Related Experiment Video

Updated: Feb 12, 2026

Accurate and Phenol Free DNA Sexing of Day 30 Porcine Embryos by PCR
10:16

Accurate and Phenol Free DNA Sexing of Day 30 Porcine Embryos by PCR

Published on: February 14, 2016

10.5K

Readmission and complications within 30 days after intrathecal baclofen pump placement

Sandi K Lam1, Rory R Mayer1, Aditya Vedantam1

  • 1Division of Pediatric Neurosurgery, Department of Neurosurgery, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.

Developmental Medicine and Child Neurology
|March 25, 2018
PubMed

Insights

Seven percent of pediatric patients require readmission within 30 days of intrathecal baclofen (ITB) pump placement, with surgical site infection being the most common reason for reoperation.

Area of Science:

  • Pediatric Surgery
  • Neurosurgery
  • Medical Device Outcomes

Background:

  • Intrathecal baclofen (ITB) pump placement is a common procedure for managing spasticity in children.
  • Understanding short-term outcomes and risk factors is crucial for optimizing patient care and surgical quality.

Purpose of the Study:

  • To analyze 30-day outcomes following ITB pump placement in pediatric patients.
  • To identify risk factors associated with readmission, reoperation, and perioperative complications.

Main Methods:

  • Utilized the National Surgical Quality Improvement Program-Pediatric (NSQIP-P) database (2012-2014).
  • Included patients aged 0-18 years undergoing ITB pump placement.
  • Performed multivariate regression analysis on preoperative and perioperative data to assess outcomes within 30 days.

Main Results:

  • A total of 423 pediatric surgeries were analyzed.
  • The 30-day readmission rate was 7.3%, with surgical site infection being the primary indication for reoperation in 64.5% of readmitted patients.
  • Female sex was linked to lower readmission risk, while longer initial hospital stays (≥3 days) increased the risk of adverse perioperative events.

Conclusions:

  • This study provides national insights into 30-day perioperative outcomes for pediatric ITB pump placement.
  • Findings highlight areas for quality improvement in clinical practice regarding ITB pump procedures.
Abstract

More Related Videos

A Modified Method for Intrathecal Catheterization in Rats11:15

A Modified Method for Intrathecal Catheterization in Rats

Published on: February 14, 2025

3.0K
Intrathecal Delivery of Antisense Oligonucleotides in the Rat Central Nervous System07:47

Intrathecal Delivery of Antisense Oligonucleotides in the Rat Central Nervous System

Published on: October 29, 2019

19.7K

Related Concept Videos

ATP Driven Pumps III: V-type Pumps01:30

ATP Driven Pumps III: V-type Pumps

V-type pumps are ATP-driven pumps found in the vacuolar membranes of plants, yeast, endosomal and lysosomal membranes of animal cells, plasma membranes of a few specialized eukaryotic cells, and some prokaryotes. They are also known as the V1Vo-ATPase, that couple ATP hydrolysis to transport protons against a concentration gradient.
The peripheral or cytosolic V1 domain with eight subunits is involved in ATP hydrolysis. The integral or transmembrane V0 domain containing at least five subunits...
4.9K
ATP Driven Pumps II: P-type Pumps01:34

ATP Driven Pumps II: P-type Pumps

The P-type pumps are a large family of integral membrane transporter ATPases. They are divided into five major types based on substrate specificity, from I to V.
A typical P-type pump has three cytosolic domains: nucleotide-binding (N), phosphorylation (P), and activator (A) domains. These domains are connected to the membrane-spanning helices by short amino acid segments. ATP hydrolysis and covalent phosphoenzyme intermediate formation are crucial parts of the catalytic cycle. At the highly...
6.5K
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
954
Pumped Concrete01:13

Pumped Concrete

Concrete in large quantities can be pumped across long distances for placing in inaccessible sites. This system comprises a hopper that receives concrete from a mixer, a pump to propel the concrete, and pipelines that facilitate its delivery.
For direct-acting pumps, the concrete enters the pump via the inlet valve under the action of gravity and suction created by the movement of the piston. This concrete is then forced into the pipeline and out through the outlet valve by the forward movement...
401
Refrigerators and Heat Pumps01:07

Refrigerators and Heat Pumps

Refrigerators or heat pumps are heat engines operating in a reverse direction. For a refrigerator, the focus is on removing heat from a specific area, whereas, for a heat pump, the focus is on dumping heat into one particular area. A refrigerator (or heat pump) absorbs heat Qc from the cold reservoir at Kelvin temperature Tc and discards heat Qh to the hot reservoir at Kelvin temperature Th, while work W is done on the engine’s working substance.
A household refrigerator removes heat from...
3.1K
Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
908