Abstract | BACKGROUND:
Wound classification has catapulted to the forefront of surgical literature and quality care discussions. However, it has not been validated in laparoscopy or children. We analyzed pediatric infection rates based on wound classification and reviewed the most common noninfectious complications which could be a more appropriate measure for quality assessment. METHODS: We performed a retrospective review of 800 patients from 2011 to 2014 undergoing common procedures at a tertiary pediatric hospital. Demographics, procedure, wound classification and complications were analyzed using descriptive statistics. RESULTS: CONCLUSIONS: Current wound classifications do not accurately approximate the risk of surgical site infections in children, particularly for laparoscopic procedures. It would be more appropriate to grade hospitals based on disease and procedure specific complications.
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Authors | Katherine W Gonzalez, Brian G Dalton, Brendan Kurtz, Michael C Keirsey, Tolulope A Oyetunji, Shawn D St Peter |
Journal | Journal of pediatric surgery
(J Pediatr Surg)
Vol. 51
Issue 11
Pg. 1900-1903
(Nov 2016)
ISSN: 1531-5037 [Electronic] United States |
PMID | 27530888
(Publication Type: Journal Article)
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Copyright | Copyright © 2016 Elsevier Inc. All rights reserved. |
Topics |
- Adolescent
- Adult
- Appendectomy
(adverse effects, methods)
- Appendicitis
(surgery)
- Child
- Child, Preschool
- Female
- Hospitals, Pediatric
- Humans
- Laparoscopy
(adverse effects)
- Male
- Morbidity
(trends)
- Retrospective Studies
- Surgical Wound Infection
(classification, epidemiology)
- United States
(epidemiology)
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