Shastin, D, Peacock, S, Guruswamy, V et al. (10 more authors) (2017) A proposal for a new classification of complications in craniosynostosis surgery. Journal of Neurosurgery: Pediatrics, 19 (6). pp. 675-683. ISSN 1933-0707
Abstract
OBJECTIVE: Complications have been used extensively to facilitate evaluation of craniosynostosis practice. However, description of complications tends to be nonstandardized, making comparison difficult. The authors propose a new pragmatic classification of complications that relies on prospective data collection, is geared to capture significant morbidity as well as any “near misses” in a systematic fashion, and can be used as a quality improvement tool. METHODS: Data on complications for all patients undergoing surgery for nonsyndromic craniosynostosis between 2010 and 2015 were collected from a prospective craniofacial audit database maintained at the authors' institution. Information on comorbidities, details of surgery, and follow-up was extracted from medical records, anesthetic and operation charts, and electronic databases. Complications were defined as any unexpected event that resulted or could have resulted in a temporary or permanent damage to the child. RESULTS: A total of 108 operations for the treatment of nonsyndromic craniosynostosis were performed in 103 patients during the 5-year study period. Complications were divided into 6 types: 0) perioperative occurrences; 1) inpatient complications; 2) outpatient complications not requiring readmission; 3) complications requiring readmission; 4) unexpected long-term deficit; and 5) mortality. These types were further subdivided according to the length of stay and time after discharge. The overall complication rate was found to be 35.9%. CONCLUSIONS: The proportion of children with some sort of complication using the proposed definition was much higher than commonly reported, predominantly due to the inclusion of problems often dismissed as minor. The authors believe that these complications should be included in determining complication rates, as they will cause distress to families and may point to potential areas for improving a surgical service.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Keywords: | craniosynostosis, complications, morbidity, outcome, audit, craniofacial |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Inst of Biomed & Clin Sciences (LIBACS) (Leeds) > Genetics (LIBACS) (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 12 Jun 2017 09:55 |
Last Modified: | 12 Jun 2017 09:55 |
Status: | Published |
Publisher: | American Association of Neurological Surgeons |
Identification Number: | 10.3171/2017.1.PEDS16343 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:117621 |