Complications of pediatric EGD: a 4-year experience in PEDS-CORI
| Autor: | Hashem B. El-Serag, Mark A. Gilger, Kalpesh Thakkar, Nora Mattek |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Adolescent Cross-sectional study Sedation Postoperative Complications Risk Factors Epidemiology medicine Humans Radiology Nuclear Medicine and imaging Endoscopy Digestive System Child Hypoxia Retrospective Studies business.industry Incidence Incidence (epidemiology) Infant Newborn Gastroenterology Infant Retrospective cohort study Confidence interval Cross-Sectional Studies Databases as Topic Child Preschool Female Outcomes research medicine.symptom Gastrointestinal Hemorrhage business Complication |
| Zdroj: | Gastrointestinal Endoscopy. 65:213-221 |
| ISSN: | 0016-5107 |
| Popis: | Background Available estimates of the incidence and type of complications during pediatric EGD are inconsistent. Objective To determine the frequency and the determinants of immediate complications during EGD in children. Design We conducted a cross-sectional database study. Setting The study involved 13 pediatric facilities that use the PEDS-CORI (Pediatric Endoscopy Database System Clinical Outcomes Research Initiative). Patients Children (0-18 years) who underwent EGD at 13 facilities between November 1999 and December 2003. Main Outcome Measurements We identified complications (recorded shortly after the procedure) and analyzed their occurrence with respect to procedure indication, American Society of Anesthesiologists (ASA) class, sex, age, anesthesia type, and unplanned interventions. Results We analyzed 10,236 procedures performed in 9234 patients. Immediate complications were reported in 239 procedures (2.3%, 95% confidence interval 2.0%-2.6%). The most common complications were hypoxia (157 [1.5%]) and bleeding (28 [0.3%]). Complication rates were significantly higher in the youngest age group, highest ASA class, female gender, intravenous (IV) sedation group, and in the presence of a fellow. Limitations The study is limited by a lack of specific details and explicit criteria for reported complications. Conclusions The overall immediate complication rate of pediatric EGD is 2.3%. All complications were nonfatal, and most were hypoxia related (157/239 [66%]) and reversible. Young age, higher ASA class, female sex, and IV sedation are risk factors for developing complications. |
| Databáze: | OpenAIRE |
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