Association between Index Complication and Outcomes after Inpatient Pediatric Surgery
Author / Expert
Jorge I Portuondo, Steven Mehl, Sohail R Shah, Mehul V Raval, Huirong Zhu, Sara C Fallon, David E Wesson, Nader N Massarweh
Topic overview
ABSTRACT
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
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