903: ASSOCIATION OF LEFT VENTRICULAR SYSTOLIC FUNCTION AND OUTCOME AFTER PEDIATRIC TRAUMATIC BRAIN INJURY

• DOI: 10.1097/01.ccm.0001001780.12755.b3
• Publication Date: 2023-12-14T15:12:06Z
• Authors: Vanessa Mazandi; Adam Himebauch; Kaitlyn Boggs; Christie Glau; Shih-shan Lang; Nankee Kumar; Todd Kilbaugh; Thomas Conlon; Jimmy Huh
• Keywords: Association (psychology); Ventricular Function

Introduction: Traumatic brain injury [TBI] is one of the leading causes morbidity and mortality in children. While left ventricular [LV] systolic cardiac dysfunction has been observed following TBI adults, very little known regarding pediatric population. We hypothesized that LV would be associated with mortality. Methods: This was a single-center retrospective study from quaternary children's hospital. Pediatric patients less than 18 years who had trans thoracic echocardiography obtained by cardiology within 72 hours admission to PICU January 2011 December 2021 were evaluated. The primary outcome in-hospital Secondary outcomes included Glasgow scale-extended score [GOS-E] at 6 months survivors. Results: Eighty-two an echocardiogram admission. Cardiac abnormalities on 34 out 82 (41%): 16 children moderate severe dysfunction, 2 mild 7 low normal hyperdynamic function isolated right dysfunction. rate 45% (37 82). Clinical factors GCS, intracranial hemorrhage, abusive head trauma, arrest (p < 0.05). Moderate highest odds ratio (OR 14.7, p = 0.018) poor GOS-E survivors 1.4, 0.03). Conclusions: Almost 25% receiving transthoracic developed our study. increased morbidity. Future prospective studies are warranted further characterize myocardial determine whether earlier recognition treatment may improve outcomes.