Clinical risk prediction score for postoperative accelerated junctional rhythm and junctional ectopic tachycardia in children with congenital heart disease
Authors' conclusion
We describe a novel risk prediction score to estimate the risk of postoperative AJR/JET permitting early identification of at-risk patients
Study context
- Population
- Children aged 0–18 years undergoing cardiac surgery for congenital heart disease (2011–2018)
- Participants
- 6,364 surgeries
- Outcome
- Postoperative AJR/JET; risk prediction score (random forest analysis and logistic regression)
Main finding
As reported in the abstract
Accelerated junctional rhythm (AJR)
215
3.4%
Junctional ectopic tachycardia (JET)
59
0.9%
Risk score C-index
0.72
95% CI 0.70–0.75
Observational data: associations, not effects.
Further findings
Outcomes of postoperative AJR/JET
- Associated with prolonged ICU and hospital length of stay, but not with early mortality
Original publication
Clinical risk prediction score for postoperative accelerated junctional rhythm and junctional ectopic tachycardia in children with congenital heart disease. Heart Rhythm. Published 8 March 2023. doi:10.
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