Cardiovascular Dysfunction Criteria in Critically Ill Children: The PODIUM Consensus Conference.
Journal
Pediatrics
ISSN: 1098-4275
Titre abrégé: Pediatrics
Pays: United States
ID NLM: 0376422
Informations de publication
Date de publication:
01 01 2022
01 01 2022
Historique:
accepted:
24
09
2021
entrez:
31
12
2021
pubmed:
1
1
2022
medline:
23
2
2022
Statut:
ppublish
Résumé
Cardiovascular dysfunction is associated with poor outcomes in critically ill children. We aim to derive an evidence-informed, consensus-based definition of cardiovascular dysfunction in critically ill children. Electronic searches of PubMed and Embase were conducted from January 1992 to January 2020 using medical subject heading terms and text words to define concepts of cardiovascular dysfunction, pediatric critical illness, and outcomes of interest. Studies were included if they evaluated critically ill children with cardiovascular dysfunction and assessment and/or scoring tools to screen for cardiovascular dysfunction and assessed mortality, functional status, organ-specific, or other patient-centered outcomes. Studies of adults, premature infants (≤36 weeks gestational age), animals, reviews and/or commentaries, case series (sample size ≤10), and non-English-language studies were excluded. Studies of children with cyanotic congenital heart disease or cardiovascular dysfunction after cardiopulmonary bypass were excluded. Data were abstracted from each eligible study into a standard data extraction form, along with risk-of-bias assessment by a task force member. Cardiovascular dysfunction was defined by 9 elements, including 4 which indicate severe cardiovascular dysfunction. Cardiopulmonary arrest (>5 minutes) or mechanical circulatory support independently define severe cardiovascular dysfunction, whereas tachycardia, hypotension, vasoactive-inotropic score, lactate, troponin I, central venous oxygen saturation, and echocardiographic estimation of left ventricular ejection fraction were included in any combination. There was expert agreement (>80%) on the definition. All included studies were observational and many were retrospective. The Pediatric Organ Dysfunction Information Update Mandate panel propose this evidence-informed definition of cardiovascular dysfunction.
Identifiants
pubmed: 34970677
pii: 184284
doi: 10.1542/peds.2021-052888F
pmc: PMC9745438
mid: NIHMS1843069
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
S39-S47Subventions
Organisme : NINDS NIH HHS
ID : R01 NS106292
Pays : United States
Investigateurs
Michael Agus
(M)
Ayse Akcan-Arikan
(A)
Rajit Basu
(R)
Tellen D Bennett
(TD)
Leonardo R Brandão
(LR)
Ann-Marie Brown
(AM)
Joseph A Carcillo
(JA)
Jill Cholette
(J)
Ira M Cheifetz
(IM)
Timothy Cornell
(T)
Allan Doctor
(A)
Simon Erickson
(S)
Reid W D Farris
(RWD)
E Vincent S Faustino
(EVS)
Julie C Fitzgerald
(JC)
Dana Y Fuhrman
(DY)
John S Giuliano
(JS)
Kristin Guilliams
(K)
Stephen M Gorga
(SM)
Mark Hall
(M)
Sheila J Hanson
(SJ)
Mary Hartman
(M)
Amanda B Hassinger
(AB)
Sharon Y Irving
(SY)
Philippe Jouvet
(P)
Sujatha Kannan
(S)
Oliver Karam
(O)
Robinder G Khemani
(RG)
Jacques Lacroix
(J)
Francis Leclerc
(F)
Jan Hau Lee
(JH)
Stephane Leteurtre
(S)
Katie Lobner
(K)
Patrick J McKiernan
(PJ)
Kusum Menon
(K)
Paul Monagle
(P)
Jennifer A Muszynski
(JA)
Folafoluwa Odetola
(F)
Robert Parker
(R)
Nazima Pathan
(N)
Richard W Pierce
(RW)
Jose Pineda
(J)
Jose M Prince
(JM)
Karen A Robinson
(KA)
Courtney M Rowan
(CM)
L. Nelson Sanchez-Pinto
(LN)
Luregn J Schlapbach
(LJ)
David T Selewski
(DT)
Dennis Simon
(D)
Lincoln S Smith
(LS)
James E Squires
(JE)
Robert H Squires
(RH)
Scott M Sutherland
(SM)
Yves Ouellette
(Y)
Michael C Spaeder
(MC)
Vijay Srinivasan
(V)
Marie E Steiner
(ME)
Robert C Tasker
(RC)
Neal Thomas
(N)
Pierre Tissieres
(P)
Chani Traube
(C)
Marisa Tucci
(M)
Katri V Typpo
(KV)
Mark S Wainwright
(MS)
Shan L Ward
(SL)
R Scott Watson
(RS)
Scott Weiss
(S)
Jane Whitney
(J)
Doug Willson
(D)
James L Wynn
(JL)
Nadir Yehya
(N)
Informations de copyright
Copyright © 2021 by the American Academy of Pediatrics.
Déclaration de conflit d'intérêts
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.
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