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Nsqip pediatrics

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https://www.readbyqxmd.com/read/27894758/the-impact-of-cardiac-risk-factors-on-short-term-outcomes-for-children-undergoing-a-ladd-procedure
#1
Luke R Putnam, Kathryn T Anderson, KuoJen Tsao, Lillian S Kao, Jane A Lugo, Kevin P Lally, Akemi L Kawaguchi
BACKGROUND/PURPOSE: The purpose of this study was to describe the outcomes of children with and without congenital heart disease who undergo a Ladd procedure. METHODS: The 2012-2014 National Surgical Quality Improvement Program Pediatric (NSQIP-P) data were queried for patients undergoing a Ladd procedure. Utilizing NSQIP-P definitions, patients were categorized into four cardiac risk groups (none, minor, major, severe) based on severity of cardiac anomalies, previous cardiac procedure(s), and ongoing cardiac dysfunction...
October 21, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27884453/a-call-for-a-standardized-definition-of-perforated-appendicitis
#2
Andrew P Rogers, Tiffany J Zens, Charles M Leys, Peter F Nichol, Daniel J Ostlie
BACKGROUND: Abscess rates have been reported to be as low as 1% and as high as 50% following perforated appendicitis (PA). This range may be because of lack of universal definition for PA. An evidence-based definition (EBD) is crucial for accurate wound classification, risk-stratification, and subsequent process optimization. ACS NSQIP-Pediatric guidelines do not specify a definition of PA. We hypothesize that reported postoperative abscess rates underrepresent true incidence, as they may include low-risk cases in final calculations...
October 27, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27870741/relationship-between-preoperative-anemia-and-in-hospital-mortality-in-children-undergoing-noncardiac-surgery
#3
David Faraoni, James A DiNardo, Susan M Goobie
BACKGROUND: The relationship between preoperative anemia and in-hospital mortality has not been investigated in the pediatric surgical population. We hypothesized that children with preoperative anemia undergoing noncardiac surgery may have an increased risk of in-hospital mortality. METHODS: We identified all children between 1 and 18 years of age with a recorded preoperative hematocrit (HCT) in the 2012, 2013, and 2014 American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) pediatric databases...
December 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27666656/development-and-evaluation-of-the-american-college-of-surgeons-nsqip-pediatric-surgical-risk-calculator
#4
Kari Kraemer, Mark E Cohen, Yaoming Liu, Douglas C Barnhart, Shawn J Rangel, Jacqueline M Saito, Karl Y Bilimoria, Clifford Y Ko, Bruce L Hall
BACKGROUND: There is an increased desire among patients and families to be involved in the surgical decision-making process. A surgeon's ability to provide patients and families with patient-specific estimates of postoperative complications is critical for shared decision making and informed consent. Surgeons can also use patient-specific risk estimates to decide whether or not to operate and what options to offer patients. Our objective was to develop and evaluate a publicly available risk estimation tool that would cover many common pediatric surgical procedures across all specialties...
November 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27528852/reliability-of-a-surgeon-reported-morbidity-and-mortality-database-a-comparison-of-short-term-morbidity-between-the-scoliosis-research-society-and-national-surgical-quality-improvement-program-databases
#5
Christopher T Martin, Andrew J Pugely, Yubo Gao, Branko Skovrlj, Nathan J Lee, Samuel K Cho, Sergio Mendoza-Lattes
BACKGROUND: There exists a lack of comparison between large national healthcare databases reporting surgical morbidity and mortality. Prior authors have expressed concern that the Scoliosis Research Society (SRS) membership may have underreported complications in spinal surgery. Thus, the purpose of the present study was to compare the incidence of morbidity between the SRS and National Surgical Quality Improvement Program (NSQIP) databases. METHODS: We reviewed patients enrolled between 2012 and 2013, with a total of 96,875 patients identified in the SRS dataset and 15,909 in the combined adult and pediatric NSQIP dataset...
2016: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/27490129/predictors-of-ventriculoperitoneal-shunt-failure-in-children-undergoing-initial-placement-or-revision
#6
Dani O Gonzalez, Justin B Mahida, Lindsey Asti, Erica J Ambeba, Brian Kenney, Lance Governale, Katherine J Deans, Peter C Minneci
BACKGROUND: Ventriculoperitoneal (VP) shunt placement, the mainstay of treatment for hydrocephalus, can place a substantial burden on patients and health care systems because of high complication and revision rates. We aimed to identify factors associated with 30-day VP shunt failure in children undergoing either initial placement or revision. METHODS: VP shunt placements performed on patients in the 2012-2013 American College of Surgeons National Surgical Quality Improvement Program (NSQIP) Pediatric were identified...
