Early Adverse Events Following Pediatric Mandibular Advancement: Analysis of the ACS NSQIP-Pediatric Database
| Autor: | Eric J. Dobratz, Kevin J. Carlson, William M. Dougherty, Suhas R. Bharadwaj |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Reoperation
Databases Factual business.industry medicine.medical_treatment Infant Newborn Orthognathic surgery Mandible Dentistry Quality Improvement Acs nsqip Postoperative Complications Treatment Outcome Otorhinolaryngology medicine Humans Distraction osteogenesis Oral Surgery Child business Adverse effect Mandibular Advancement Retrospective Studies Patient factors |
| Zdroj: | The Cleft Palate-Craniofacial Journal. 59:1176-1184 |
| ISSN: | 1545-1569 1055-6656 |
| Popis: | Objective This study aims to assess early adverse events and patient factors associated with complications following mandible distraction osteogenesis (MDO). Materials and Methods The American College of Surgeons National Surgical Quality Improvement Program-Pediatric (NSQIP-Pediatric) database, years 2012 to 2019, was queried for patients undergoing mandible advancement via relevant Current Procedural Terminology and postoperative diagnosis codes. Thirty-day adverse events and co-morbidities are assessed. Results A total of 208 patients were identified with 17.3% (n = 36) experiencing an adverse event, reoperation (n = 14), and readmission (n = 11) being most common. Patients 28 days (30.2% vs 22.2%; P = .47) and those weighing ≤ 4 kg and >4 kg (31.7% vs 11.5%; P = .063) did not reach statistical significance. Conclusions Adverse events following mandible advancement are relatively common, though often minor. In our analysis of the NSQIP-Pediatric database, neonatal age ( ≤ 28 days) or weight ≤ 4 kg did not result in a statistically significant increase in complications among patients less than 1 year of age. Providers should consider early intervention in patients who may benefit from MDO. |
| Databáze: | OpenAIRE |
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