当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS期刊下所有文献 > Does the American College of Surgeons NSQIP-Pediatric Accurately Represent Overall Patient Outcomes?

Does the American College of Surgeons NSQIP-Pediatric Accurately Represent Overall Patient Outcomes?

Abstract：

BACKGROUND:The National Surgical Quality Improvement Program-Pediatrics (NSQIP-P) collects data for institutional quality benchmarking of surgery performed on children using a sampling algorithm. The Pediatric and Infant Case Log and Outcomes (PICaLO) is a database of all general and thoracic pediatric surgery (GTPS) procedures performed at our institution with the attendant complications. This study compared postsurgical occurrences in a NSQIP-P sample with all postoperative occurrences at a single institution to test the hypothesis that a sample of higher risk procedures represents the actual event rate for all higher risk procedures. STUDY DESIGN:The definitions of postoperative occurrences used in PICaLO are derived from NSQIP-P but tracked past 30 days postoperatively and include additional occurrences (ie, anastomotic leak). The number and types of occurrences and number of deaths from PICaLO and NSQIP-P databases were compared for procedures specific to pediatric GTPS procedures during 2012 to 2013. A chi-square test evaluated the proportion of occurrences and deaths in PICaLO to NSQIP-P. RESULTS:The NSQIP-P sampled 37.7% of eligible GTS procedures recorded in PICaLO during the study period. The proportion of cases with 1 or more occurrences was significantly higher in the NSQIP-P dataset when compared with all cases in PICaLO (p < 0.0001). When NSQIP-P and PICaLO were compared based on specific CPT codes, NSQIP-P still had a higher event rate (p = 0.004). CONCLUSIONS:In focused comparisons, the data demonstrate that the NSQIP-P sampling algorithm successfully identifies CPT codes with higher postoperative event rates than the overall cohort of pediatric GTPS patients, but may not be reflective of the total experience for procedures with those CPT codes.

journal_name

J Am Coll Surg

journal_title

Journal of the American College of Surgeons

authors

Gross ER,Christensen M,Schultz JA,Cassidy LD,Anderson Y,Arca MJ

doi

10.1016/j.jamcollsurg.2015.07.014

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

828-36

issue

4

eissn

1072-7515

issn

1879-1190

pii

S1072-7515(15)00508-6

journal_volume

221

pub_type

杂志文章

相关文献

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS文献大全
  • Role of the martius procedure in the management of urinary-vaginal fistulas.

    abstract：BACKGROUND:Urinary-vaginal fistula is one of the most common and dreaded complications of obstetric trauma in developing countries. Management of these fistulas is complicated by the presence of substantial urethral loss and the tendency of the repair to break down. STUDY DESIGN:We retrospectively studied 46 patients ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(00)00351-3

    authors： Rangnekar NP,Imdad Ali N,Kaul SA,Pathak HR

    更新日期：2000-09-01 00:00:00

  • Endothelial cells adherent to expanded polytetrafluoroethylene express the intercellular adhesion molecule-1.

    abstract：BACKGROUND:The foreign body reaction caused by implanted biomaterials is not fully characterized. To evaluate the effect of an expanded polytetrafluoroethylene (ePTFE) surface on the binding of monoclonal antibodies against the intercellular adhesion molecule (ICAM-1) by adherent endothelial cells, an in vitro bioassay...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Margiotta MS,Benton L,Greco RS

    更新日期：1995-09-01 00:00:00

  • Impact of Acinetobacter infection on the mortality of burn patients.

    abstract：BACKGROUND:Acinetobacter calcoaceticus-baumannii complex (Acb) is recognized as an important cause of nosocomial infections. Although Acb can be associated with multidrug resistance, its impact on mortality in burn patients has not been fully elucidated. STUDY DESIGN:In a retrospective cohort study assessing medical r...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2006.06.013

    authors： Albrecht MC,Griffith ME,Murray CK,Chung KK,Horvath EE,Ward JA,Hospenthal DR,Holcomb JB,Wolf SE

