Scope and Safety of Paediatric Surgery in a Model III Hospital
Child
Child, Preschool
Elective Surgical Procedures
/ statistics & numerical data
Emergency Treatment
/ statistics & numerical data
Female
Hospitalization
/ statistics & numerical data
Hospitals
Humans
Infant
Length of Stay
Male
Patient Readmission
/ statistics & numerical data
Pediatrics
/ statistics & numerical data
Retrospective Studies
Safety
Surgical Procedures, Operative
/ statistics & numerical data
Time Factors
Journal
Irish medical journal
ISSN: 0332-3102
Titre abrégé: Ir Med J
Pays: Ireland
ID NLM: 0430275
Informations de publication
Date de publication:
14 03 2019
14 03 2019
Historique:
entrez:
3
5
2019
pubmed:
3
5
2019
medline:
18
1
2020
Statut:
epublish
Résumé
Introduction
Elective and emergency paediatric general surgery is performed in numerous hospitals but with differing exclusion and transfer thresholds. Recent national guidelines detail necessary surgical, anaesthetic and nursing resources for safe and efficient delivery of services.
Methods
A retrospective review of paediatric surgical admissions was performed from January 2015 to December 2016. Charts of prolonged admissions or readmissions were reviewed.
Results
There was a total of 2,079 surgical admissions. 575 (27.2%) were elective and 1504 (71.2%) were emergency admissions. Significantly more surgical procedures were performed in 2016 (n=546, 56% versus n=433, 44.2%). Laparoscopic appendicectomy was the most commonly performed procedure. Re-admission rates were lower in 2016 (n=9, 0.8% versus n=21, 2.2%). All complications were Clavien-Dindo Grade I or II.
Discussion
Paediatric general surgery can be safely and efficiently performed by staffed and resourced Model III hospitals.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
896Déclaration de conflit d'intérêts
The authors to not have any conflict of interest to declare.