In-hospital mortality and morbidity of pediatric scoliosis surgery in Japan

Taniguchi, Yuki; Oichi, Takeshi; Ohya, Junichi; Chikuda, Hirotaka; Oshima, Yasushi; Matsubayashi, Yoshitaka; Matsui, Hiroki; Fushimi, Kiyohide; Tanaka, Sakae; Yasunaga, Hideo

doi:10.1097/md.0000000000010277

Cited by 15 publications

(6 citation statements)

References 30 publications

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“…Previously it's been observed that increase in serum creatinine was significantly high in patients with long duration of bypass as compared to short duration and ARF was also higher in long duration of surgery as compared to short duration. But the inhospital mortality was almost equal in both groups 7 . Renal complications were also significantly associated with CPB >90 min 8,9 .…”

Section: Introductionmentioning

confidence: 85%

Correlation of prolonged Cardiopulmonary Bypass time with Postoperative Complications - A prospective review

Arif¹,

Niazi²,

Muneeb³

et al. 2022

PJMHS

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Aim: To compare post-operative in-hospital outcome of on pump CABG in patients with shorter CPB duration vs. patients with longer CPB duration. Methodology: In this cross sectional study conducted at Department of Cardiac Surgery, PIC, Jail Road, Lahore 182 subjects were selected using non probability Judgmental/ Purposive sampling Technique and randomly divided into two equal groups of 91 each. Group A: patients undergoing surgery for short duration of CPB < 90 minutes and half treated with Group B: patients undergoing surgery for long duration of CPB ≥ 90 minutes. Data was entered and analyzed using SPSS 25. Results: There were 133(73.08%) males and 49(26.92%) females in this study. The mean age of cases was 50.68±9.26 years with minimum and maximum age being 35 and 70 years. Mean Baseline Creatinine recorded for Group A was 0.92±0.19 and for Group B was 0.91±0.21. Mean urine output level recorded for Group A after 6 hours of CABG was 1.05±0.25 and for Group B after 6 hours of CABG was 0.85±0.24. There was a significant association in the occurrence of acute renal Injury in both groups whereas there was no significant association in the mortality of both groups. Conclusion: There was a significant difference between post-operative in-hospital renal outcomes of on pump CABG in patients with shorter CPB duration vs. patients with longer CPB duration. The results of both groups are nearly same as far as in-hospital mortality is concerned. Keywords: Cardiopulmonary Bypass, On Pump CABG, Off Pump CABG

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Section: Introductionmentioning

confidence: 85%

Correlation of prolonged Cardiopulmonary Bypass time with Postoperative Complications - A prospective review

Arif¹,

Niazi²,

Muneeb³

et al. 2022

PJMHS

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“…There have been several studies that investigated the incidence or risk factors for complications following surgery for pediatric deformity; however, there have been a very few studies that described UPROR. [1][2][3][4][5][6][7][8] Because UPROR is a useful indicator for both estimating an economic burden of postoperative complications and measuring surgical quality, it is quite reasonable to focus on UPROR. [9][10][11] However, there has been only one study that described UPROR following surgery for pediatric spinal deformity with every etiology, and even in that study, the follow-up period was limited to only 3 months.…”

Section: Discussionmentioning

confidence: 99%

“…There have been several studies regarding mortality and morbidity after surgery for pediatric spinal deformities; however, there have been few that describe the incidence and risk factors for unplanned return to the operating room (UPROR). [1][2][3][4][5][6][7][8] Unplanned hospital readmissions and unplanned reoperation are a load on the health care system and can be an economic burden. Furthermore, UPROR is a useful quality indicator for surgical quality and risk management.…”

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confidence: 99%

Incidence and Risk Factors for Unplanned Return to the Operating Room Following Primary Definitive Fusion for Pediatric Spinal Deformity

