1187 NATIONWIDE REVIEW OF BLADDER AUGMENTATION IN PEDIATRIC HOSPITALS
| Autor: | Duncan T. Wilcox, Paul R. Bowlin, Georgette L. Siparsky |
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| Rok vydání: | 2011 |
| Předmět: | |
| Zdroj: | Journal of Urology. 185 |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1016/j.juro.2011.02.820 |
| Popis: | INTRODUCTION AND OBJECTIVES: The purpose of this study is to review the national Pediatric Health Information System (PHIS) records on pediatric bladder augmentation. We reviewed specific complication rates and follow up care of this large cohort. METHODS: Institutional Review Board (IRB) approval was granted for this retrospective review. We analyzed the database starting on January 1st, 1999 and patients were followed for a minimum of 3 years. We specifically intended to look at first time bladder augmentations so only children born on or after October 1st, 1998 were included. The database was analyzed for post-operative complications including bladder stones and bladder rupture. Additionally we analyzed rates of laboratory follow up including: basic metabolic panels, urine electrolytes, and Vitamin B12 levels. RESULTS: Using the International Classification of Diseases, Ninth Edition (ICD-9) code 57.87, there were 2,676 bladder augmentations performed between January 1st, 1999 and March 31st, 2010. Mean and median ages were 8.5 and 8 years, respectively. 1,250 of the patients were male and 1,426 were female. Average length of stay was 10 days with the median length of stay 8 days. Complication rates were: bladder stones 250 (9.3%), bladder perforation 62 (2.3%). Follow up basic metabolic panels and urine electrolytes were measured in 1,014 (37.8%) of patients and Vitamin B12 levels in 22 (0.8%). CONCLUSIONS: The overall rate of bladder stones and bladder perforation following bladder augmentation in this large pediatric population is 11.6%. This data could be used to create benchmarks for Pediatric Urologists. |
| Databáze: | OpenAIRE |
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