Retained foreign bodies and associated risk factors and outcomes in pediatric surgical patients
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In brief
In brief
Retrospective case-control study using PHIS database identified risk factors for retained foreign bodies in pediatric surgical patients, including emergent procedures, chronic conditions, and ICU admission. While musculoskeletal procedures accounted for most cases (30.4%), interventional radiology procedures showed highest odds (AOR 7.88) of RFB occurrence.
Written by the GCMD Library team from the article.
Background
Retained foreign bodies discovered after surgery are documented as Agency for Health Care Quality and Research Patient Safety Indicators. Our goal was to identify pediatric patient and procedure risk factors and outcomes associated with RFB based on AHRQ Definitions.
Methods
We performed a retrospective case–control study of children with RFB using the PHIS database. Patients were defined as having RFB based on the AHRQ PSI definition. Controls were matched in a 5:1 ratio on age, procedure date, and hospital. Our primary outcome was the presence of RFB. Secondary outcomes included hospital length of stay and mortality.
Results
Patients with RFB often underwent emergent procedures, experienced one or more chronic conditions, and required ICU admission or mechanical ventilation. Musculoskeletal procedures contribute the largest numbers of RFB (30.4%), but interventional radiology procedures had higher odds of having RFB (AOR 7.88, p