2017: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27411903/safety-and-postoperative-adverse-events-in-pediatric-airway-reconstruction-analysis-of-acs-nsqip-p-30-day-outcomes
#7
Christopher R Roxbury, Kris R Jatana, Rahul K Shah, Emily F Boss
OBJECTIVES: Prior research has shown that airway reconstructive procedures comprise significant composite morbidity compared to the whole of pediatric otolaryngologic cases evaluated in the American College of Surgeon's National Surgery Quality Improvement Program-Pediatric (ACS-NSQIP-P) platform. We describe postoperative sequelae of pediatric airway reconstructive procedures and identify predictive factors for adverse events. METHODS: Current procedural terminology (CPT) codes were used to identify children undergoing included procedures in the 2012 to 2014 ACS-NSQIP-P public use files (PUF)...
July 14, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27401674/relationship-between-transfusion-volume-and-outcomes-in-children-undergoing-noncardiac-surgery
#8
Susan M Goobie, James A DiNardo, David Faraoni
BACKGROUND: The objective of this study was to assess the relationship between the volume of red blood cells (RBCs) transfused and outcomes in children undergoing noncardiac surgery. STUDY DESIGN AND METHODS: Children undergoing noncardiac surgery recorded in the 2012 and 2013 American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) pediatric databases were included. Outcomes included 30-day mortality and the incidence of major postoperative complications...
July 12, 2016: Transfusion
https://www.readbyqxmd.com/read/27392442/thirty-day-outcomes-for-posterior-fossa-decompression-in-children-with-chiari-type-1-malformation-from-the-us-nsqip-pediatric-database
#9
Aditya Vedantam, Rory R Mayer, Kristen A Staggers, Dominic A Harris, I-Wen Pan, Sandi K Lam
PURPOSE: The multicenter National Surgical Quality Improvement Program-Pediatric (NSQIP-P) database maintained by the American College of Surgeons was used to describe 30-day outcomes following Chiari type 1 decompression in children and to identify risk factors for readmission, reoperation, and perioperative complications. METHODS: We identified patients aged 0-18 years who underwent posterior cranial fossa decompression for Chiari type 1 malformation in 2012, 2013, and 2014 in the NSQIP-Pediatric database...
July 8, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27363329/increased-pediatric-sub-specialization-is-associated-with-decreased-surgical-complication-rates-for-inpatient-pediatric-urology-procedures
#10
R Tejwani, H-H S Wang, B J Young, N H Greene, S Wolf, J S Wiener, J C Routh
INTRODUCTION: Increased case volumes and training are associated with better surgical outcomes. However, the impact of pediatric urology sub-specialization on perioperative complication rates is unknown. OBJECTIVES: To determine the presence and magnitude of difference in rates of common postoperative complications for elective pediatric urology procedures between specialization levels of urologic surgeons. The Nationwide Inpatient Sample (NIS), a nationally representative administrative database, was used...
June 16, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27325358/relationship-between-perioperative-blood-transfusion-and-surgical-site-infections-in-the-newborn-population-an-acs-nsqip-pediatrics-analysis
#11
Jason Fawley, Thomas H Chelius, Yvonne Anderson, Laura D Cassidy, Marjorie J Arca
BACKGROUND: Adult data suggest that perioperative transfusion may have deleterious effects through immunomodulation. Limited data regarding the effect of transfusions exist in the pediatric population. We hypothesized that perioperative transfusions may be associated with surgical site infections (SSI) in newborns. METHODS: The 2012 and 2013 American College of Surgeons National Safety and Quality Improvement Project-Pediatric (ACS-NSQIP-P) Participant User Files were queried to include all neonates that underwent surgical procedures...
September 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27321535/re-association-of-bmi-and-pediatric-urologic-postoperative-events-results-from-pediatric-nsqip
#12
Douglas A Canning
No abstract text is available yet for this article.
July 2016: Journal of Urology
https://www.readbyqxmd.com/read/27317576/race-and-30-day-morbidity-in-pediatric-urologic-surgery
#13
David I Chu, Douglas A Canning, Gregory E Tasian
BACKGROUND AND OBJECTIVE: Quality improvement in surgery involves identifying patients at high risk for postoperative complications. We sought to assess the impact of race and procedure type on 30-day surgical morbidity in pediatric urology. METHODS: The National Surgical Quality Improvement Program-Pediatrics (NSQIP-P) is a prospective registry of surgical cases from 50 and 56 pediatric hospitals in 2012 and 2013, respectively. We performed a cohort study of children followed in NSQIP-P who underwent urologic surgery...