    更新日期：2006-10-01 00:00:00

  • Accessory duct sphincteroplasty is preferred for long-term prevention of recurrent acute pancreatitis in patients with pancreas divisum.

    abstract：BACKGROUND:The putative relationship between pancreas divisum and clinical pancreatitis continues to be controversial. Indications for surgical or endoscopic manipulations of the accessory duct ampulla are unclear, and the relative merits of surgical sphincteroplasty, endoscopic sphincterotomy, and accessory duct stent...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Bradley EL 3rd,Stephan RN

    更新日期：1996-07-01 00:00:00

  • Effect of pre-existing medical conditions on in-hospital mortality: analysis of 20,257 trauma patients in Japan.

    abstract：BACKGROUND:The average life expectancy of Japanese individuals is the longest in the world. The mortality rate from injury is increasing among older people. There have been no detailed reports on the relationship between pre-existing medical conditions (PMCs) and mortality from trauma among elderly people in Japan. ST...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2010.04.010

    authors： Shoko T,Shiraishi A,Kaji M,Otomo Y

    更新日期：2010-09-01 00:00:00

  • The importance of the first complication: understanding failure to rescue after emergent surgery in the elderly.

    abstract：BACKGROUND:Perioperative mortality in the elderly is high after emergency surgery and varies considerably among hospitals-an observation partially explained by differences in failure to rescue. We hypothesize that failure to rescue after certain types of complications underlies the disproportionately poor outcomes obse...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2014.02.035

    authors： Sheetz KH,Krell RW,Englesbe MJ,Birkmeyer JD,Campbell DA Jr,Ghaferi AA

    更新日期：2014-09-01 00:00:00

  • Identifying variations in blood use based on hemoglobin transfusion trigger and target among hepatopancreaticobiliary surgeons.

    abstract：BACKGROUND:Transfusion practice among surgeons varies despite several trials supporting the restrictive use of blood products. We sought to define the variation in surgeon transfusion hemoglobin (Hb) triggers and targets among patients undergoing hepatopancreaticobiliary (HPB) procedures, as well as assess perioperativ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2014.02.033

    authors： Ejaz A,Spolverato G,Kim Y,Frank SM,Pawlik TM

    更新日期：2014-08-01 00:00:00

  • Age-Dependent Association of Occult Hypoperfusion and Outcomes in Trauma.

    abstract：BACKGROUND:Occult hypoperfusion (OH), or global hypoperfusion with normal vital signs, is a risk factor for poor outcomes in elderly trauma patients. We hypothesized that OH is associated with worse outcomes than shock in both young and elderly trauma patients. METHODS:We conducted a single-center cohort study of adul...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2019.12.011

    authors： Hatton GE,McNutt MK,Cotton BA,Hudson JA,Wade CE,Kao LS

    更新日期：2020-04-01 00:00:00

  • Postoperative antibiotics correlate with worse outcomes after appendectomy for nonperforated appendicitis.

    abstract：BACKGROUND:Acute appendicitis remains the most common cause of acute abdominal pain necessitating operative intervention. Although postoperative antibiotics are universally used for perforated appendicitis, no consensus exists on whether postoperative antibiotics are beneficial for preventing surgical site infections (...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2011.08.018

    authors： Coakley BA,Sussman ES,Wolfson TS,Bhagavath AS,Choi JJ,Ranasinghe NE,Lynn ET,Divino CM

    更新日期：2011-12-01 00:00:00

  • Dipyridamole protects the liver against warm ischemia and reperfusion injury.

    abstract：BACKGROUND:Adenosine, a metabolite of adenosine triphosphate degradation during ischemia, is reported to attenuate ischemia and reperfusion injury in several tissues. Dipyridamole is a nucleoside transport inhibitor that augments endogenous adenosine. In this study, we tested whether dipyridamole would attenuate hepati...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2003.12.002

    authors： Taniguchi M,Magata S,Suzuki T,Shimamura T,Jin MB,Iida J,Furukawa H,Todo S

    更新日期：2004-05-01 00:00:00

  • A single parathyroid hormone level obtained 4 hours after total thyroidectomy predicts the need for postoperative calcium supplementation.

