American College of Surgeons National Surgical Quality Improvement Program Pediatric: A beta phase report

Expanding the circle of care: Can children find a perioperative surgical home?

“…4 Encouragingly, mortality rates (0.27 per 10,000) were uniformly low in Murto's study. In particular, the posttonsillectomy rate was lower than reported in earlier studies, 6 possibly related to the high proportion of day surgery cases. One curious finding was the relatively high mortality rate for tympanoplasty, not a surgery for which one would anticipate any mortality!…”

“…4 Fait encourageant, les taux de mortalité (0,27 par 10 000) étaient uniformément bas dans l'étude de Murto; plus particulièrement, le taux de mortalité postamygdalectomie était plus bas que rapporté dans des études antérieures, 6 un résultat peut-être lié à la proportion considérable de chirurgies d'un jour incluses. Le taux de mortalité relativement élevé à la suite de tympanoplasties est un résultat quelque peu intrigant, car il s'agit d'une chirurgie pour laquelle on ne attend à une mortalité nulle!…”

Race and 30-Day Morbidity in Pediatric Urologic Surgery

“…The sampling method for NSQIP-P has been previously described. 22,23,25 Because the data set is completely deidentified, this study was determined to be non-human subjects research and deemed exempt from review by our institutional review board.…”

Second Annual Meeting of the International Society of Pediatric Wound Care

“…[4][5][6][7] A recent study using the NSQIP database demonstrated an increase in the surgical site infection rate in neonates, at 3%, compared to an overall rate of 1.8% in the general pediatric surgery population. 8 This has been attributed to more virulent bacteria observed in our intensive care units. All of these factors have coalesced into a new clinical wound care problem in children that is unfortunately grossly underappreciated and unrecognized.…”

“…The spectra of the types of wounds in children are much different than the common distal extremity wound and pressure ulcers over bony prominences seen in adult patients. In pediatric wound care, the variety of wounds encountered include more soft tissue infections, [8][9][10] device-related pressure ulcers, 11,12 ostomy and gastrostomy tube issues, congenital skin diseases, congenital malformations, and traumatic injuries that can encompass large areas of the body. [13][14][15] We also have less tolerance for expecting children to endure pain, and so frequently many pediatric procedures are done with some level of anesthesia, which in an adult patient would be done with minimal anesthetic and at the bedside.…”