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Abstract

Objective: To determine the outcome of fast tracking patients after congenital cardiac surgery and to evaluate the factors associated with delays in fast tracking and to identify the reasons for delays.
Study Design: Prospective descriptive cross-sectional study
Place and Duration of Study: The study was conducted at Department of Pediatric cardiac Anesthesiology and PICU at AFIC-NIHD Rawalpindi from Jan 2015 to Jan 2016.
Material and Methods: A total of 172 patients were selected through non-probability consecutive sampling over a period of 1 year i.e. from January 2015 to January 2016. Patients who met the inclusion criteria were selected and they were grouped as fast tracked and non-fast tracked. Data collection tool was developed to measure the demographics, clinical findings, complications and final outcome of patients who underwentcongenital cardiac surgery. Data entries were done on SPSS version-22 and on excel sheets. Root cause analysis was done by applying statistical quality control tools.
Result: A total of 172 patients were enrolled in this study, this equates to around 15 patients per month. Included children had a mean age of 4.3 ± 3.5 years and mean weight 14.24 ± 9.7 kg. 110 (64%) were male and 62 (36%) were females. Mean length of hospital stay was 13.98 ± 7.1 days and median P.ICU stay was 2.1 ± 2.75 days. 87 (50.6%) patients fast tracked successfully and remaining 85(49.4%) stayed overnight in PICU due to some complications.
Conclusion: Fast tracking is feasible and beneficial in numerous studies, including ours. Fast tracked patients ha...