ASSESSMENT OF THE PREVALENCE AND EFFECT OF HYPOPHOSPHATEMIA IN IMMEDIATE OUTCOME OF OPEN HEART SURGERIES IN INFANTS AND CHILDREN

Hypophosphatemia is seen in very ill patients and can affect treatment outcomes.
The aim of this study is the assessment of the prevalence and the effect of the hypophosphatemia in
immediate outcome of open heart surgeries in children.
Materials & Methods: The patients were divided into two groups of normal and low serum phosphor
level. In each group the duration of hospital and intensive care unit (ICU) stay, intubation and
mechanical ventilation time and mortality ratio were studied. The data were assessed statistically.
Results: From 102 patients, 60 were male (58.8%); and 42 were female (41.2%). Mean patients age was
27.36+-27.07 months. The youngest was 16 days and the oldest was 6 years old. The most common
diagnoses were ventricular septal defect (VSD), atrial septal defect (ASD), and VSD with ASD
respectively. The change of phosphorus level after surgery was significant (P=0.015). There wasn’t
significant difference about duration of hospital and intensive care unit (ICU) stay (P=0.153 and =0.660
respectively), intubation time (P=0.833) and mechanical ventilation time (P=0.389) between two
groups.
Conclusion: Hypophosphatemia as a common complication of heart surgery can be affected by different
factors. For accurate assessment of the effects of hypophosphatemia on patients' outcome, a wide study
with more patients is required