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2. Postoperative Respiratory Complications in SARS-CoV-2 Positive Pediatric Patients Across 20 United States Hospitals: A Cohort Study

Author

Reiter, Audra J, Ingram, Martha-Conley E, Raval, Mehul V, Garcia, Elisa, Hill, Madelyn, Aranda, Arturo, Chandler, Nicole M, Gonzalez, Raquel, Born, Kristen, Mack, Shale, Lamoshi, Abdulraouf, Lipskar, Aaron M, Han, Xiao-Yue, Fialkowski, Elizabeth, Spencer, Brianna, Kulaylat, Afif N, Barde, Amrene, Shah, Ami N, Adoumie, Maeva, Gross, Erica, Mehl, Steven C, Lopez, Monica E, Polcz, Valerie, Mustafa, Moiz M, Gander, Jeffrey W, Sullivan, Travis M, Sulkowski, Jason P, Ghani, Owais, Huang, Eunice Y, Rothstein, David, Muenks, E Peter, St Peter, Shawn D, Fisher, Jason C, Levy-Lambert, Dina, Reichl, Allison, Ignacio, Romeo C, Slater, Bethany J, Tsao, KuoJen, and Berman, Loren

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Lung, Pneumonia, Clinical Research, Pediatric, Infectious Diseases, Pneumonia & Influenza, Patient Safety, Respiratory, Good Health and Well Being, Humans, Male, Child, United States, Female, COVID-19, SARS-CoV-2, Cohort Studies, Retrospective Studies, Hospitals, Postoperative Complications, Pediatric surgery, Respiratory complications, Paediatrics and Reproductive Medicine, Pediatrics, Clinical sciences, Paediatrics
Abstract

IntroductionData examining rates of postoperative complications among SARS-CoV-2 positive children are limited. The purpose of this study was to evaluate the impact of symptomatic and asymptomatic SARS-CoV-2 positive status on postoperative respiratory outcomes for children.MethodsThis retrospective cohort study included SARS-CoV-2 positive pediatric patients across 20 hospitals who underwent general anesthesia from March to October 2020. The primary outcome was frequency of postoperative respiratory complications, including: high-flow nasal cannula/non invasive ventilation, reintubation, pneumonia, Extracorporeal Membrane Oxygenation (ECMO), and 30-day respiratory-related readmissions or emergency department (ED) visits. Univariate analyses were used to evaluate associations between patient and procedure characteristics and stratified analyses by symptoms were performed examining incidence of complications.ResultsOf 266 SARS-CoV-2 positive patients, 163 (61.7%) were male, and the median age was 10 years (interquartile range 4-14). The majority of procedures were emergent or urgent (n = 214, 80.5%). The most common procedures were appendectomies (n = 78, 29.3%) and fracture repairs (n = 40,15.0%). 13 patients (4.9%) had preoperative symptoms including cough or dyspnea. 26 patients (9.8%) had postoperative respiratory complications, including 15 requiring high-flow oxygen, 8 with pneumonia, 4 requiring non invasive ventilation, 3 respiratory ED visits, and 2 respiratory readmissions. Respiratory complications were more common among symptomatic patients than asymptomatic patients (30.8% vs. 8.7%, p = 0.01). Higher ASA class and comorbidities were also associated with postoperative respiratory complications.ConclusionsPostoperative respiratory complications are less common in asymptomatic versus symptomatic SARS-COV-2 positive children. Relaxation of COVID-19-related restrictions for time-sensitive, non urgent procedures in selected asymptomatic patients may be reasonably considered. Additionally, further research is needed to evaluate the costs and benefits of routine testing for asymptomatic patients.Level of evidenceIii, Respiratory complications.

Published
2023

4. Prospective Outcomes of Standardized Non-operative Management of Pancreatic Trauma With Ductal Injury in Children: Less is More

Author

Naik-Mathuria, Bindi, Ehrlich, Peter F., Escobar, Mauricio A., Jr., Falcone, Richard, Gosain, Ankush, Vogel, Adam M., Jafri, Mubeen, Thakkar, Rajan K., Slater, Bethany J., Russell, Robert T., Campbell, Brendan, Beaudin, Marianne, St Peter, Shawn D., Russell, Katie W., Kreykes, Nathaniel, Gaines, Barbara, Notrica, David M., Hamner, Chad, Renaud, Elizabeth, Gourlay, David, and DeJesus, Jana

