Outcomes of pediatric thyroidectomy: a cross-sectional evaluation.

Autor:	Azari S; University of South Florida College of Medicine, Tampa, Florida, USA., Randolph J; University of South Florida College of Medicine, Tampa, Florida, USA., Shi H; University of South Florida College of Medicine, Tampa, Florida, USA., Hoover T; Penn State College of Medicine, Hershey, Pennsylvania, USA., Weaver D; Lehigh University, Bethlehem, Pennsylvania, USA., Mattioni J; Otolaryngology-Head and Neck Surgery, PCOM, Philadelphia, Pennsylvania, USA., Chennupati SK; Pediatric Otolaryngology, Lehigh Valley Health Network, Allentown, Pennsylvania, USA.
Jazyk:	angličtina
Zdroj:	World journal of pediatric surgery [World J Pediatr Surg] 2020 Dec 23; Vol. 3 (4), pp. e000185. Date of Electronic Publication: 2020 Dec 23 (Print Publication: 2020).
DOI:	10.1136/wjps-2020-000185
Abstrakt:	Introduction: Pediatric thyroidectomy is performed by a variety of surgical specialties. Thyroidectomy can result in a number of complications. Previous studies cite that the most common complications in children are pain and transient hypocalcemia. The purposes of this report are to assess the adverse events of thyroidectomies performed in the pediatric population and to assess the relationship between surgical specialties and postoperative thyroidectomy complications. Methods: We conducted a cross-sectional analysis of cases from January 1, 2014 through November 1, 2015 using the National Surgical Quality Improvement Program database for patients undergoing excision of cyst or adenoma of the thyroid, unilateral thyroid lobectomy, or total thyroidectomy. Results: Of the 344 patients who underwent thyroidectomy, 10 (2.9%) experienced at least one complication. The most common complications were readmission, surgical site infections, and wound disruption. There was a statistically significant association between complication incidence and surgical specialty (p=0.006). Pediatric otolaryngology had a statistically significantly higher number of complications than pediatric surgery (p<0.008). Conclusion: Overall, the incidence of adverse events following pediatric thyroidectomy was low. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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