Application of the procedural consolidation concept to surgical treatment of children with epidermolysis bullosa: a retrospective analysis

Znanstveni rad - Izvorni znanstveni rad

• Autor: Maja Karaman Ilić
• Autor: Josipa Kern
• Autor: Irena Babić
• Autor: Diana Šimić
• Autor: Antun Kljenak
• Autor: Višnja Majerić Kogler
• Autorova ustanova: Sveučilište u Zagrebu; Medicinski fakultet
• Znanstveno / umjetničko područje, polje i grana: BIOMEDICINA I ZDRAVSTVO; Kliničke medicinske znanosti

Sažetak (engleski)

AIM:

To assess the efficacy of the procedural consolidation concept (PCC) at reducing the number of sessions of general anesthesia necessary for treating children with epidermolysis bullosa (EB). ----- METHODS:

We examined the records of children treated at Children's Hospital of Zagreb between April 1999 and December 2007. Children treated before the introduction of PCC in January 2005 (n=39) and after (n=48) were analyzed in order to determine the effect of PCC on the occurrence of complications, days of hospitalization, and number of hospitalizations. ----- RESULTS:

During the study period, 53 patients underwent 220 sessions of general anesthesia for a total of 743 surgical interventions per session. Before the introduction of PCC (n=39 patients, 83 sessions), the median number of interventions per session was 2 (range 1-5), and after the introduction of PCC (n=48 patients, 137 sessions) it was 4 (range 3-7, P<0.001). After the introduction of PCC, the median number of complications per anesthesia session increased from 2 (range 0-10) to 3 (range 0-10) (P=0.027), but the median number of complications per surgical procedure decreased from 1 (range 0-10) to 0.6 (range 0-2.5) (P<0.001). PCC lengthened each anesthesia session from a median of 65 minutes (range 35-655) to 95 minutes (range 50-405), (P<0.001). Total length of hospitalization was similar before (median 1, range 1-4) and after (median 1, range 1-3) introduction of PCC (P=0.169). The number of hospitalization days per procedure was 3 times lower after the introduction of PCC (median 0.3, range 0.2-3) than before (median 1, range 0.75-1.7) (P<0.001). ----- CONCLUSION:

PCC should be considered an option in the surgical treatment of children with EB.

• Ključne riječi (engleski): Adolescent; Adult; Anesthesia, General / adverse effects; Child; Child, Preschool; Epidermolysis Bullosa / surgery; Female; Humans; Infant; Intraoperative Complications / etiology; Length of Stay; Male; Postoperative Complications / etiology; Retrospective Studies; Time Factors; Young Adult
• Jezik: engleski
• Vrsta publikacije: Znanstveni rad - Izvorni znanstveni rad
• Status objave: Objavljen
• Vrsta recenzije: Recenziran
• Verzija publikacije: Objavljena verzija rada (izdavačev PDF)
• Naslov časopisa: Croatian Medical Journal
• Brojčani podaci: vol. 52, br. 4, str. 520-526
• p-ISSN: 0353-9504
• DOI: https://doi.org/10.3325/cmj.2011.52.520
• URN:NBN: urn:nbn:hr:105:334572
• Datum objave publikacije: 2011-08-15
• URL dokumenta: https://doi.org/10.3325/cmj.2011.52.520
• Vrsta resursa: Tekst
• Prava pristupa: Otvoreni pristup
• Datum i vrijeme pohrane: 2024-03-27 19:13:55