Risk of peri-operative complications in children receiving preoperative steroids
| Autor: | Alexandra Junn, Kitae E Park, Fouad Chouairi, Elbert J. Mets, Michael Alperovich, Omar Allam, Humza Mirza |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Population Perioperative Care 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors 030225 pediatrics Internal medicine Pediatric surgery medicine Humans Risks and benefits Child Propensity Score Adverse effect education Glucocorticoids education.field_of_study business.industry Wound dehiscence Incidence Infant General Medicine Perioperative Length of Stay medicine.disease United States Steroid use Child Preschool Pediatrics Perinatology and Child Health Propensity score matching Female 030211 gastroenterology & hepatology Surgery business |
| Zdroj: | Pediatric Surgery International. 36:1345-1352 |
| ISSN: | 1437-9813 0179-0358 |
| Popis: | Steroid use predisposes adult patients to increased perioperative complications including wound dehiscence and delayed wound healing. A similar large study investigating the perioperative impact of steroid use in pediatric patients has not been performed. The National Surgical Quality Improvement Project Pediatric Database was queried from 2012–2017 to identify patients who received steroid preoperatively. Patient demographics, comorbidities, surgical variables, and outcomes were compared between cohorts. Patients were propensity score matched and thirty-day adverse events were compared. Of 425,251 pediatric surgery patients, 9716 (2.3%) received preoperative steroids. Pediatric patients treated with steroids were older and had more comorbidities. After propensity score matching, the steroid population had a significantly higher rate of adverse events, including prolonged hospital stay (15.3% vs. 9.1%, p |
| Databáze: | OpenAIRE |
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