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Risk factors for unplanned readmissions in paediatric neurosurgery: a systematic review protocol
Lance Vincent Caburian Sese1,2, Ma Celina Legaspi Guillermo3
1Department for Continuing Education, University of Oxford, Oxford, UK lance.sese@kellogg.ox.ac.uk.
Insights
This systematic review identifies reasons and risk factors for unplanned hospital readmissions in children after neurosurgery. Findings will improve pediatric neurosurgical care and patient outcomes.
Area of Science:
- Pediatric Neurosurgery
- Healthcare Outcomes Research
Background:
- Unplanned hospital readmission (UHR) is a key indicator of patient outcomes after surgery.
- Research on UHR is extensive in adults but limited in pediatric neurosurgery.
Purpose of the Study:
- To systematically review reasons for 30-day and 90-day unplanned readmissions in pediatric neurosurgery.
- To identify risk factors associated with these readmissions.
- To inform clinical practice and healthcare resource utilization.
Main Methods:
- Systematic review protocol.
- Narrative synthesis.
- Sensitivity and subgroup analyses.
- Meta-analysis where appropriate.
Main Results:
- This section will be populated upon completion of the review.
Conclusions:
- Findings will guide improvements in pediatric neurosurgical care.
- Enhanced patient counseling and optimized resource utilization are anticipated outcomes.
Introduction:
Unplanned hospital readmission (UHR) following surgical procedures reflects patient outcomes. While adult readmission studies are abundant, limited research exists in paediatric populations, especially in the context of neurosurgery.
Methods And Analysis:
This protocol outlines a systematic review aimed at identifying reasons for unplanned readmissions (30-day and 90-day readmissions) and risk factors following paediatric neurosurgical procedures. Narrative synthesis, sensitivity analyses, subgroup analyses, and meta-analysis, when appropriate, will be done.
Ethics And Dissemination:
There are no primary data involved and no access to confidential patient information. The findings aim to contribute to refining clinical practice, enhance patient counselling, and optimise healthcare resource utilisation in paediatric neurosurgical care.
Prospero Registration Number:
CRD42023455779.
