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Abstract
To measure the in-hospital mortality and complications after cardiac surgery at the postoperative pediatric cardiac surgical Intensive care unit, (AboElreesh pediatric hospital), Cairo university. Our study included a total of 952 patients admitted to the cardiac Intensive care unit (CICU), children{u2019}s hospital, Cairo university during the 3 years period between April 2011 to April 2014. Retrospective observational analysis of the data of the patient’s records was done. from a total of 952 patients; males (53.9%), females (46.1%). Age of patients in current study ranges from 4 days to 13 years, including neonates 39 (4.1%), infants 696 (73.1%) and children 217 (22.8%). procedures were either closed (39.6%) or open (59.1%). The incidence of morbidity was (57.6%), mortality was (30%), and (26.6%) were sent immediately back home after the operation. The most common procedure in our study is PAB followed by VSD closure, BT shunt then total repair of TOF and the least done procedure is (HLHS repair) procedure. Mortality was encountered in 286 patients (30%). Morbidity was found in 548 patients (57.6%), the most common complications were infections particularly VAP followed by respiratory complications followed by cardiovascular complications. Risk factors for mortality were the high RACHS -1 level, prolonged bypass time, prolonged ICU stay, younger age group