التفاصيل البيبلوغرافية
| العنوان: |
A 10-year retrospective review of perioperative mortality in pediatric general surgery at Ile-Ife Hospital, Nigeria. |
| المؤلفون: |
Talabi, Ademola Olusegun, Sowande, Oludayo Adedapo, Adenekan, Anthony Taiwo, Adejuyigbe, Olusanya, Adumah, Collins Chijioke, Igwe, Arua Obasi |
| المصدر: |
Journal of Pediatric Surgery; Oct2018, Vol. 53 Issue 10, p2072-2076, 5p |
| مستخلص: |
Abstract Background/Purpose The analysis of perioperative mortality as well as surgery- and anesthesia-related death in pediatric patients may serve as a potential tool to improve outcome. The aim of this study is to report the 24-h and 30-day overall, and surgery and anesthesia-related, mortality in a tertiary hospital. Methods This is a retrospective review of perioperative mortality in children ≤ 15 years at a general pediatric surgery unit. All pediatric general surgery cases operated under general anesthesia between January 2007 and December 2016 were included in the study and data analyzed. Results A total of 4108 surgical procedures were performed in 4040 patients. The age was 1 day to 15 years with a median age of 2 years. The all cause 24-h mortality was 34 per 10,000 procedures and the all cause 30-day mortality was 156 per 10,000 procedures. Septicemia was the most common cause of death. The determinants of mortality were neonatal age group (Adjusted Odd Ratio (AOR) = 0.033, 95% CI = 0.015–0.070, p = 0.001), emergency surgery (AOR = 90.91, 95% CI = 27.78–333.33, p = 0.001), higher ASA status (AOR = 0.014, 95% CI = 0.005–0.041, p = 0.001) and multiple operative procedures (AOR = 38.46, 95% CI = 10.64–142.85, p = 0.001). Conclusions Neonatal age group, children with poorer ASA status, emergency and multiple surgeries were predictors of perioperative mortality. Level of evidence Retrospective study. [ABSTRACT FROM AUTHOR] |
|
Copyright of Journal of Pediatric Surgery is the property of W B Saunders and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Supplemental Index |
