Journal article
Prospective review of a single center's general pediatric neurosurgical intraoperative and postoperative complication rates Clinical article
Journal of neurosurgery. Pediatrics, Vol.13(1), pp.107-113
01 Jan 2014
PMID: 24236448
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Object. The authors conducted a study to compare the complication rate (CR) of pediatric neurosurgical procedures in a general neurosurgery department to the CRs that are reported in the literature and to establish a baseline of CR for further targeted improvement of quality neurosurgical care.
Methods. The authors analyzed the prospectively collected data from a complication registration of 1000 consecutive pediatric neurosurgical procedures in 581 patients from the beginning of the registration in January 2004 through August 2008. A pediatric neurosurgeon was involved in 50.5% of the procedures. All adverse events (AEs) from induction of anesthesia until 30 days postoperatively were recorded.
Results. Overall, 229 complications were counted in 202 procedures. The overall CR was 20.2%, with a 2.7% intraoperative CR and a 17.5% postoperative CR. Tumor surgery was associated with the highest CR (32.7%), followed by CSF disorders (21.8%). The mortality rate was 0.3%. An unplanned return to the operating room in relation to an AE happened in 10.5% of all procedures and in 52% of procedures associated with AEs, the majority of which were related to CSF disorders.
Conclusions. The CR in pediatric neurosurgical procedures was significant, and more than half of the patients with an AE required a repeat surgical procedure. Analysis of CRs should be a prerequisite for the prevention of complications and for the development of targeted interventions to reduce the CR (for example, infection rates).
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Details
- Title
- Prospective review of a single center's general pediatric neurosurgical intraoperative and postoperative complication rates Clinical article
- Creators
- Erik J. van Lindert - Radboud University NijmegenHans Delye - Radboud University NijmegenJody Leonardo - University at Buffalo, State University of New York
- Publication Details
- Journal of neurosurgery. Pediatrics, Vol.13(1), pp.107-113
- Publisher
- Amer Assoc Neurological Surgeons
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000329088000019
- Scopus ID
- 2-s2.0-84892425552
- Other Identifier
- 991022059808304721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Clinical Neurology
- Pediatrics
- Surgery