Izvorni znanstveni članak
Application of the procedural consolidation concept to surgical treatment of children with epidermolysis bullosa: a retrospective analysis
Maja Karaman Ilić
; Department of Anesthesiology, Resuscitation, and Intensive Care, University Hospital for Lung Diseases Zagreb, Croatia
Josipa Kern
; Department of Medical Statistics Epidemiology and Medical Informatics, Andrija Štampar School of Public Health, University of Zagreb School of Medicine, Croatia
Irena Babić
; Department of Surgery Children’s Hospital Zagreb, Croatia
Diana Šimić
; Faculty of Organization and Informatics, Varaždin, Croatia
Antun Kljenak
; Department of Surgery Children’s Hospital Zagreb, Croatia
Višnja Majerić Kogler
; University of Zagreb, School of Medicine, Croatia
Sažetak
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
Hrčak ID:
71470
URI
Datum izdavanja:
15.8.2011.
Posjeta: 1.624 *