Pre-operative headaches and obstructive hydrocephalus predict an extended length of stay following suboccipital decompression for pediatric Chiari I malformation.

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Aladine A ElsamadicyMichael L DiLuna

Abstract

For young children and adolescents with Chiari malformation type I (CM-I), the determinants of extended length of hospital stay (LOS) after neurosurgical suboccipital decompression are obscure. Here, we investigate the impact of patient- and hospital-level risk factors on extended LOS following surgical decompression for CM-I in young children to adolescents. The Kids' Inpatient Database year 2012 was queried. Pediatric CM-I patients (6-18 years) undergoing surgical decompression were identified. Weighted patient demographics, comorbidities, complications, LOS, disposition, and total cost were recorded. A multivariate logistic regression was used to determine the odds ratio for risk-adjusted LOS. The primary outcome was the degree patient comorbidities or post-operative complications correlated with extended LOS. A total of 1592 pediatric CM-I patients were identified for which 328 (20.6%) patients had extended LOS (normal LOS, 1264; extended LOS, 328). Age, gender, race, median household income quartile, and healthcare coverage distributions were similar between the two cohorts. Patients with extended LOS had significantly greater admission comorbidities including headache symptoms, nausea and vomiting, obstructive hydrocephal...Continue Reading

References

Aug 20, 2003·Journal of Neurosurgery·R Shane TubbsW Jerry Oakes
Jan 15, 2015·Neurosurgery·Jacob K GreenbergDavid D Limbrick
May 2, 2015·Journal of Neurosurgery. Pediatrics·Benjamin C KennedyNeil A Feldstein
Jan 23, 2016·Journal of Neurosurgery. Pediatrics·Travis R LadnerDavid D Limbrick
Nov 1, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Aditya VedantamSandi K Lam
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Dec 12, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Melissa A LoPrestiSandi Lam
Mar 20, 2019·JAMA : the Journal of the American Medical Association·Mary P MercerHemal K Kanzaria
Jun 10, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Kazuaki ShimojiYukoh Ohara
Jun 19, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Paweł JarskiMarek Mandera

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Citations

Oct 1, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Veronica SalettiLaura Grazia Valentini

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