July 2016: Pediatrics
https://www.readbyqxmd.com/read/27280901/blood-transfusion-incidence-risk-factors-and-associated-complications-in-surgical-treatment-of-hip-dysplasia
#14
Brandon A Sherrod, Dustin K Baker, Shawn R Gilbert
BACKGROUND: Perioperative bleeding requiring blood transfusion is a known complication of hip dysplasia (HD) surgery. Here we examine rates of, risk factors for, and postoperative complications associated with transfusion during HD surgery. METHODS: The National Surgical Quality Improvement Program (NSQIP) Pediatric database was queried for patients treated by an orthopaedist from 2012 to 2013. HD cases were categorized by Current Procedural Terminology codes into femoral osteotomies, acetabular osteotomies, combined femoral/acetabular osteotomies, and open reductions...
June 8, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27258591/thirty-day-outcomes-after-postnatal-myelomeningocele-repair-a-national-surgical-quality-improvement-program-pediatric-database-analysis
#15
Jacob Cherian, Kristen A Staggers, I-Wen Pan, Melissa Lopresti, Andrew Jea, Sandi Lam
OBJECTIVE Due to improved nutrition and early detection, myelomeningocele repair is a relatively uncommon procedure. Although previous studies have reviewed surgical trends and predictors of outcomes, they have relied largely on single-hospital experiences or on databases centered on hospital admission data. Here, the authors report 30-day outcomes of pediatric patients undergoing postnatal myelomeningocele repair from a national prospective surgical outcomes database. They sought to investigate the association between preoperative and intraoperative factors on the occurrence of 30-day complications, readmissions, and unplanned return to operating room events...
June 3, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27199258/30-day-readmission-after-pediatric-upper-extremity-surgery-analysis-of-the-nsqip-database
#16
Stephanie Thibaudeau, Jason B Anari, Nicholas Carducci, Robert B Carrigan
PURPOSE: To determine the incidence and risk factors of complications, reoperations and 30-day unplanned readmission after pediatric upper extremity surgery. METHODS: Retrospective analysis of the 2013 National Surgery Quality Improvement Program pediatric database to identify procedures that met the CPT code of a primary upper extremity procedure. A univariate and multivariate analysis was performed to identify patient- and surgery-related risk factors for complications, reoperations and 30-day unplanned readmissions...
August 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27191111/re-30-day-morbidity-after-augmentation-enterocystoplasty-and-appendicovesicostomy-a-nsqip-pediatric-analysis
#17
Douglas A Canning
No abstract text is available yet for this article.
June 2016: Journal of Urology
https://www.readbyqxmd.com/read/27140001/open-versus-minimally-invasive-ureteroneocystostomy-a-population-level-analysis
#18
Hsin-Hsiao S Wang, Rohit Tejwani, Glenn M Cannon, Patricio C Gargollo, John S Wiener, Jonathan C Routh
INTRODUCTION: Open ureteroneocystostomy (UNC) is the gold standard for surgical correction of vesicoureteral reflux (VUR). Beyond single-center reports, there are few published data on outcomes of minimally-invasive (MIS) UNC. Our objective was to compare postoperative outcomes of open and MIS UNC using national, population-level data. METHOD: We reviewed the 1998-2012 Nationwide Inpatient Sample to identify pediatric (≤18 years) VUR patients who underwent either open or MIS UNC...
August 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27046470/pediatric-national-surgical-quality-improvement-program-useful-for-quality-improvement-in-craniosynostosis-surgery
#19
Sandi Lam, Jared Fridley, Virendra R Desai, Visish M Srinivasan, Andrew Jea, Thomas G Luerssen, I-Wen Pan
The American College of Surgeons and the American Pediatric Surgical Association collaborate to provide pediatric hospitals with multispeciality surgical outcomes data through the Pediatric National Surgical Quality Improvement Program (NSQIP Peds). The authors used this national multicenter database to describe 30-day outcomes from craniosynostosis surgery and identify associations with perioperative events and blood transfusion.Data from NSQIP Peds were used to describe children undergoing craniosynostosis surgery...
May 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27046303/does-the-american-college-of-surgeons-national-surgical-quality-improvement-program-pediatric-provide-actionable-quality-improvement-data-for-surgical-neonates
#20
Brian T Bucher, Eileen M Duggan, Peter H Grubb, Daniel J France, Kevin P Lally, Martin L Blakely
BACKGROUND/PURPOSE: The purpose of this project was to examine the American College of Surgeons National Surgical Quality Improvement Program Pediatric (ACSNSQIP-P) Participant Use File (PUF) to compare risk-adjusted outcomes of neonates versus other pediatric surgical patients. METHODS: In the ACS-NSQIP-P 2012-2013 PUF, patients were classified as preterm neonate, term neonate, or nonneonate at the time of surgery. The primary outcomes were 30-day mortality and composite morbidity...
September 2016: Journal of Pediatric Surgery
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