Influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children
Purpose To clarify the influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children in Japan.Methods We collected data on pediatric patients with gastrointestinal perforation between 2017 and 2019, from the National Clinical Database. The surgical volumes o...
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my.um.eprints.460222024-08-28T04:12:54Z http://eprints.um.edu.my/46022/ Influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children Terui, Keita Tachimori, Hisateru Oita, Satoru Fujiogi, Michimasa Fujishiro, Jun Hirahara, Norimichi Miyata, Hiroaki Hishiki, Tomoro RD Surgery Purpose To clarify the influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children in Japan.Methods We collected data on pediatric patients with gastrointestinal perforation between 2017 and 2019, from the National Clinical Database. The surgical volumes of various institutions were classified into three groups: low (average number of surgeries for gastrointestinal perforation/year < 1), medium (= 1, < 6), and high (= 6). The observed-to-expected (o/e) ratios of 30-day mortality and morbidity were calculated for each group using an existing risk model.Results Among 1641 patients (median age, 0.0 years), the 30-day mortality and morbidity rates were 5.2% and 37.7%, respectively. The 30-day mortality rates in the low-, medium-, and high-volume institutions were 4.9%, 5.3%, and 5.1% (p = 0.94), and the 30-day morbidity rates in the three groups were 26.8%, 39.7%, and 37.7% (p < 0.01), respectively. The o/e ratios of 30-day mortality were 1.05 (95% confidence interval CI] 0.83-1.26), 1.08 (95% CI 1.01-1.15), and 1.02 (95% CI 0.91-1.13), and those of 30-day morbidity were 1.72 (95% CI 0.93-2.51), 1.03 (95% CI 0.79-1.28), and 0.95 (95% CI 0.56-1.33), respectively.Conclusion Surgical volume does not have significant impact on the outcomes of pediatric gastrointestinal perforation in Japan. Springer 2024-05 Article PeerReviewed Terui, Keita and Tachimori, Hisateru and Oita, Satoru and Fujiogi, Michimasa and Fujishiro, Jun and Hirahara, Norimichi and Miyata, Hiroaki and Hishiki, Tomoro (2024) Influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children. Surgery Today, 54 (5). pp. 419-427. ISSN 09411291, DOI https://doi.org/10.1007/s00595-023-02742-5 <https://doi.org/10.1007/s00595-023-02742-5>. 10.1007/s00595-023-02742-5 |
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RD Surgery Terui, Keita Tachimori, Hisateru Oita, Satoru Fujiogi, Michimasa Fujishiro, Jun Hirahara, Norimichi Miyata, Hiroaki Hishiki, Tomoro Influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children |
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Purpose To clarify the influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children in Japan.Methods We collected data on pediatric patients with gastrointestinal perforation between 2017 and 2019, from the National Clinical Database. The surgical volumes of various institutions were classified into three groups: low (average number of surgeries for gastrointestinal perforation/year < 1), medium (= 1, < 6), and high (= 6). The observed-to-expected (o/e) ratios of 30-day mortality and morbidity were calculated for each group using an existing risk model.Results Among 1641 patients (median age, 0.0 years), the 30-day mortality and morbidity rates were 5.2% and 37.7%, respectively. The 30-day mortality rates in the low-, medium-, and high-volume institutions were 4.9%, 5.3%, and 5.1% (p = 0.94), and the 30-day morbidity rates in the three groups were 26.8%, 39.7%, and 37.7% (p < 0.01), respectively. The o/e ratios of 30-day mortality were 1.05 (95% confidence interval CI] 0.83-1.26), 1.08 (95% CI 1.01-1.15), and 1.02 (95% CI 0.91-1.13), and those of 30-day morbidity were 1.72 (95% CI 0.93-2.51), 1.03 (95% CI 0.79-1.28), and 0.95 (95% CI 0.56-1.33), respectively.Conclusion Surgical volume does not have significant impact on the outcomes of pediatric gastrointestinal perforation in Japan. |
format |
Article |
author |
Terui, Keita Tachimori, Hisateru Oita, Satoru Fujiogi, Michimasa Fujishiro, Jun Hirahara, Norimichi Miyata, Hiroaki Hishiki, Tomoro |
author_facet |
Terui, Keita Tachimori, Hisateru Oita, Satoru Fujiogi, Michimasa Fujishiro, Jun Hirahara, Norimichi Miyata, Hiroaki Hishiki, Tomoro |
author_sort |
Terui, Keita |
title |
Influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children |
title_short |
Influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children |
title_full |
Influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children |
title_fullStr |
Influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children |
title_full_unstemmed |
Influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children |
title_sort |
influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children |
publisher |
Springer |
publishDate |
2024 |
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http://eprints.um.edu.my/46022/ |
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1811682114952757248 |
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13.2014675 |