Thirty-day outcomes in pediatric epilepsy surgery

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Aditya VedantamSandi K Lam

Abstract

The aim of this study was to use the multicenter American College of Surgeons National Surgical Quality Improvement Program-Pediatric (NSQIP-P) to evaluate and identify risk factors for 30-day adverse events in children undergoing epilepsy surgery. Using the 2015 NSQIP-P database, we identified children (age 0-18 years) undergoing pediatric epilepsy surgery and analyzed NSQIP-defined complications, unplanned reoperations, and unplanned readmissions. Multivariable logistic regression analysis was performed using perioperative data to identify risk factors for adverse events within 30 days of the index procedure. Two hundred eight pediatric patients undergoing epilepsy surgery were identified for the year 2015 in the NSQIP-P database. The majority of patients were male (51.8%) and white (72.9%). The median age was 10 years. Neurological and neuromuscular comorbidities were seen in 62.5% of patients. Surgical blood loss and transfusion was the most common overall NSQIP-defined event (15.7%) and was reported in 40% with hemispherectomy. Nineteen patients (6.8%) had an unplanned reoperation and 20 patients (7.1%) had an unplanned readmission. Multivariable logistic regression analysis showed that African American patients (OR 3.26, ...Continue Reading

References

Jun 30, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·D PietriniM Piastra
Apr 9, 2008·Seminars in Pediatric Surgery·Peter DillonWilliam Henderson
Jan 18, 2011·Journal of Pediatric Surgery·Mehul V RavalUNKNOWN ACS NSQIP Pediatric Steering Committee
Mar 24, 2012·Neurology·D J EnglotE F Chang
Aug 4, 2012·Epilepsy Research·Nicholas K SchiltzKitti Kaiboriboon
Oct 31, 2012·Epilepsia·Sean M LewUNKNOWN Post-Hemispherectomy Hydrocephalus Workgroup
Nov 14, 2012·JAMA Pediatrics·Sucheta M JoshiRenée A Shellhaas
Dec 19, 2013·Epilepsy Currents·J Engel
Mar 13, 2014·BMC Health Services Research·Feng QianLaurent G Glance
Nov 8, 2014·Journal of Neurosurgery. Pediatrics·Christoph J GriessenauerPeter A Winkler
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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Citations

Feb 16, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Giulia CossuRoy Thomas Daniel
Feb 5, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Emma M H SlotTristan P C van Doormaal

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