National 30-Day Outcomes for Posterior Cranial Vault Distraction

The Journal of Craniofacial Surgery
Fouad ChouairiMichael Alperovich

Abstract

Posterior vault distraction (PVD) can rapidly expand calvarial volume in infancy. Limited data exist regarding its perioperative and postoperative safety profile. This study sought to investigate the patient profile, outcomes, and safety of PVD using a national pediatric database. Posterior vault distraction patients between 2012 and 2016 were isolated from the National Surgical Quality Improvement Program Pediatric database. Patient background, perioperative outcomes, and risk factors were analyzed using chi-squared, t test analysis, and multivariate regression. Ninety-four patients who underwent PVD were isolated with 67 ultimately meeting inclusion criteria for the study. The majority of patients undergoing PVD had limited other documented comorbidities. No patients required reoperation or 30-day readmission. There were no incidences of stroke, surgical site infection, or death. Subdividing outcomes by specialty, plastic surgeons performed PVD on significantly older patients than neurosurgeons (188 days vs 138 days, P = 0.008). Increasing age was associated with increasing operative time (P < 0.001). Furthermore, increasing age is associated with greater absolute transfusion requirements (P = 0.018) and higher, but not signi...Continue Reading

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Citations

May 28, 2020·Plastic and Reconstructive Surgery·Richard A HopperGökhan Tunçbilek
Jul 11, 2020·The Journal of Craniofacial Surgery·Richard TyrellFaizi Siddiqi
Apr 19, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Cassio Eduardo Raposo-AmaralEnrico Ghizoni

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