Published
2025
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6. Relationship between the COVID-19 pandemic and structural inequalities within the pediatric trauma population

Author

Georgeades, Christina, Collings, Amelia T., Farazi, Manzur, Bergner, Carisa, Fallat, Mary E., Minneci, Peter C., Speck, K. Elizabeth, Van Arendonk, Kyle J., Deans, Katherine J., Falcone, Jr., Richard A., Foley, David S., Fraser, Jason D., Gadepalli, Samir K., Keller, Martin S., Kotagal, Meera, Landman, Matthew P., Leys, Charles M., Markel, Troy A., Rubalcava, Nathan S., St. Peter, Shawn D., Sato, Thomas T., and Flynn-O’Brien, Katherine T.

Published
2023
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7. Gallbladder Disease

Author

Dekonenko, Charlene, St. Peter, Shawn D., Holcomb, George W., III, Puri, Prem, editor, and Höllwarth, Michael E., editor

Published
2023
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9. Initial Laparotomy Versus Peritoneal Drainage in Extremely Low Birthweight Infants With Surgical Necrotizing Enterocolitis or Isolated Intestinal Perforation: A Multicenter Randomized Clinical Trial.

Author

Blakely, Martin L, Tyson, Jon E, Lally, Kevin P, Hintz, Susan R, Eggleston, Barry, Stevenson, David K, Besner, Gail E, Das, Abhik, Ohls, Robin K, Truog, William E, Nelin, Leif D, Poindexter, Brenda B, Pedroza, Claudia, Walsh, Michele C, Stoll, Barbara J, Geller, Rachel, Kennedy, Kathleen A, Dimmitt, Reed A, Carlo, Waldemar A, Cotten, C Michael, Laptook, Abbot R, Van Meurs, Krisa P, Calkins, Kara L, Sokol, Gregory M, Sanchez, Pablo J, Wyckoff, Myra H, Patel, Ravi M, Frantz, Ivan D, Shankaran, Seetha, D'Angio, Carl T, Yoder, Bradley A, Bell, Edward F, Watterberg, Kristi L, Martin, Colin A, Harmon, Carroll M, Rice, Henry, Kurkchubasche, Arlet G, Sylvester, Karl, Dunn, James CY, Markel, Troy A, Diesen, Diana L, Bhatia, Amina M, Flake, Alan, Chwals, Walter J, Brown, Rebeccah, Bass, Kathryn D, St Peter, Shawn D, Shanti, Christina M, Pegoli, Walter, Skarda, David, Shilyansky, Joel, Lemon, David G, Mosquera, Ricardo A, Peralta-Carcelen, Myriam, Goldstein, Ricki F, Vohr, Betty R, Purdy, Isabell B, Hines, Abbey C, Maitre, Nathalie L, Heyne, Roy J, DeMauro, Sara B, McGowan, Elisabeth C, Yolton, Kimberly, Kilbride, Howard W, Natarajan, Girija, Yost, Kelley, Winter, Sarah, Colaizy, Tarah T, Laughon, Matthew M, Lakshminrusimha, Satyanarayana, and Higgins, Rosemary D

Subjects
Perinatal Period - Conditions Originating in Perinatal Period, Clinical Research, Infant Mortality, Rare Diseases, Digestive Diseases, Preterm, Low Birth Weight and Health of the Newborn, Pediatric, Clinical Trials and Supportive Activities, Good Health and Well Being, Drainage, Enterocolitis, Necrotizing, Feasibility Studies, Female, Humans, Infant, Extremely Low Birth Weight, Infant, Newborn, Infant, Premature, Infant, Premature, Diseases, Intestinal Perforation, Laparotomy, Male, Neurodevelopmental Disorders, Survival Rate, Treatment Outcome, isolated intestinal perforation, neonatal surgery, premature infant, randomized clinical trial, surgical necrotizing enterocolitis, Eunice Kennedy Shriver National Institute of Child Health, Human Development Neonatal Research Network, Medical and Health Sciences, Surgery
Abstract

