, from Jan 2016 to Sep 2016.
A total of 431 patients were monitored from the time they entered the Paediatric Cardiology Intensive Care Unit
till their final discharge. SPSS version 22 was used for statistical analysis and p<0.05 was considered statistically
significant.
Results: A total of 431 patients were enrolled in this study, out of which 209 (48.5%) were cyanotics and 222
(51.5%) were acyanotic cases. The complications in cyanotic patients 30 (57.7%) were more as compared to
acyanotic cases 22 (42.3%) p-value <0.001. Cyanotic CHD had a higher mortality rate than acyanotic lesions
(p<0.04). Cardiac procedure, mortality, longer mechanical ventilation, ICU stay, rhythm problem, and post op O2
saturation were associated with cyanosis and the differences were highly significant.
Conclusion: In our setting, cyanotic young infants had more complications than acyanotic lesions. Cyanotic
patients had longer ICU stay and Prolonged mechanical ventilation and increased risk of mortality