Abstract
Plain Language SummaryIn our study, we looked at medical records of young patients, from newborns to 18-year-olds, who needed an emergency procedure called peritoneal dialysis after heart surgery. Peritoneal dialysis is a treatment that cleans the blood when the kidneys can’t do it properly. It involves placing a special tube in the belly to filter out waste using a cleansing fluid. We found that this emergency treatment was most often needed after complex surgery for heart problems present from birth. It is a serious situation, and unfortunately, many children did not survive. We learned that starting the dialysis treatment as soon as possible after surgery might help increase the chances of survival. We also noticed that some issues like infections or problems with the tube used in the treatment could lead to stopping the dialysis, which happened in about a third of the patients. Our goal was to understand what makes this emergency treatment work well or not. Knowing these factors can help doctors and medical teams improve how they care for very sick children after surgery and potentially save more lives. We hope that our findings will lead to better ways to manage and prevent problems that come up with this life-saving treatment.
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