PMID- 24236448
OWN - NLM
STAT- MEDLINE
DCOM- 20140224
LR  - 20181202
IS  - 1933-0715 (Electronic)
IS  - 1933-0707 (Linking)
VI  - 13
IP  - 1
DP  - 2014 Jan
TI  - Prospective review of a single center's general pediatric neurosurgical 
      intraoperative and postoperative complication rates.
PG  - 107-13
LID - 10.3171/2013.9.PEDS13222 [doi]
AB  - OBJECT: The authors conducted a study to compare the complication rate (CR) of 
      pediatric neurosurgical procedures in a general neurosurgery department to the 
      CRs that are reported in the literature and to establish a baseline of CR for 
      further targeted improvement of quality neurosurgical care. METHODS: The authors 
      analyzed the prospectively collected data from a complication registration of 
      1000 consecutive pediatric neurosurgical procedures in 581 patients from the 
      beginning of the registration in January 2004 through August 2008. A pediatric 
      neurosurgeon was involved in 50.5% of the procedures. All adverse events (AEs) 
      from induction of anesthesia until 30 days postoperatively were recorded. 
      RESULTS: Overall, 229 complications were counted in 202 procedures. The overall 
      CR was 20.2%, with a 2.7% intraoperative CR and a 17.5% postoperative CR. Tumor 
      surgery was associated with the highest CR (32.7%), followed by CSF disorders 
      (21.8%). The mortality rate was 0.3%. An unplanned return to the operating room 
      in relation to an AE happened in 10.5% of all procedures and in 52% of procedures 
      associated with AEs, the majority of which were related to CSF disorders. 
      CONCLUSIONS: The CR in pediatric neurosurgical procedures was significant, and 
      more than half of the patients with an AE required a repeat surgical procedure. 
      Analysis of CRs should be a prerequisite for the prevention of complications and 
      for the development of targeted interventions to reduce the CR (for example, 
      infection rates).
FAU - van Lindert, Erik J
AU  - van Lindert EJ
AD  - Department of Neurosurgery, Radboud University Nijmegen Medical Centre, Nijmegen, 
      The Netherlands; and.
FAU - Delye, Hans
AU  - Delye H
FAU - Leonardo, Jody
AU  - Leonardo J
LA  - eng
PT  - Journal Article
DEP - 20131115
PL  - United States
TA  - J Neurosurg Pediatr
JT  - Journal of neurosurgery. Pediatrics
JID - 101463759
SB  - IM
MH  - Adolescent
MH  - Blood Loss, Surgical/statistics & numerical data
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Infant
MH  - Intraoperative Complications/*epidemiology/etiology
MH  - Male
MH  - Netherlands/epidemiology
MH  - Neurosurgical Procedures/*adverse effects
MH  - Postoperative Complications/*epidemiology/etiology
MH  - Prospective Studies
MH  - Reoperation
EDAT- 2013/11/19 06:00
MHDA- 2014/02/25 06:00
CRDT- 2013/11/19 06:00
PHST- 2013/11/19 06:00 [entrez]
PHST- 2013/11/19 06:00 [pubmed]
PHST- 2014/02/25 06:00 [medline]
AID - 10.3171/2013.9.PEDS13222 [doi]
PST - ppublish
SO  - J Neurosurg Pediatr. 2014 Jan;13(1):107-13. doi: 10.3171/2013.9.PEDS13222. Epub 
      2013 Nov 15.