Terui, Keita and Tachimori, Hisateru and Oita, Satoru and Fujiogi, Michimasa and Fujishiro, Jun and Hirahara, Norimichi and Miyata, Hiroaki and Hishiki, Tomoro (2024) Influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children. Surgery Today, 54 (5). pp. 419-427. ISSN 09411291, DOI https://doi.org/10.1007/s00595-023-02742-5.
Full text not available from this repository.Abstract
Purpose To clarify the influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children in Japan.Methods We collected data on pediatric patients with gastrointestinal perforation between 2017 and 2019, from the National Clinical Database. The surgical volumes of various institutions were classified into three groups: low (average number of surgeries for gastrointestinal perforation/year < 1), medium (= 1, < 6), and high (= 6). The observed-to-expected (o/e) ratios of 30-day mortality and morbidity were calculated for each group using an existing risk model.Results Among 1641 patients (median age, 0.0 years), the 30-day mortality and morbidity rates were 5.2% and 37.7%, respectively. The 30-day mortality rates in the low-, medium-, and high-volume institutions were 4.9%, 5.3%, and 5.1% (p = 0.94), and the 30-day morbidity rates in the three groups were 26.8%, 39.7%, and 37.7% (p < 0.01), respectively. The o/e ratios of 30-day mortality were 1.05 (95% confidence interval CI] 0.83-1.26), 1.08 (95% CI 1.01-1.15), and 1.02 (95% CI 0.91-1.13), and those of 30-day morbidity were 1.72 (95% CI 0.93-2.51), 1.03 (95% CI 0.79-1.28), and 0.95 (95% CI 0.56-1.33), respectively.Conclusion Surgical volume does not have significant impact on the outcomes of pediatric gastrointestinal perforation in Japan.
| Item Type: | Article |
|---|---|
| Funders: | Health Care Science Institute |
| Uncontrolled Keywords: | Intestinal perforation; Acute abdomen; High-volume hospitals; Morbidity; Mortality |
| Subjects: | R Medicine > RD Surgery |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 28 Aug 2024 04:12 |
| Last Modified: | 28 Aug 2024 04:12 |
| URI: | http://eprints.um.edu.my/id/eprint/46022 |
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