ObjectiveThe aim of this study was to determine which initial surgical treatment results in the lowest rate of death or neurodevelopmental impairment (NDI) in premature infants with necrotizing enterocolitis (NEC) or isolated intestinal perforation (IP).Summary background dataThe impact of initial laparotomy versus peritoneal drainage for NEC or IP on the rate of death or NDI in extremely low birth weight infants is unknown.MethodsWe conducted the largest feasible randomized trial in 20 US centers, comparing initial laparotomy versus peritoneal drainage. The primary outcome was a composite of death or NDI at 18 to 22 months corrected age, analyzed using prespecified frequentist and Bayesian approaches.ResultsOf 992 eligible infants, 310 were randomized and 96% had primary outcome assessed. Death or NDI occurred in 69% of infants in the laparotomy group versus 70% with drainage [adjusted relative risk (aRR) 1.0; 95% confidence interval (CI): 0.87-1.14]. A preplanned analysis identified an interaction between preoperative diagnosis and treatment group (P = 0.03). With a preoperative diagnosis of NEC, death or NDI occurred in 69% after laparotomy versus 85% with drainage (aRR 0.81; 95% CI: 0.64-1.04). The Bayesian posterior probability that laparotomy was beneficial (risk difference

Published
2021

11. Evaluation and Management of Primary Spontaneous Pneumothorax in Adolescents and Young Adults: A Systematic Review From the APSA Outcomes & Evidence-Based Practice Committee

Author

Speck, K. Elizabeth, Kulaylat, Afif N., Baerg, Joanne E., Acker, Shannon N., Baird, Robert, Beres, Alana L., Chang, Henry, Derderian, S. Christopher, Englum, Brian, Gonzalez, Katherine W., Kawaguchi, Akemi, Kelley-Quon, Lorraine, Levene, Tamar L., Rentea, Rebecca M., Rialon, Kristy L., Ricca, Robert, Somme, Stig, Wakeman, Derek, Yousef, Yasmine, St. Peter, Shawn D., and Lucas, Donald J.

Published
2023
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14. Multicenter Assessment of Cryoanalgesia Use in Minimally Invasive Repair of Pectus Excavatum: A 20-center Retrospective Cohort Study

Author

Arshad, Seyed A., Garcia, Elisa I., Bell, Cynthia, Avritscher, Elenir B.C., Kumar, Mohineesh, Brahmamdam, Pavan, Fraser, James A., St. Peter, Shawn D., Aranda, Arturo, Hill, Madelyn, Marquart, John, Van Arendonk, Kyle, Plumblee, Leah, Streck, Christian J., Zamora, Irving J., Ghani, Muhammad O.A., Reichard, Kirk W., Sacks, Karen, Kallis, Michelle, Hong, Andrew, Richards, Holden, Lin, Saunders, Gross, Erica R., Kabeer, Mustafa H., Reyna, Troy, Paton, Elizabeth A., Camp, Lauren B., Stephenson, Krista, Dassinger, Melvin, Vali, Kaveh, Filipescu, Radu, DeUgarte, Daniel A., Krishna, Vikram, Slater, Bethany, Islam, Saleem, Thompson, Grace, Moore, James T., Englum, Brian R., Scholz, Stefan, Sharbaugh, Elizabeth, Gander, Jeffrey W., Tsao, KuoJen, Kumar, Mohineesh, Brahmamdam, Pavan, Fraser, James A., St. Peter, Shawn D., Aranda, Arturo, Hill, Madelyn, Marquart, John, Van Arendonk, Kyle, Plumblee, Leah, Streck, Christian J., Zamora, Irving J., Ghani, Muhammad O. A., Reichard, Kirk W., Sacks, Karen, Kallis, Michelle, Hong, Andrew, Richards, Holden, Lin, Saunders, Gross, Erica R., Kabeer, Mustafa H., Reyna, Troy, Paton, Elizabeth A., Camp, Lauren B., Stephenson, Krista, Dassinger, Melvin, Vali, Kaveh, Filipescu, Radu, DeUgarte, Daniel A., Krishna, Vikram, Slater, Bethany, Islam, Saleem, Thompson, Grace, Moore, James T., Englum, Brian R., Scholz, Stefan, Sharbaugh, Elizabeth, and Gander, Jeffrey W.

