PDF(Pubmed)
Abstract：
UNASSIGNED: To determine the rate of surgical site infections (SSI) after pediatric open airway reconstruction using a nationwide database.
UNASSIGNED: Cross-sectional study of the American College of Surgeons National Surgical Quality Improvement Program-Pediatric (ACS NSQIP-P) Database.
UNASSIGNED: The ACS NSQIP-P was queried for open airway surgeries between 2013 and 2019 determining postoperative SSI and wound dehiscence with a random sample of non-airway cases serving as a control group.
UNASSIGNED: A total of 637 laryngotracheoplasties (LTP), 411 tracheal resections (TR) and 2100 control procedures were included. LTP and TR were both performed on younger children with more comorbidities than control surgeries (p < .05). Postoperative wound complications occurred more often after airway reconstructions than non-airway cases (6.4% vs. 2.9%, p < .001). Compared to non-airway procedures, LTP (OR: 2.42, 95% CI: 1.62-3.61) and TR (OR: 2.07, 95% CI: 1.28-3.66) developed increased SSI. Multiple logistic regression identified dirty or infected wounds (OR: 4.61, p < .001, 95% CI: 2.35-9.03) and American Society of Anesthesiologists (ASA) Class IV (OR: 3.19, p = .02, 95% CI: 1.12-8.39) as the strongest predictors of SSI after airway reconstruction.
UNASSIGNED: SSI after pediatric airway reconstruction occur in 6% of cases and are increased in infected wounds and ASA Class IV surgeries. Recognizing common factors for these complications provide reliable benchmarking to design surgical quality improvement initiatives.
UNASSIGNED: 4.
UNASSIGNED: Cross-sectional study of the American College of Surgeons National Surgical Quality Improvement Program-Pediatric (ACS NSQIP-P) Database.
UNASSIGNED: The ACS NSQIP-P was queried for open airway surgeries between 2013 and 2019 determining postoperative SSI and wound dehiscence with a random sample of non-airway cases serving as a control group.
UNASSIGNED: A total of 637 laryngotracheoplasties (LTP), 411 tracheal resections (TR) and 2100 control procedures were included. LTP and TR were both performed on younger children with more comorbidities than control surgeries (p < .05). Postoperative wound complications occurred more often after airway reconstructions than non-airway cases (6.4% vs. 2.9%, p < .001). Compared to non-airway procedures, LTP (OR: 2.42, 95% CI: 1.62-3.61) and TR (OR: 2.07, 95% CI: 1.28-3.66) developed increased SSI. Multiple logistic regression identified dirty or infected wounds (OR: 4.61, p < .001, 95% CI: 2.35-9.03) and American Society of Anesthesiologists (ASA) Class IV (OR: 3.19, p = .02, 95% CI: 1.12-8.39) as the strongest predictors of SSI after airway reconstruction.
UNASSIGNED: SSI after pediatric airway reconstruction occur in 6% of cases and are increased in infected wounds and ASA Class IV surgeries. Recognizing common factors for these complications provide reliable benchmarking to design surgical quality improvement initiatives.
UNASSIGNED: 4.
摘要：
UNASSIGNED：使用全国数据库确定儿科开放气道重建后手术部位感染（SSI）的发生率。
UNASSIGNED：美国外科医生学会国家外科质量改善计划-儿科（ACSNSQIP-P）数据库的横断面研究。
UNASSIGNED：在2013年至2019年期间，以随机抽样的非气道病例作为对照组，对ACSNSQIP-P进行了开放气道手术，确定了术后SSI和伤口开裂。
UNASSIGNED：总共637例喉气管成形术（LTP），包括411例气管切除术（TR）和2100例控制程序。LTP和TR均适用于合并疾病比对照手术更多的年龄较小的儿童（p<0.05）。术后伤口并发症在气道重建后的发生率高于非气道病例(6.4%vs.2.9%,p<.001)。与非气道手术相比，LTP（OR：2.42，95％CI：1.62-3.61）和TR（OR：2.07，95％CI：1.28-3.66）增加了SSI。多重逻辑回归确定脏污或感染伤口（OR：4.61，p<.001，95％CI：2.35-9.03）和美国麻醉医师协会（ASA）IV级（OR：3.19，p=.02，95％CI：1.12-8.39）是气道重建后SSI的最强预测因子。
UNASSIGNED：儿科气道重建后的SSI发生在6%的病例中，在感染伤口和ASAIV级手术中增加。认识到这些并发症的共同因素为设计手术质量改进计划提供了可靠的基准。
未经评估：4.
UNASSIGNED：美国外科医生学会国家外科质量改善计划-儿科（ACSNSQIP-P）数据库的横断面研究。
UNASSIGNED：在2013年至2019年期间，以随机抽样的非气道病例作为对照组，对ACSNSQIP-P进行了开放气道手术，确定了术后SSI和伤口开裂。
UNASSIGNED：总共637例喉气管成形术（LTP），包括411例气管切除术（TR）和2100例控制程序。LTP和TR均适用于合并疾病比对照手术更多的年龄较小的儿童（p<0.05）。术后伤口并发症在气道重建后的发生率高于非气道病例(6.4%vs.2.9%,p<.001)。与非气道手术相比，LTP（OR：2.42，95％CI：1.62-3.61）和TR（OR：2.07，95％CI：1.28-3.66）增加了SSI。多重逻辑回归确定脏污或感染伤口（OR：4.61，p<.001，95％CI：2.35-9.03）和美国麻醉医师协会（ASA）IV级（OR：3.19，p=.02，95％CI：1.12-8.39）是气道重建后SSI的最强预测因子。
UNASSIGNED：儿科气道重建后的SSI发生在6%的病例中，在感染伤口和ASAIV级手术中增加。认识到这些并发症的共同因素为设计手术质量改进计划提供了可靠的基准。
未经评估：4.
