Pediatric surgeries often performed in general hospitals

November 26, 2013
Pediatric surgeries often performed in general hospitals

(HealthDay)—The volume of general pediatric surgery performed in the United States is high, and these procedures are divided between specialized pediatric institutions and general hospitals, according to a study published online Nov. 25 in Pediatrics.

Stig Sømme, M.D., from the Children's Hospital Colorado in Aurora, and colleagues used International Classification of Diseases, Ninth Revision, Clinical Modification codes from the 2009 Kids' Inpatient Database (patients <18 years old) to calculate surgical frequencies by hospital type (free-standing children's hospital, children's unit within an adult hospital, and general hospital) and geographic region.

The researchers found that of the 216,081 procedures for 2009, the top 20 procedures accounted for more than 90 percent of cases. About 40 percent of pediatric inpatient surgical procedures took place in adult general hospitals. Infrequent complex low-volume neonatal surgical procedures, including pullthrough for Hirschsprung disease, surgery for malrotation, esophageal atresia repair, and diaphragmatic hernia repair, were 6.8 to 16 times more likely to happen in a children's hospital. For appendectomy and cholecystectomy, there was significant regional variation in frequency rates.

"Such data may influence the distribution of pediatric surgeons, number of trainees, and training curricula for pediatric surgeons, pediatricians, general surgeons and other surgical specialists who might operate on children," the authors write.

Explore further: More pediatric kidney patients are being treated with minimally invasive surgical techniques

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

More pediatric kidney patients are being treated with minimally invasive surgical techniques

November 25, 2013
More children, like adults, are undergoing minimally invasive surgery for diseased kidneys, with most of the procedures being performed at teaching hospitals to treat non-cancerous conditions.

AAP discusses responsibilities, role of pediatric hospitalists

October 2, 2013
(HealthDay)—Pediatric hospital medicine programs have an established place in pediatric medicine, and the expanded roles and responsibilities of pediatric hospitalists should be recognized, along with their integrated role ...

Pediatric readmission rates aren't indicator of hospital performance

August 26, 2013
Readmission rates of adult patients to the same hospital within 30 days are an area of national focus and a potential indicator of clinical failure and unnecessary expenditures.

Pediatric hospital care quality linked to patient population

January 8, 2013
(HealthDay)—The quality of pediatric hospital care is associated with whether the patients have severe and chronic conditions, not the financial resources of the hospital, according to a study published online Jan. 6 in ...

Chronic illness puts pediatric trauma patients at higher risk

August 6, 2013
In a recent study published in the Journal of Trauma and Acute Care Surgery, researchers from the Center for Injury Research and Policy in The Research Institute at Nationwide Children's Hospital found that pediatric trauma ...

Hospital volume linked to outcomes for aortic valve replacement in high-risk patients

November 1, 2013
(Medical Xpress)—High risk patients have better outcomes when undergoing aortic valve replacement at hospitals that perform high volumes of the procedure, according to a study in the November 2013 issue of The Annals of ...

Recommended for you

New comparison chart sheds light on babies' tears

July 10, 2017
A chart that enables parents and clinicians to calculate if a baby is crying more than it should in the first three months of its life has been created by a Kingston University London researcher, following a study of colic ...

Blood of SIDS infants contains high levels of serotonin

July 3, 2017
Blood samples from infants who died of Sudden Infant Death Syndrome (SIDS) had high levels of serotonin, a chemical that carries signals along and between nerves, according to a study funded in part by the National Institutes ...

Is your child's 'penicillin allergy' real?

July 3, 2017
(HealthDay)—Many children suspected of being allergic to the inexpensive, first-line antibiotic penicillin actually aren't, new research indicates.

Probiotic supplements failed to prevent babies' infections

July 3, 2017
(HealthDay)—Probiotic supplements may not protect babies from catching colds or stomach bugs in day care, a new clinical trial suggests.

Starting school young can put child wellbeing at risk

June 22, 2017
New research has shown that the youngest pupils in each school year group could be at risk of worse mental health than their older classmates.

Fidget spinners are the latest toy craze, but the medical benefits are unclear

June 21, 2017
Last week, German customs agents in Frankfurt Airport seized 35 metric tons of an imported plastic device, destroying the shipment for public safety purposes before it could infiltrate the country's marketplaces.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.