    abstract：BACKGROUND:Parathyroid hormone (PTH) levels after total thyroidectomy have been shown to predict the development of symptomatic hypocalcemia and the need for calcium supplementation. This study aimed to determine whether a PTH level drawn 4 hours postoperatively is as effective as a level drawn on postoperative day 1 (...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2014.06.003

    authors： Carr AA,Yen TW,Fareau GG,Cayo AK,Misustin SM,Evans DB,Wang TS

    更新日期：2014-10-01 00:00:00

  • The influence of esophageal length on outcomes after laparoscopic fundoplication.

    abstract：BACKGROUND:It has been suggested that laparoscopic antireflux surgery has been associated with an increased incidence of postoperative paraesophageal hiatus herniation, and that this comes (at least in part) from not performing an esophageal lengthening procedure in patients with preoperative esophageal shortening. Thi...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(00)00363-x

    authors： Yau P,Watson DI,Jamieson GG,Myers J,Ascott N

    更新日期：2000-10-01 00:00:00

  • The surgical risk of pancreas transplantation in the cyclosporine era: an overview.

    abstract：BACKGROUND:Pancreas transplants are still associated with the highest surgical complication rate of all routinely performed solid organ transplants. To date, the impact of serious surgical complications in the cyclosporine era on perioperative patient morbidity, graft and patient survival, and hospital costs has not be...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(01)00895-x

    authors： Gruessner RW,Sutherland DE,Troppmann C,Benedetti E,Hakim N,Dunn DL,Gruessner AC

    更新日期：1997-08-01 00:00:00

  • Enhanced Recovery After Surgery Protocols Are Valuable in Pancreas Surgery Patients.

    abstract：BACKGROUND:There is increasing interest in implementing comprehensive perioperative protocols, including preoperative optimization and education, perioperative goal-directed fluid management, and postoperative fast tracking, to enhance recovery after surgery. Data on the outcomes of these protocols in pancreatic surger...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2015.12.036

    authors： Morgan KA,Lancaster WP,Walters ML,Owczarski SM,Clark CA,McSwain JR,Adams DB

    更新日期：2016-04-01 00:00:00

  • Surgical management of late sequelae in survivors of an episode of acute necrotizing pancreatitis.

    abstract：BACKGROUND:After surviving an episode of acute necrotizing pancreatitis (ANP), a variety of late sequelae develop and require nonoperative or operative interventions. Persistent pancreatic fistula, fluid collections, recurrent pancreatitis, sepsis, pain, and intolerance of po intake are seen. STUDY DESIGN:We have main...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2011.12.043

    authors： Beck WC,Bhutani MS,Raju GS,Nealon WH

    更新日期：2012-04-01 00:00:00

  • Randomized trial of emergency endoscopic sclerotherapy versus emergency portacaval shunt for acutely bleeding esophageal varices in cirrhosis.

    abstract：BACKGROUND:The mortality rate of bleeding esophageal varices in cirrhosis is highest during the period of acute bleeding. This is a report of a randomized trial that compared endoscopic sclerotherapy (EST) with emergency portacaval shunt (EPCS) in cirrhotic patients with acute variceal hemorrhage. STUDY DESIGN:A total...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jamcollsurg.2009.02.059

    authors： Orloff MJ,Isenberg JI,Wheeler HO,Haynes KS,Jinich-Brook H,Rapier R,Vaida F,Hye RJ

    更新日期：2009-07-01 00:00:00

  • Prospective randomized trial comparing Billroth I and Billroth II procedures for carcinoma of the gastric antrum.

    abstract：BACKGROUND:Controversy persists regarding digestive reconnection following subtotal gastrectomy for carcinoma. A randomized prospective trial comparing Billroth I and Billroth II procedures for mortality, digestive comfort, survival, and patterns of recurrence was conducted. STUDY DESIGN:Thirty patients underwent Bill...

    journal_title：Journal of the American College of Surgeons

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：

    authors： Chareton B,Landen S,Manganas D,Meunier B,Launois B

    更新日期：1996-09-01 00:00:00

  • Outcomes of synthetic mesh in contaminated ventral hernia repairs.

