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Study cites factors of reoperation within 48 hours of pediatric neurosurgery procedures
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Within 48 hours of a pediatric neurosurgery procedure, investigators found about 25% of reoperation procedures were planned. However, for reoperations that were unplanned, investigators discovered these were associated with surgeon- and system-related factors.
Researchers collected demographic, socioeconomic and clinical characteristics correlated with 7,952 pediatric neurosurgery procedures. Based on the nature of the procedure and underlying diseases, investigators grouped the procedures into 31 categories. Reoperations that occurred 48 hours after the initial surgery were assessed to determine whether these were planned or unplanned, and multivariate logistic regression was used to determine risk factors correlated with unplanned reoperation.
Finding showed 221 reoperations occurred within 48 hours of the initial procedure, for an overall incidence rate of 2.78%. Of the 221 reoperations, 159 were unplanned and 121 of these were performed after shunt manipulations. There was a two-fold to three-fold increased chance of reoperation for index operations that started after 3 p.m. and for admissions through the emergency department. – by Monica Jaramillo
Disclosure: The researchers report no relevant financial disclosures.
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