Effects of Hospital Volume on Patient Outcomes and Costs in Infants With Pyloric Stenosis

Tom, Cynthia M.; Niino, Clarissa; Lee, Alexander D.; Friedlander, Scott; Sakai‐Bizmark, Rie; Lee, Steven L.

doi:10.1016/j.jss.2018.07.033

Cited by 7 publications

(5 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The conversion rate of 4.7% is in the range of published studies also ( 1 ). International data also confirmed minimal rates of mortality (0%–0.1%), which is again corroborated in our study ( 25 , 27 – 29 ).…”

Section: Discussionsupporting

confidence: 92%

“…The rate of complications in Germany is comparable to those reported in the literature. An iatrogenic injury of the stomach or the duodenum was seen in 1.2 vs. 1.0% of all cases, comparable to the perforation rate reported of 0.48% and 3.3%, respectively ( 24 – 27 ). The conversion rate of 4.7% is in the range of published studies also ( 1 ).…”

Section: Discussionsupporting

confidence: 75%

See 1 more Smart Citation

Nationwide trends of laparoscopic pyloromyotomy in patients with infantile hypertrophic pyloric stenosis in Germany: A slow path forward

et al. 2023

View full text Add to dashboard Cite

Since its introduction, laparoscopic pyloromyotomy (LP), has become increasingly popular in many countries. We have noticed an attenuated trend in Germany. The aim of this study was to analyse the distribution of open and LP in Germany. The national database of administrative claims data of the Institute for the Remuneration System in Hospitals (InEK) was analysed regarding numbers of patients with pyloromyotomy in the years 2019–2021. The German quality reports of the hospitals of 2019 and 2020 were analyzed regarding the number of procedures performed per hospital and pediatric surgical department. A total of 2050 patients underwent pyloromyotomy. The incidence of hypertrophic pylorus stenosis (HPS) was 699 and 657 patients in 2019 and 2021, respectively. Regarding age, 31.1% were admitted before 28 days of age. LP gradually increased from 216 patients (30.9%) in 2019 to 239 patients (36.4%) in 2021. Thirty-three laparoscopic operations (4.8%) were converted to an open approach. In 24 of all patients, there was an injury to the stomach, in 20 patients to the duodenum, needing repair with sutures. Analysis of the quality reports indicated that 44% of pediatric surgical departments performed LP. Although LP has became more prevalent in Germany recently, about two thirds of patients still undergo an open procedure.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 75%

Nationwide trends of laparoscopic pyloromyotomy in patients with infantile hypertrophic pyloric stenosis in Germany: A slow path forward

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Researchers have used the KID to study outcomes and costs associated with a number of pediatric conditions such as congenital diaphragmatic hernia, esophageal atresia, gastroschisis, pyloric stenosis, trauma, congenital heart disease, and even the use of extracorporeal membrane oxygenation. [70][71][72][73][74]…”

Section: Nationwide Readmission Databasementioning

confidence: 99%

Data Resources for Evaluating the Economic and Financial Consequences of Surgical Care in the United States

Scott

Ayoung-Chee

Lester

et al. 2022

J Trauma Acute Care Surg

View full text Add to dashboard Cite

show abstract

“…Según varios reportes observados la estancia hospitalaria promedio de nuestros pacientes se encuentra por encima del rango para esta patología. [13,16,20,21,22,23] Los vómitos postquirúrgicos se han presentado en el 44,1 % de nuestros pacientes, con reinicio posterior del esquema correspondiente, siendo esta una complicación menor sin repercusión en estos pacientes.…”

Section: Discussionunclassified

Características clínicas y epidemiológicas de la estenosis hipertrófica de píloro en un hospital de lima Perú.

Guinand¹

2022

Acta Med Peru

View full text Add to dashboard Cite

Objetivo: Determinar las características clínicas y epidemiológicas de la estenosis hipertrófica de píloro en un hospital de lima Perú. Materiales y métodos: Se realizo un estudio descriptivo, retrospectivo correspondiente de los años 2013 al 2019, en el servicio de cirugía pediátrica del hospital docente madre niño “San Bartolomé”. En donde recolectamos los datos a través de las historias clínicas con diagnóstico estenosis hipertrófica de píloro. Resultados: Se obtuvieron un total de 59 pacientes, de los cuales 79.7% fueron varones, 68.4% primogénitos, con una media de edad de 31.3 +/- 13.6 días de nacido. 100% presento vómitos, 44.1% reptaciones y solo 35.6% presento oliva pilórica palpable. Tiempo quirúrgico promedio 51.39 +/- 19.1 minutos, estancia hospitalaria promedio de 6.35 +/- 6.56 días, se presentó complicaciones en un 13.6% y una mortalidad de 3.4%. Conclusiones: La importancia del inicio precoz de la vía oral, así como el manejo postquirúrgico es importante en estos pacientes para poder disminuir su estancia hospitalaria, se debe de tomar en cuenta el manejo del paciente postquirúrgico y sus complicaciones respiratorias.

show abstract

Effects of Hospital Volume on Patient Outcomes and Costs in Infants With Pyloric Stenosis

Cited by 7 publications

References 23 publications

Nationwide trends of laparoscopic pyloromyotomy in patients with infantile hypertrophic pyloric stenosis in Germany: A slow path forward

Nationwide trends of laparoscopic pyloromyotomy in patients with infantile hypertrophic pyloric stenosis in Germany: A slow path forward

Data Resources for Evaluating the Economic and Financial Consequences of Surgical Care in the United States

Características clínicas y epidemiológicas de la estenosis hipertrófica de píloro en un hospital de lima Perú.

Contact Info

Product

Resources

About