Published
2023
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15. Use and Accuracy of Intraoperative Frozen Section Analysis for Ovarian Masses in Children and Adolescents

Author

Gil, Lindsay A., Lutz, Carley M., Dillon, Patrick A., Downard, Cynthia D., Ehrlich, Peter F., Fallat, Mary E., Fraser, Jason D., Grabowski, Julia E., Helmrath, Michael A., Hertweck, S. Paige, Hirschl, Ronald B., Kabre, Rashmi, Lal, Dave R., Landman, Matthew P., Lawrence, Amy E., Leys, Charles M., Mak, Grace Z., Markel, Troy A., Raiji, Manish T., Rymeski, Beth, Saito, Jacqueline M., Sato, Thomas T., St. Peter, Shawn D., Stafford, Linda M. Cherney, Deans, Katherine J., Minneci, Peter C., Hewitt, Geri D., and Aldrink, Jennifer H.

Published
2023
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19. Hemodilution in pediatric trauma: Defining the expected hemoglobin changes in patients with liver and/or spleen injury: An ATOMAC+ secondary analysis

Author

Stottlemyre, Rachael L., Notrica, David M., Cohen, Aaron S., Sayrs, Lois W., Naiditch, Jessica, St. Peter, Shawn D., Leys, Charles M., Ostlie, Daniel J., Maxson, R Todd, Ponsky, Todd, Eubanks, James W., III, Bhatia, Amina, Greenwell, Cynthia, Lawson, Karla A., Alder, Adam C., Johnson, Jeremy, and Garvey, Erin

Published
2023
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20. Pediatric Injury Transfer Patterns During the COVID-19 Pandemic: An Interrupted time Series Analysis

Author

Flynn-O’Brien, Katherine T., Collings, Amelia T., Farazi, Manzur, Fallat, Mary E., Minneci, Peter C., Speck, K. Elizabeth, Van Arendonk, Kyle, Deans, Katherine J., Falcone, Richard A., Jr., Foley, David S., Fraser, Jason D., Gadepalli, Samir, Keller, Martin S., Kotagal, Meera, Landman, Matthew P., Leys, Charles M., Markel, Troy A., Rubalcava, Nathan, St. Peter, Shawn D., and Sato, Thomas T.

Published
2023
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22. Thoracoscopy versus thoracotomy for esophageal atresia and tracheoesophageal fistula: Outcomes from the Midwest Pediatric Surgery Consortium

Author

Marquart, John P., Bowder, Alexis N, Bence, Christina M., St. Peter, Shawn D., Gadepalli, Samir K., Sato, Thomas T., Szabo, Aniko, Minneci, Peter C., Hirschl, Ronald B., Rymeski, Beth A., Downard, Cynthia D., Markel, Troy A., Deans, Katherine J., Fallat, Mary E., Fraser, Jason D., Grabowski, Julia E., Helmrath, Michael A., Kabre, Rashmi D., Kohler, Jonathan E., Landman, Matthew P., Lawrence, Amy E., Leys, Charles M., Mak, Grace Z., Port, Elissa, Saito, Jacqueline, Silverberg, Jared, Slidell, Mark B., Wright, Tiffany N., and Lal, Dave R.

Published
2023
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28. The COVID-19 pandemic and associated rise in pediatric firearm injuries: A multi-institutional study

Author

Collings, Amelia T., Farazi, Manzur, Van Arendonk, Kyle J., Fallat, Mary E., Minneci, Peter C., Sato, Thomas T., Speck, K. Elizabeth, Deans, Katherine J., Falcone Jr, Richard A., Foley, David S., Fraser, Jason D., Gadepalli, Samir K., Keller, Martin S., Kotagal, Meera, Landman, Matthew P., Leys, Charles M., Markel, Troy A., Rubalcava, Nathan, St. Peter, Shawn D., and Flynn-O'Brien, Katherine T.

Published
2022
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29. Management of the undescended testis in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee Systematic Review

Author

Gates, Robert L, Shelton, Julia, Diefenbach, Karen A, Arnold, Meghan, St. Peter, Shawn D., Renaud, Elizabeth J., Slidell, Mark B., Sømme, Stig, Valusek, Patricia, Villalona, Gustavo A., McAteer, Jarod P., Beres, Alana L., Baerg, Joanne, Rentea, Rebecca M., Kelley-Quon, Lorraine, Kawaguchi, Akemi L., Hu, Yue-Yung, Miniati, Doug, Ricca, Robert, and Baird, Robert

Published
2022
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30. Acid suppression duration does not alter anastomotic stricture rates after esophageal atresia with distal tracheoesophageal fistula repair: A prospective multi-institutional cohort study

