Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in th
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- 1% of infants develop severe AKI requiring dialysis after congenital heart surgery, with 46% one-year survival vs 94% without dialysis.
- Most infants received continuous renal replacement therapy rather than intermittent hemodialysis.
- Hospitals with higher dialysis volume had 3× better hospital survival and 2× better one-year survival rates.
- Center experience with dialysis significantly impacts outcomes—consider referral to high-volume centers for infants needing post-cardiac dialysis.
- Dialysis after infant heart surgery is rare but high-risk; outcomes improve with institutional expertise and volume.
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Does it matter where a baby receives care after heart surgery? I'm Lizzie Lee from Cincinnati Children's, and this is an article you should know about. After having congenital heart surgery, 1% of infants can develop severe acute kidney injury and require dialysis. In this study, for those that needed hemodialysis, their one-year survival was 46%, compared to 94% for those that did not. not need hemodialysis. Most received continuous renal replacement therapy rather than intermittent dialysis. What was the most interesting finding? Where the baby was treated mattered a lot. Hospitals that use dialysis more frequently had 3 times higher hospital survival and double the 1-year survival rate. So the takeaway is that dialysis after infant heart surgery is pretty rare. But outcomes may improve when they are treated at a center with more experience in using dialysis. Let us know what you think and stay tuned for articles that you should know about.