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Postoperative complications after gastrointestinal pediatric surgical procedures: outcomes and socio-demographic risk

Robert Brock1, Angel Chu2,3, Shengjie Lu3

  • 1Department of Pediatric and Adolescent Medicine, Faculty of Medicine, University Hospital Cologne, University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany. robert.brock@uk-koeln.de.

BMC Pediatrics
|June 22, 2022
PubMed

Insights

Pediatric surgical complications are linked to higher costs and longer hospital stays. Socio-demographic factors like male sex, young age, and race influence complication risk in children undergoing gastrointestinal surgery.

Area of Science:

  • Pediatric Surgery
  • Health Services Research
  • Socioeconomic Determinants of Health

Background:

  • Socio-demographic factors are linked to complications after pediatric surgical procedures.
  • Understanding these factors is crucial for improving patient outcomes and resource allocation.

Purpose of the Study:

  • To identify socio-demographic risk factors for complications in children undergoing common gastrointestinal surgical procedures.
  • To analyze resource utilization, including length of stay and costs, for pediatric surgical patients with complications.

Main Methods:

  • Population-based cohort study using the 2016 Healthcare Cost and Use Project Kids' Inpatient Database (KID).
  • Analysis of pediatric patients (0-21 years) undergoing appendectomy, cholecystectomy, colonic resection, pyloromyotomy, and small bowel resection.
  • Multivariable logistic regression to identify predictors of postoperative complications and comparison of length of stay and hospitalization costs.

Main Results:

  • 66,157 pediatric surgical hospitalizations were analyzed, with 2,009 experiencing postoperative complications.
  • Male sex, young age, African American and Native American race, and rural hospital treatment were associated with increased odds of complications.
  • Complications led to an average increase of 4.58 days in length of stay and $11,151 in total hospitalization costs.

Conclusions:

  • Postoperative complications in pediatric gastrointestinal surgery significantly increase healthcare expenditures.
  • Identified socio-demographic risk factors necessitate consideration during pre-operative risk stratification.
  • Targeted interventions are essential to mitigate preventable complications and reduce surgical disparities.
Abstract

Keywords:
GenderIncomePediatric gastrointestinal surgeryPostoperative complicationsRaceSurgical disparities

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