Abstract | AIM: 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.
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Authors | Maja Karaman Ilić, Josipa Kern, Irena Babić, Diana Simić, Antun Kljenak, Visnja Majerić Kogler |
Journal | Croatian medical journal
(Croat Med J)
Vol. 52
Issue 4
Pg. 520-6
(Aug 15 2011)
ISSN: 1332-8166 [Electronic] Croatia |
PMID | 21853547
(Publication Type: Journal Article)
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Topics |
- 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
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