Taniguchi

Ohara²,

Suzuki

et al. 2020

Spine

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Study Design. A retrospective multicenter cohort study.Objective. The aim of this study was to identify the incidence and risk factors for UPROR within minimum 2-year follow-up in primary definitive fusion for pediatric spinal deformity.Summary of Background Data. Several previous reports have elucidated the incidence of complications after pediatric scoliosis surgery; however, there has been no study that described the incidence and risk factors for unplanned return to the operating room (UPROR) with long-term follow-up in surgery for pediatric scoliosis with every etiology. Methods. We retrospectively extracted data of patients aged <19 years, from 14 institutes in Japan, who underwent primary definitive fusion surgery for spinal deformity between January 1, 2015 and December 31, 2017. The primary outcomes were the incidence of UPROR within the minimum 2-year follow-up period for any reason. Univariate and multivariate logistical analyses were conducted to identify potential risk factors associated with UPROR. Results. We identified 1417 eligible patients (287 males and 1130 females) with a mean age of 13.9 years. UPROR for any reason within minimum 2-year follow-up was identified in 68 patients (4.8%). The most frequent cause for UPROR was implant failure found in 29 patients, followed by surgical site infection in 14 patients, junctional problems in 10 patients, and neurological complications in six patients. The multivariate logistic regression analysis revealed that a diagnosis of kyphosis (odds ratio [OR], 2.65; 95% confidence interval [CI] 1.16-6.04), etiology of congenital or structural type (OR 2.21; 95% CI 1.08-4.53), etiology of syndromic type (OR 2.67; 95% CI 1.27-5.64), and increased operation time of !300 minutes (OR 1.81; 95% CI 1.07-3.07) were the risk factors for the incidence of UPROR. Conclusion. The present multicenter study identified for the first time the incidence and risk factors for UPROR with minimum 2-year follow-up after primary definitive fusion surgery for pediatric spinal deformity with every etiology.

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“…Moreover, conservative treatment aims to avoid surgery (spinal fusion) that straightens the spine in the frontal plane and restores the sagittal and horizontal planes. Nevertheless, surgery has possible immediate side effects [ 10 , 11 ] and restricts spinal movement function with potential long-term consequences [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Personal and Clinical Determinants of Brace-Wearing Time in Adolescents with Idiopathic Scoliosis

Fregna,

Rossi Raccagni,

Negrini

et al. 2023

Sensors

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Adolescent idiopathic scoliosis (AIS) is a three-dimensional spine and trunk deformity. Bracing is an effective treatment for medium-degree curves. Thermal sensors help monitor patients’ adherence (compliance), a critical issue in bracing treatment. Some studies investigated adherence determinants but rarely through sensors or in highly adherent cohorts. We aimed to verify the influence of personal and clinical variables routinely registered by physicians on adherence to brace treatment in a large cohort of consecutive AIS patients from a highly adherent cohort. We performed a cross-sectional study of patients consecutively recruited in the last three years at a tertiary referral institute and treated with braces for one year. To ensure high adherence, for years, we have provided specific support to brace treatment through a series of cognitive-behavioural interventions for patients and parents. We used iButton thermal sensor systematic data collection to precisely analyse the real brace-wearing time. We included 514 adolescents, age 13.8 ± 1.6, with the worst scoliosis curve of 34.5 ± 10.3° Cobb. We found a 95% (95CI 60–101%) adherence to the brace prescription of 21.9 ± 1.7 h per day. Determinants included gender (91% vs. 84%; females vs. males) and age < 14 years (92% vs. 88%). Brace hours prescription, BMI, and all clinical variables (worst curve Cobb degrees, angle of trunk rotation, and TRACE index for aesthetics) did not influence adherence.

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In-hospital mortality and morbidity of pediatric scoliosis surgery in Japan

Cited by 15 publications

References 30 publications

Correlation of prolonged Cardiopulmonary Bypass time with Postoperative Complications - A prospective review

Correlation of prolonged Cardiopulmonary Bypass time with Postoperative Complications - A prospective review

Incidence and Risk Factors for Unplanned Return to the Operating Room Following Primary Definitive Fusion for Pediatric Spinal Deformity

Personal and Clinical Determinants of Brace-Wearing Time in Adolescents with Idiopathic Scoliosis

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