Risk factors for postoperative pulmonary complications in children with severely compromised pulmonary function secondary to severe scoliosis.
Adolescent
Child
Child, Preschool
Female
Humans
Length of Stay
Lung
/ physiopathology
Male
Neuromuscular Diseases
/ physiopathology
Noninvasive Ventilation
Postoperative Complications
/ physiopathology
Postoperative Period
Respiration Disorders
/ etiology
Respiratory Function Tests
Risk Factors
Scoliosis
/ complications
polysomnography
pulmonary complications
scoliosis
ventilation
Journal
Pediatric pulmonology
ISSN: 1099-0496
Titre abrégé: Pediatr Pulmonol
Pays: United States
ID NLM: 8510590
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
13
05
2020
revised:
24
07
2020
accepted:
27
07
2020
pubmed:
31
7
2020
medline:
2
3
2021
entrez:
31
7
2020
Statut:
ppublish
Résumé
After corrective surgery for scoliosis, postoperative pulmonary complications lead to increases in morbidity, length of hospital stay (LOS) and mortality. This study aimed to identify associations with such respiratory complications, and to assess the utility of noninvasive ventilation (NIV) in children with severe scoliosis METHODS: This retrospective cohort study included all children aged ≤17 years who underwent spinal surgery for scoliosis between January 2009 and January 2012 at a quaternary pediatric hospital. Data were collated regarding polysomnography (PSG) and NIV use, before and after corrective surgery. Factors associated with severely compromised pulmonary function (SCPF) were established and correlations with the occurrence of postoperative pulmonary complications and LOS were identified. Altogether, 133 children had corrective surgery for scoliosis, aged 12.7 (range: 2-17) years at operation. Scoliosis causes were identified as: idiopathic (39.8%), neuromuscular disease (32.2%), syndrome (15.7%), and congenital (12%). Correlates with SCPF (forced vital capacity [FVC] <40% predicted, n = 10) included markers of sleep hypoventilation, including serum bicarbonate ≥29 mmol/L, morning pCO Nocturnal hypoventilation on PSG identifies children with SCPF. Use of NIV in children with SCPF was linked to fewer postoperative pulmonary complications and reduced duration of hospital stay.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2782-2790Informations de copyright
© 2020 Wiley Periodicals LLC.
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