Author

Bowder, Alexis N, Bence, Christina M., Rymeski, Beth A, Gadepalli, Samir K., Sato, Thomas T., Szabo, Aniko, Arendonk, Kyle Van, Minneci, Peter C., Downard, Cynthia D., Hirschl, Ronald B., Markel, Troy, Courtney, Cathleen M., Deans, Katherine J., Fallat, Mary E., Fraser, Jason D., Grabowski, Julia E., Helmrath, Michael A., Kabre, Rashmi D., Kohler, Jonathan E., Landman, Matthew P., Lawrence, Amy E., Leys, Charles M., Mak, Grace, Port, Elissa, Saito, Jacqueline, Silverberg, Jared, Slidell, Mark B., St Peter, Shawn D., Troutt, Misty, Wright, Tiffany N., and Lal, Dave R.

Published
2022
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31. Impact of “Stay-at-Home” orders on non-accidental trauma: A multi-institutional study

Author

Collings, Amelia T., Farazi, Manzur, Van Arendonk, Kyle, Fallat, Mary E., Minneci, Peter C., Sato, Thomas T., Speck, K. Elizabeth, Deans, Katherine J., Falcone, Richard A., Foley, David S., Fraser, Jason D., Keller, Martin S., Kotagal, Meera, Landman, Matthew P., Leys, Charles M., Markel, Troy, Rubalcava, Nathan, St Peter, Shawn D., and Flynn-O'Brien, Katherine T.

Published
2022
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36. A Multi-institutional Study Evaluating Pediatric Burn Injuries During the COVID-19 Pandemic

Author

Georgeades, Christina M, Collings, Amelia T, Farazi, Manzur, Fallat, Mary E, Minneci, Peter C, Sato, Thomas T, Speck, Karen Elizabeth, Van Arendonk, Kyle, Deans, Katherine J, Falcone, Richard A, Jr, Foley, David S, Fraser, Jason, Gadepalli, Samir, Keller, Martin S, Kotagal, Meera, Landman, Matthew P, Leys, Charles M, Markel, Troy A, Rubalcava, Nathan, St. Peter, Shawn D, and Flynn-O’Brien, Katherine T

Published
2023
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39. International Core Outcome Set for Acute Simple Appendicitis in Children: Results of a Systematic Review, Delphi Study, and Focus Croups With Young People

Author

Knaapen, Max, Hall, Nigel J., Moulin, Darcy, van der Lee, Johanna H., Butcher, Nancy J., Minneci, Peter C., Svensson, Jan F., St. Peter, Shawn D., Adams, Susan, Nah, Shireen A., Skarsgard, Erik D., Zani, Augusto, Emil, Sherif, Suominen, Janne S., Aziz, Dayang A., Rai, Rambha, Offringa, Martin, van Heurn, Ernst W., Bakx, Roel, and Gorter, Ramon R.

Published
2022
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42. The effects of early anesthesia on neurodevelopment: A systematic review

Author

Grabowski, Julia, Goldin, Adam, Arthur, L. Grier, Beres, Alana L., Guner, Yigit S., Hu, Yue-Yung, Kawaguchi, Akemi L., Kelley-Quon, Lorraine I., McAteer, Jarod P., Miniati, Doug, Renaud, Elizabeth J., Ricca, Robert, Slidell, Mark B., Smith, Caitlin A., Sola, Juan E., Sømme, Stig, Downard, Cynthia D., Gosain, Ankush, Valusek, Patricia, St. Peter, Shawn D., Jagannathan, Narasimhan ‘Sim’, and Dasgupta, Roshni

Published
2021
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45. Management of intussusception in children: A systematic review

Author

Kelley-Quon, Lorraine I., Arthur, L. Grier, Williams, Regan F., Goldin, Adam B., St. Peter, Shawn D., Beres, Alana L., Hu, Yue-Yung, Renaud, Elizabeth J., Ricca, Robert, Slidell, Mark B., Taylor, Amy, Smith, Caitlin A., Miniati, Doug, Sola, Juan E., Valusek, Patricia, Berman, Loren, Raval, Mehul V., Gosain, Ankush, Dellinger, Matthew B., Sømme, Stig, Downard, Cynthia D., McAteer, Jarod P., and Kawaguchi, Akemi

Published
2021
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47. Outcomes in gastroschisis: expectations in the postnatal period for simple vs complex gastroschisis

Author

Dekonenko, Charlene, Fraser, Jason D., Deans, Katherine J., Fallat, Mary E., Helmrath, Michael, Kabre, Rashmi, Leys, Charles M., Burns, R. Cartland, Corkumd, Kristine, Dillon, Patrick A., Downard, Cynthia, Wright, Tiffany N., Gadepalli, Samir K., Grabowski, Julia E., Hernandez, Edward, Hirschl, Ronald, Johnson, Kevin N., Kohler, Jonathan E., Landman, Matthew P., Landisch, Rachel M., Lawrence, Amy E., Mak, Grace Z., Minneci, Peter C., Rymeski, Beth, Sato, Thomas T., Slater, Bethany J., and St. Peter, Shawn D.

