Hospital admissions for respiratory symptoms and failure to thrive before and after Nissen fundoplication

Journal of Pediatric Surgery
Steven L LeePhilip I Haigh

Abstract

The purpose of this study is to determine whether Nissen fundoplication decreases hospital admissions for respiratory symptoms and failure to thrive (FTT). A retrospective study using discharge abstract data from Southern California Kaiser Permanente hospitals during the last decade was done. Three hundred forty-two pediatric patients had at least one Nissen fundoplication. Hospital admissions for aspiration and other pneumonia, respiratory distress/apnea, and FTT were determined before and after Nissen fundoplication. Age and associated neurologic disorders were also studied. Statistical analysis was determined by chi(2) analysis, Poisson regression analysis, and relative risk. The number of patients requiring hospital admission for aspiration and other pneumonia, respiratory distress/apnea, and FTT was similar before and after Nissen fundoplication. The proportion of readmission within 1 year after Nissen fundoplication for aspiration pneumonia was 0.1250 (95% confidence interval [CI], 0.0266-0.3236); other pneumonia, 0.5465 (95% CI, 0.4355-0.6542); respiratory distress/apnea, 0.5039 (95% CI, 0.4145-0.5931); and FTT, 0.5669 (95% CI, 0.4761-0.6545). Associated neurologic disorders independently increased hospital admissions fo...Continue Reading

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Citations

Jul 13, 2013·Journal of Pediatric Surgery·Joanne BaergShawn D St Peter
May 17, 2011·International Journal of Pediatric Otorhinolaryngology·Yuri M GelfandJoseph L Edmonds
Jul 20, 2010·Current Problems in Pediatric and Adolescent Health Care·Jeffrey C Klick, Julie Hauer
Jul 15, 2015·Paediatric Respiratory Reviews·Lisa Mahoney, Rachel Rosen
Jun 5, 2012·Pediatrics in Review·Jillian S Sullivan, Shikha S Sundaram
Nov 9, 2016·Journal of Pediatric Surgery·Tim JancelewiczAdam B Goldin
Apr 14, 2016·Journal of Pediatric Gastroenterology and Nutrition·David FoxAllison Kempe
Jan 23, 2016·Journal of Pediatric Gastroenterology and Nutrition·Daniel R DuncanRachel L Rosen
Nov 28, 2017·Current Gastroenterology Reports·Hayat MousaChristophe Faure
Dec 19, 2013·Journal of Pediatric Gastroenterology and Nutrition·Kathryn MartinVan-Hung Nguyen
Dec 19, 2018·Pediatric Surgery International·Karen MilfordSharon Cox
Mar 23, 2021·Journal of Pediatric Surgery·Nathan L MaasselRobert A Cowles
Jul 31, 2021·Nature Reviews. Disease Primers·Ronnie FassMichael F Vaezi
Aug 27, 2021·Frontiers in Pediatrics·John AllenEleanor J Molloy

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