24-hour and 30-day perioperative mortality in pediatric surgery
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Read the article on jpedsurg.org ↗Article · Jul 2018 · 1 min read
In brief
In brief
Multi-institutional analysis of 103,444 pediatric surgical cases (2012-2015) identified necrotizing enterocolitis as the diagnosis with highest 30-day mortality at 19%, with two-thirds of NEC deaths occurring within 24 hours. Overall perioperative mortality was 0.7%, demonstrating the need for large datasets to identify mortality patterns in pediatric surgery.
Written by the GCMD Library team from the article.
Purpose
The low perioperative mortality rate in pediatric surgery precludes effective analysis of mortality at individual institutions. Therefore, analysis of multi-institutional data is essential to determine any patterns of perioperative death in children. The aim of this study was to determine diagnoses associated with 24-hour and 30-day perioperative mortality.
Methods
A retrospective review of the 2012-2015 Pediatric Participant Use Data File (PUF) was performed. Statistical comparisons were made between survivors and nonsurvivors and between those with 24-hour and 30-day mortality using Fischer's exact tests. P-values ≤ 0.05 were considered significant.
Results
103,444 patients who underwent a pediatric surgical operation were evaluated. There were 732 deaths with a 30-day perioperative mortality of 0.7% (732/103,444). Necrotizing enterocolitis (NEC) was the diagnosis associated with the highest 30-day perioperative mortality (175/901, 19%). A significantly higher proportion NEC deaths occurred in the first 24 hours (67% (118/175) vs 33% (57/175) 30 day mortality, p