Hospital admissions for respiratory symptoms and failure to thrive before and after Nissen fundoplication
| Autor: | Jin-Wen Hsu, Steven L. Lee, Philip I. Haigh, Harry Applebaum, Hooman Shabatian |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent Apnea medicine.medical_treatment Respiratory Tract Diseases Fundoplication Aspiration pneumonia Pneumonia Aspiration Nissen fundoplication Patient Readmission California Cohort Studies Age Distribution Confidence Intervals Humans Medicine Sex Distribution Child Probability Retrospective Studies Respiratory distress business.industry Incidence Infant Retrospective cohort study General Medicine medicine.disease Failure to Thrive respiratory tract diseases Hospitalization Pneumonia Child Preschool Relative risk Anesthesia Pediatrics Perinatology and Child Health Failure to thrive Gastroesophageal Reflux Regression Analysis Female Surgery medicine.symptom Respiratory Insufficiency business Follow-Up Studies |
| Zdroj: | Journal of Pediatric Surgery. 43:59-65 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/j.jpedsurg.2007.09.020 |
| Popis: | Purpose The purpose of this study is to determine whether Nissen fundoplication decreases hospital admissions for respiratory symptoms and failure to thrive (FTT). Methods A retrospective study using discharge abstract data from Southern California Kaiser Permanente hospitals during the last decade was done. Three hundred forty-two pediatric patients had at least one Nissen fundoplication. Hospital admissions for aspiration and other pneumonia, respiratory distress/apnea, and FTT were determined before and after Nissen fundoplication. Age and associated neurologic disorders were also studied. Statistical analysis was determined by χ 2 analysis, Poisson regression analysis, and relative risk. Results The number of patients requiring hospital admission for aspiration and other pneumonia, respiratory distress/apnea, and FTT was similar before and after Nissen fundoplication. The proportion of readmission within 1 year after Nissen fundoplication for aspiration pneumonia was 0.1250 (95% confidence interval [CI], 0.0266-0.3236); other pneumonia, 0.5465 (95% CI, 0.4355-0.6542); respiratory distress/apnea, 0.5039 (95% CI, 0.4145-0.5931); and FTT, 0.5669 (95% CI, 0.4761-0.6545). Associated neurologic disorders independently increased hospital admissions for aspiration and other pneumonia, respiratory distress/apnea, and FTT. Age was inversely related to hospital admissions for respiratory distress and FTT. Conclusion Nissen fundoplication did not improve hospital admissions for pneumonia, respiratory distress/apnea, and FTT. Associated neurologic disorders increased readmissions for pneumonia, respiratory distress/apnea, and FTT, whereas increasing age decreased readmission for respiratory distress and FTT. |
| Databáze: | OpenAIRE |
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