Estimating Perioperative Outcomes after Pediatric Laryngotracheal Reconstruction Surgery in Accordance with ACS-NSQIP-P Reporting
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In brief
In brief
This retrospective study of 84 laryngotracheal reconstruction procedures examines 30-day complication rates using ACS-NSQIP-P standards. Double-stage procedures were more common in younger children and those with severe subglottic stenosis, highlighting the need for accurate outcome reporting in low-volume pediatric airway surgeries.
Written by the GCMD Library team from the article.
Background
The American College of Surgeons National Surgical Quality Improvement Program-Pediatric (ACS-NSQIP-P) database monitors quality outcomes in pediatric surgery. However, the registry might underreport low-volume procedures. This review describes complications after laryngotracheal reconstruction (LTR) based on ACS-NSQIP-P reporting standards.
Methods
A case series with chart review at a tertiary children's hospital included consecutive LTR procedures between 2010 and 2018. Surgical procedures were grouped into single- or double-stage for comparison of thirty-day complication rates.
Results
Eighty-four procedures were reviewed with 70% (59/84) double-stage and 30% (25/84) single-stage. Children requiring double-stage procedures were younger (3.3 vs. 6.0 years, P=.002) and more often Black or African American (51% vs. 24%, P=.03). Double-stage LTR was frequently performed on children with Grade 3 or 4 subglottic stenosis (90% vs. 52%, P