کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4154701 1273724 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Resection of pediatric lung malformations: National trends in resource utilization & outcomes
ترجمه فارسی عنوان
ریزش پستانداران ریوی: روند ملی در زمینه استفاده از منابع و نتایج
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

PurposeWe sought to determine factors influencing survival and resource utilization in patients undergoing surgical resection of congenital lung malformations (CLM). Additionally, we used propensity score-matched analysis (PSMA) to compare these outcomes for thoracoscopic versus open surgical approaches.MethodsKids' Inpatient Database (1997–2009) was used to identify congenital pulmonary airway malformation (CPAM) and pulmonary sequestration (PS) patients undergoing resection. Open and thoracoscopic CPAM resections were compared using PSMA.Results1547 cases comprised the cohort. In-hospital survival was 97%. Mortality was higher in small vs. large hospitals, p < 0.005. Survival, pneumothorax (PTX), and thoracoscopic procedure rates were higher, while transfusion rates and length of stay (LOS) were lower, in children ≥ 3 vs. < 3 months (p < 0.001). Multivariate analysis demonstrated longer LOS for older patients and Medicaid patients (all p < 0.005). Total charges (TC) were higher for Western U.S., older children, and Medicaid patients (p < 0.02). PSMA for thoracoscopy vs. thoracotomy in CPAM patients showed no difference in outcomes.ConclusionCLM resections have high associated survival. Children < 3 months of age had higher rates of thoracotomy, transfusion, and mortality. Socioeconomic status, age, and region were independent indicators for resource utilization. Extent of resection was an independent prognostic indicator for in-hospital survival. On PSMA, thoracoscopic resection does not affect outcomes.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 51, Issue 9, September 2016, Pages 1414–1420
نویسندگان
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