Is there a "July effect" in pediatric neurosurgery?

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Yimo LinSandi Lam

Abstract

The belief that July, when resident physicians' training year begins, may be associated with increased risk of patient morbidity and mortality is known as the "July effect." This study aimed to compare complication rates after pediatric neurosurgical procedures in the first versus last academic quarters in two national datasets. Data were extracted from the National Surgical Quality Improvement Program-Pediatrics (NSQIP-P) database for year 2012 for 30-day complication events and the Kids' Inpatient Database (KID) for year 2012 for in-hospital complication events after pediatric neurosurgical procedures. Descriptive and analytic statistical methods were used to characterize the impact of seasonal variation between the first and last quarters on complications. Three thousand six hundred twenty-four procedures in the NSQIP-P dataset and 14,855 hospitalizations in KID were included in the study cohort. No significant difference was observed between the first and fourth quarters for these complication events: wound disruption/dehiscence, wound infection, nerve injury, bleeding requiring transfusion, central line-associated BSI, deep venous thrombosis/pulmonary embolism, urinary tract infection, renal failure, re-intubation/pulmonar...Continue Reading

References

Apr 9, 2008·Seminars in Pediatric Surgery·Peter DillonWilliam Henderson
Oct 15, 2009·BMJ : British Medical Journal·Guy HallerChristopher L Wu
Jun 1, 2010·Journal of General Internal Medicine·David P Phillips, Gwendolyn E C Barker
Jan 18, 2011·Journal of Pediatric Surgery·Mehul V RavalUNKNOWN ACS NSQIP Pediatric Steering Committee
Jul 13, 2011·Annals of Internal Medicine·John Q YoungAndrew D Auerbach
Jan 31, 2013·Journal of Neurosurgery. Spine·Jennifer S McDonaldDavid F Kallmes
Feb 25, 2014·Journal of Neurosurgery. Pediatrics·Dominic A Harris, Sandi Lam
Apr 2, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Timothy WenWilliam J Mack
Apr 11, 2015·Journal of Neurosurgery. Spine·Michael J DurkinDeverick J Anderson
Dec 17, 2015·Journal of Neurosurgery·Bryan A LieberE Sander Connolly

❮ Previous
Next ❯

Citations

Jun 16, 2018·International Forum of Allergy & Rhinology·Bassel BashjawishJean Anderson Eloy
Apr 13, 2019·Journal of Neurosurgery. Pediatrics·Hormuzdiyar H DasenbrockShenandoah Robinson
Aug 3, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Aline BrancaUNKNOWN National Emergency Airway Registry for Children (NEAR4KIDS) Investigators and Pediatric Acute Lung Injury and Sepsis Investi
Sep 7, 2019·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Hossein E JazayeriZachary S Peacock
Dec 6, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Rajeev S WadiaDonald H Shaffner
Jul 18, 2021·The Journal of Surgical Research·Sarah C StokesErin G Brown

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.