24-hour and 30-day perioperative mortality in pediatric surgery

Bonasso, Patrick C.; Dassinger, Melvin S.; Ryan, Mark L.; Gowen, Marie S.; Burford, Jeffrey M.; Smith, Samuel D.

doi:10.1016/j.jpedsurg.2018.06.026

Cited by 27 publications

(40 citation statements)

References 11 publications

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“…Forty two (95.5%) cases were performed as emergency In the present study, the 24-hour and 30-day mortality rates recorded is similar to the report of a multicenter study conducted in Kenya, East Africa [10]. Perioperative mortality rates vary widely [4,6,7,11,12]. The difference in mortality rates may depend on the timing of the post-operative period and geographical area of study.…”

Section: Nature and Time Of The Operationsupporting

confidence: 84%

“…Necrotizing enterocolitis is a multifactorial disease process of the gastrointestinal tract of neonates (especially premature neonates) that results in infl ammation and bacterial invasion of the bowel wall [18]. Bonasso et al in their series on pediatric perioperative mortality reported that the largest proportion of perioperative deaths occur secondary to necrotizing enterocolitis [11]. Neonates are vulnerable when it comes to anesthetic risk and perioperative mortality [19].…”

Section: Nature and Time Of The Operationmentioning

confidence: 99%

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Perioperative mortality of pediatric surgical patients in a developing country: Incidence and Etiology

Emeka¹

2021

Glob J Perioperative Med

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Background: Pediatric perioperative mortality is a measure of the quality and safety of surgical care in children. The aim of study was to evaluate the incidence, etiology and pattern of pediatric perioperative mortality (within 24 hours and within 30 days post-surgery) in a teaching hospital in Enugu, Nigeria. Methods: This was a retrospective (STROBE) study of children that died within 30 days following surgery at the pediatric surgery unit of

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Section: Nature and Time Of The Operationsupporting

confidence: 84%

Section: Nature and Time Of The Operationmentioning

confidence: 99%

Perioperative mortality of pediatric surgical patients in a developing country: Incidence and Etiology

Emeka¹

2021

Glob J Perioperative Med

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“…In the HICs, antenatal diagnosis, planned delivery, diligent perinatal resuscitation, NICU, TPN and surgical advances have dramatically improved survival rates for gastroschisis [23]. [24,25]. Trauma was another important cause of mortality which has an increasing global trend and ranks among the top causes of death and lifelong disability among children aged 5-14 years [8].…”

Section: Discussionmentioning

confidence: 99%

Mortality from Surgical Conditions in Children: An Insight from a Tertiary-Level Government Hospital in Bangladesh

Chowdhury

Kabir²,

Farooq

et al. 2020

AJPR

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Aims: While the developed world has significantly reduced mortality from surgical conditions in children, there is lack of adequate data on the outcome of children’s surgical conditions in the developing world. This study aims at assessing the spectrum of mortalities from children’s surgical conditions in a low-middle income country (LMIC). Methods: Mortality data were collected for a period of 12 years (2008 to 2019) among 0 to12-year old children to analyse the diseases which had higher mortality trends, age -group specific mortality trends and categorize those according to body system. Results: Among a total of 30,301 admitted children, 1228 (4.05%) patients died. Among them 53.01% were neonates, 20.28% were infants and 26.71% were children. Male to female ratio was 1.95:1. Mortality from neonatal surgical conditions was 24.21%. Infant mortality rate was 5.65% and child mortality rate was 1.41%. Neonatal surgical admission and mortality had a higher yearly trend. Anorectal malformation (ARM) was the most common cause of death (12.05%), followed by intestinal obstruction (11.40%) and gastroschisis (8.63%). Tracheo-oesophageal fistula/ oesophageal atresia (TOF/OA) had the highest mortality rate (83.33%), followed by gastroschisis (80.92%) and intestinal atresia (42.535) among the respective admissions. Other important causes of mortality were jejuno-ileal atresia (5.37%), trauma (5.05%), Hirschsprung disease (4.64%), intestinal perforation (4.48%), omphalocele (4.15%), burn (4.07%) and posterior urethral valves (PUV), 3.58%. Conclusion: Overall mortality rate was much higher than developed countries and lower than some African countries. Neonatal mortality rate was very high and among them TOF/OA and gastroschisis had extremely high mortality rates.

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“…1 10-12 During the last 30 years, POMR has steady declined in children and adults in the USA, whereas in LMICs, avoidable morbidity and mortality remain high. [13][14][15][16] Newton et al 4 observed that mortality rate in LMICs was more than 100 times higher than that in high-income countries (HICs). This higher mortality rate is associated with American Society of Anesthesiologists Physical Status (ASA PS) III and above, with emergency and multiple surgeries, and with non-adherence to surgical checklist.…”

Section: What Are the New Findingsmentioning

confidence: 99%

Perioperative mortality in children in a tertiary teaching hospital in Nigeria: a prospective study

Talabi

Ojo

Aaron

et al. 2021

World Jnl Ped Surgery

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BackgroundPerioperative mortality is one of the tools that can help to assess the adequacy of healthcare delivery in a nation. This audit was conducted to determine the 24-hour, 7-day and 30-day perioperative mortality rates and the predictors of mortality in a pediatric surgical cohort.MethodsThis was a prospective study of children whose ages ranged from a few hours to 15 years and who were operated on between May 2019 and April 2020. The primary outcome was to determine the incidence of in-hospital perioperative mortality.ResultsA total of 530 procedures were done in 502 children. Their ages ranged from a few hours to 15 years with a median of 36 months. The 24-hour, 7-day and 30-day mortality rates were 113.2 per 10 000 procedures [95% confidence interval (CI) =40 to 210], 207.6 per 10 000 procedures (95% CI=110 to 320) and 320.8 per 10 000 procedures (95% CI=190 to 470), respectively. Congenital anomalies complicated by postoperative sepsis contributed to death in the majority of cases. The predictors of mortality were neonatal age group [adjusted odds ratio (AOR)=19.92, 95% CI=2.32 to 170.37, p=0.006], higher American Society of Anesthesiologists Physical Status III and above (AOR=21.6, 95% CI=3.05 to 152.91, p=0.002), emergency surgery (AOR=17.1, 95% CI=5.21 to 60.27, p=0.001), congenital anomalies (AOR=12.7, 95% CI=3.37 to 47.52, p=0.001), and multiple surgical procedures (AOR=9.7, 95% CI=2.79 to 33.54, p=0.001).ConclusionPerioperative mortality remains high in our institution.

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24-hour and 30-day perioperative mortality in pediatric surgery

Cited by 27 publications

References 11 publications

Perioperative mortality of pediatric surgical patients in a developing country: Incidence and Etiology

Perioperative mortality of pediatric surgical patients in a developing country: Incidence and Etiology

Mortality from Surgical Conditions in Children: An Insight from a Tertiary-Level Government Hospital in Bangladesh

Perioperative mortality in children in a tertiary teaching hospital in Nigeria: a prospective study

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