Association between Index Complication and Outcomes after Inpatient Pediatric Surgery
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Mar 2022 · 1 min read
In brief
In brief
National cohort study examining how different types of initial postoperative complications influence the risk of subsequent complications and mortality in pediatric surgical patients. Analysis of NSQIP-Pediatric data identifies which index complications trigger cascading events leading to failure to rescue.
Written by the GCMD Library team from the article.
Purpose
A cascade of complications is believed to be the primary mechanism underlying failure to rescue (FTR), or death of a patient after a postoperative complication. It is unknown whether specific types of index complications are associated with the incidence of secondary complications and FTR after pediatric surgery.
Methods
National cohort study of patients within the National Surgical Quality Improvement Program–Pediatric database who underwent inpatient surgery (2012-2019). Index complications were grouped into nine categories (cardiovascular, venous thromboembolism, pulmonary, bleeding/transfusion, renal, central nervous system, wound, infectious, or minor [defined as having an associated mortality rate