Low Cardiac Output Syndrome in Children After Open Heart Surgery In National Cardiovascular Center – Indonesia Predictor and Clinical Result

Background. A Low cardiac output syndrome (LCOS) was defined as poor perfusion due to transient myocardial dysfunction.The purpose of this study was to identify patients at risk for the development of LCOS in pediatric after cardiac surgery. Methods and results.The patient characteristics that were independent predictors of LCOS were identified among472 consecutive pediatric pa-tients who underwent cardiac surgery at the National Cardiovascular Center – Indonesia between January 2005 and December2005. The overall preva-lence of LCOS was 15.43 % (n= 73). Logistic regression analyses identified  eight independent predictors of LCOS and calculated the factor-ad-justed odds ratiosassociated with each predictor: (1) residual lesion (odds ratio 141.98); (2) complexity score(odds ratio 1.74);(3) Cardiopulmonary bypass (CPB) time (odds ratio1.01); (4) preoperative Intensive Care Unit (ICU) (odds ratio 8.51); (5) preoperative Congestive Heart Failure (CHF) (odds ratio 3.14); (6) bleeding (oddsratio 24.88); (7) arrhythmia (odds ratio 4.78); and (8) pulmonary hypertension (odds ratio3.75). The opera-tive mortality rate was higherin patients in whom LCOS developed than in those in whom it did not develop (39.72% versus 0.75%, p<0.001). Mean basic complexity score was 6.25 with mortality rate 6.76, and the overall performance was 5.83. Conclusions. Compared to STS and EACTS, the performance of National Cardiovascular Center– Indonesia was still lower. LCOS caused longer time of intubation time, ICU and hospital stay. There were eight independents predictor that can be used to predicts LCOS in pediatric patients after open heart surgery. Patients at high risk for the develop-ment of low cardiacoutput syndrome should be the focus of more inten-sive management to prevent the development of LCOS

Advocacy at the Eighth World Congress of Pediatric Cardiology and Cardiac Surgery

The Eighth World Congress of Pediatric Cardiology and Cardiac Surgery (WCPCCS) will be held in Washington DC, USA, from Saturday, 26 August, 2023 to Friday, 1 September, 2023, inclusive. The Eighth World Congress of Pediatric Cardiology and Cardiac Surgery will be the largest and most comprehensive scientific meeting dedicated to paediatric and congenital cardiac care ever held. At the time of the writing of this manuscript, The Eighth World Congress of Pediatric Cardiology and Cardiac Surgery has 5,037 registered attendees (and rising) from 117 countries, a truly diverse and international faculty of over 925 individuals from 89 countries, over 2,000 individual abstracts and poster presenters from 101 countries, and a Best Abstract Competition featuring 153 oral abstracts from 34 countries. For information about the Eighth World Congress of Pediatric Cardiology and Cardiac Surgery, please visit the following website: [www.WCPCCS2023.org]. The purpose of this manuscript is to review the activities related to global health and advocacy that will occur at the Eighth World Congress of Pediatric Cardiology and Cardiac Surgery. Acknowledging the need for urgent change, we wanted to take the opportunity to bring a common voice to the global community and issue the Washington DC WCPCCS Call to Action on Addressing the Global Burden of Pediatric and Congenital Heart Diseases. A copy of this Washington DC WCPCCS Call to Action is provided in the Appendix of this manuscript. This Washington DC WCPCCS Call to Action is an initiative aimed at increasing awareness of the global burden, promoting the development of sustainable care systems, and improving access to high quality and equitable healthcare for children with heart disease as well as adults with congenital heart disease worldwide