Published
2021
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48. Clinical outcomes following implementation of a management bundle for esophageal atresia with distal tracheoesophageal fistula

Author

Bence, Christina M., Rymeski, Beth, Gadepalli, Samir, Sato, Thomas T., Minneci, Peter C., Downard, Cynthia, Hirschl, Ronald B., Amin, Ruchi A., Burns, R. Cartland, Cherney-Stafford, Linda, Courtney, Cathleen M., Deans, Katherine J., Fallat, Mary E., Fraser, Jason D., Grabowski, Julia E., Helmrath, Michael A., Kabre, Rashmi D., Kohler, Jonathan E., Landman, Matthew P., Lawrence, Amy E., Leys, Charles M., Mak, Grace Z., Port, Elissa, Saito, Jacqueline M., Silverberg, Jared, Slidell, Mark B., St. Peter, Shawn D., Troutt, Misty, Walker, Sarah, Wright, Tiffany, and Lal, Dave R.

Published
2021
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49. Same-day discharge for pediatric laparoscopic gastrostomy

Author

Dekonenko, Charlene, Svetanoff, Wendy Jo, Osuchukwu, Obiyo O., Pierce, Amy L., Orrick, Beth A., Sayers, Kristen L., Rentea, Rebecca M., Aguayo, Pablo, Fraser, Jason D., Juang, David, Hendrickson, Richard J., Snyder, Charles L., Andrews, Walter S., St. Peter, Shawn D., and Oyetunji, Tolulope A.

Published
2021
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50. Long-Term Recurrence Rates and Patient Satisfaction after Repair of Pectus Excavatum.

Author

Cruz-Centeno, Nelimar, Fraser, James A., Stewart, Shai, Marlor, Derek R., Oyetunji, Tolulope A., and St Peter, Shawn D.

Subjects
PATIENT satisfaction, PECTUS excavatum, DISEASE relapse, MINIMALLY invasive procedures, SATISFACTION, PATIENT surveys, REOPERATION
Abstract

Background Pectus excavatum deformities are usually repaired with a minimally invasive approach in which a metal bar is used to correct the chest wall abnormality. We aimed to evaluate long-term outcomes and patient satisfaction after surgical correction. Methods Patients who underwent pectus excavatum repair and subsequent bar removal at a single tertiary care center from January 2000 to December 2020 were identified. A retrospective chart review was performed, and a telephone survey was conducted to evaluate perceived inward chest movement, need for surgeon reevaluation, surgical reintervention, and overall satisfaction. Data are presented as medians with interquartile ranges (IQRs) and frequencies with percentages. Results A total of 583 patients were included. The survey response rate was 26.2% (n = 153). The respondents were predominantly male (80.4%, n = 123) with a median age at surgical correction of 14.9 years (IQR 12.9, 16.1) and a median Haller index (HI) of 3.8 (IQR 3.4, 4.5). Median time to bar removal was 2.9 years (IQR 2.5, 3.0) with a median age at removal of 17.7 years (IQR 15.5, 19.0). Median time from surgery to survey follow-up was 9.6 years (IRQ 5.0, 11.4) with respondents having a median age at follow-up of 25 years (IQR 22.0, 28.4). The satisfaction rate was 96.7% (n = 148) with a reintervention rate of 2.0% (n = 3). The perceived inward chest movement was 30.7% (n = 47) with 12.8% (n = 6) of those requesting surgical reevaluation. Conclusion There is a high level of satisfaction many years after correction of pectus excavatum and bar removal. With the advent of cryoablative therapy since 2017, patient satisfaction improved by experience of less postoperative pain. Reintervention rate is low despite some patients reporting a perceived chest wall inward movement. [ABSTRACT FROM AUTHOR]

Published
2024
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