کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4155774 1273755 2014 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
High surgical burden for infants with severe chronic lung disease (sCLD)
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
High surgical burden for infants with severe chronic lung disease (sCLD)
چکیده انگلیسی

Background/purposeInfants with severe chronic lung disease (sCLD) may require surgical procedures to manage their medical problems; however, the scope of these interventions is undefined. The purpose of this study was to characterize the frequency, type, and timing of operative interventions performed in hospitalized infants with sCLD.MethodsThe Children's Hospital Neonatal Database was used to identify infants with sCLD from 24 children’s hospital’s NICUs hospitalized over a recent 16-month period.Results556 infants were diagnosed with sCLD; less than 3% of infants had operations prior to referral and 30% were referred for surgical evaluation. In contrast, 71% of all sCLD infants received ≥ 1 surgical procedure during the CHND NICU hospitalization, with a mean of 3 operations performed per infant. Gastrostomy insertion (24%), fundoplication (11%), herniorrhaphy (13%), and tracheostomy placement (12%) were the most commonly performed operations. The timing of gastrostomy (PMA 48 ± 10 wk) and tracheostomy (PMA 47 ± 7 wk) insertions varied, and for infants who received both devices, only 33% were inserted concurrently (13/40 infants).ConclusionsA striking majority of infants with sCLD received multiple surgical procedures during hospitalizations at participating NICUs. Further work regarding the timing, coordination, perioperative complications, and clinical outcomes for these infants is warranted.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 49, Issue 8, August 2014, Pages 1202–1205
نویسندگان
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