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European Journal of Pediatrics
Erschienen in: European Journal of Pediatrics 2/2024

09.11.2023 | RESEARCH

Improved postoperative outcomes in pediatric major surgery: evidence from hospital volume analysis

verfasst von: Mingyang Sun, Wan-Ming Chen, Szu-Yuan Wu, Jiaqiang Zhang

Erschienen in: European Journal of Pediatrics | Ausgabe 2/2024

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Abstract

This study aimed to examine the association between hospital volume and postoperative outcomes in pediatric major surgery using a nationwide database. The study included pediatric patients who underwent first major elective inpatient surgery and hospitalization for more than 1 day. The results showed no significant difference in the risk of 30-day postoperative mortality based on hospital volume. However, patients in the middle- and high-volume groups had significantly lower rates of 30-day major complications, particularly deep wound infection. In terms of 90-day postoperative outcomes, patients in the high-volume group had a significantly lower risk of mortality and lower rates of major complications, particularly deep wound infection, pneumonia, and septicemia.
  Conclusions: The study suggests that pediatric patients undergoing major surgery in high and middle-volume groups have better outcomes in terms of major complications compared to the low-volume group.
What is Known:
• Limited evidence exists on the connection between hospital volume and pediatric surgery outcomes.
What is New:
• A Taiwan-based study, using national data, found that high and middle hospital-volume groups experienced significantly lower rates of major complications within 30 and 90 days after surgery.
• High-volume hospitals demonstrated a substantial decrease in the risk of 90-day postoperative mortality.
• The study underscores the importance of specialized pediatric surgical centers and advocates for clear guidelines for hospital selection, potentially improving outcomes and informing future health policies.
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Metadaten
Titel
Improved postoperative outcomes in pediatric major surgery: evidence from hospital volume analysis
verfasst von
Mingyang Sun
Wan-Ming Chen
Szu-Yuan Wu
Jiaqiang Zhang
Publikationsdatum
09.11.2023
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Pediatrics / Ausgabe 2/2024
Print ISSN: 0340-6199
Elektronische ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-023-05308-2

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