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High surgical burden for infants with severe chronic lung disease (sCLD)

Theresa R Grover1, Beverly S Brozanski2, James Barry1

  • 1University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, CO.

Journal of Pediatric Surgery
|August 6, 2014
PubMed

Insights

Most infants with severe chronic lung disease (sCLD) undergo multiple surgical procedures during NICU stays. Common operations include gastrostomy and tracheostomy, with varied timing and coordination.

Area of Science:

  • Neonatal surgery
  • Pediatric surgery
  • Critical care medicine

Background:

  • Severe chronic lung disease (sCLD) in infants often necessitates surgical interventions.
  • The spectrum and frequency of surgical procedures for sCLD infants are not well-defined.

Purpose of the Study:

  • To determine the frequency, types, and timing of surgical procedures in hospitalized infants with sCLD.
  • To characterize the scope of operative interventions for this vulnerable population.

Main Methods:

  • Utilized the Children's Hospital Neonatal Database (CHND) to identify infants with sCLD.
  • Analyzed data from 24 children's hospital Neonatal Intensive Care Units (NICUs) over a 16-month period.

Main Results:

  • 71% of 556 sCLD infants received at least one surgical procedure during NICU hospitalization, averaging 3 operations per infant.
  • Most common procedures included gastrostomy (24%), fundoplication (11%), herniorrhaphy (13%), and tracheostomy (12%).
  • Timing of gastrostomy and tracheostomy insertions varied, with concurrent placement in only 33% of infants receiving both.

Conclusions:

  • A significant majority of infants with sCLD undergo multiple surgical procedures in NICUs.
  • Further research is needed on the timing, coordination, and outcomes of these surgical interventions.
Abstract

Keywords:
Bronchopulmonary dysplasia (BPD)Chronic lung disease (CLD)Neonatal surgeryTracheostomy

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