    abstract：BACKGROUND:Given the questionable long-term durability of biologic meshes, additional prosthetic options for ventral hernia repairs (VHR) in contaminated fields are necessary. Recent evidence suggests improved bacterial resistance of reduced-weight, large-pore synthetics, giving a potential mesh alternative for repair ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jamcollsurg.2013.07.382

    authors： Carbonell AM,Criss CN,Cobb WS,Novitsky YW,Rosen MJ

    更新日期：2013-12-01 00:00:00

  • Profiling hospitals on bariatric surgery quality: which outcomes are most reliable?

    abstract：BACKGROUND:Under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program, hospitals will receive risk-adjusted outcomes feedback for peer comparisons and benchmarking. It remains uncertain whether bariatric outcomes have adequate reliability to identify outlying performance, especially for hos...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jamcollsurg.2014.06.006

    authors： Krell RW,Finks JF,English WJ,Dimick JB

    更新日期：2014-10-01 00:00:00

  • Laparoscopic Magnetic Sphincter Augmentation vs Laparoscopic Nissen Fundoplication: A Matched-Pair Analysis of 100 Patients.

    abstract：BACKGROUND:The efficacy and safety of magnetic sphincter augmentation (MSA) with the LINX device (Torax Medical) has been reported in several short-and long-term studies, rivaling historic results of laparoscopic Nissen fundoplication (LNF), but with fewer side effects. However, there have been no studies comparing pat...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2015.02.025

    authors： Reynolds JL,Zehetner J,Wu P,Shah S,Bildzukewicz N,Lipham JC

    更新日期：2015-07-01 00:00:00

  • Learning Curve for Surgeons Adopting Transcarotid Artery Revascularization Based on the Vascular Quality Initiative-Transcarotid Artery Revascularization Surveillance Project.

    abstract：BACKGROUND:Transcarotid artery revascularization (TCAR) with flow reversal was recently introduced as a novel technique for carotid artery stenting (CAS). We examined the learning curve of surgeons adopting TCAR based on data from the Vascular Quality Initiative (VQI-TCAR Surveillance Project; TSP). STUDY DESIGN:We id...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2019.09.020

    authors： Kashyap VS,King AH,Liang P,Eldrup-Jorgensen J,Wang GJ,Malas MB,Nolan BW,Cronenwett JL,Schermerhorn ML

    更新日期：2020-01-01 00:00:00

  • Expanded surgical time out: a key to real-time data collection and quality improvement.

    abstract：UNLABELLED:Some of the concepts contained here have been discussed and incorporated in another publication, but the data are entirely unique to this manuscript. (See: Transforming the Surgical "Time-Out" Into a Comprehensive "Preparatory Pause." Backster A, Teo A, Swift M, MD, Polk HC Jr, MD, FACS, Harken AH, MD, FACS....

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2007.01.009

    authors： Altpeter T,Luckhardt K,Lewis JN,Harken AH,Polk HC Jr

    更新日期：2007-04-01 00:00:00

  • Disconnected pancreatic duct syndrome: disease classification and management strategies.

    abstract：BACKGROUND:Disconnected pancreatic duct syndrome (DPDS) typically complicates acute necrotizing pancreatitis (ANP) and presents as a pseudocyst months after the initial episode of pancreatitis. However, our experience suggests that the presentation of DPDS may be quite varied and might require significant evaluation an...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2014.03.055

    authors： Fischer TD,Gutman DS,Hughes SJ,Trevino JG,Behrns KE

    更新日期：2014-10-01 00:00:00

  • Effect of repetitive loading on the mechanical properties of biological scaffold materials.

    abstract：BACKGROUND:Coughing, bending, and lifting raise the pressure inside the abdomen, repetitively increasing stresses on the abdominal wall and the associated scaffold. The purpose of this study was to evaluate the effect of repetitive loading on biological scaffolds. It was hypothesized that exposure to repetitive loading...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2012.03.006

    authors： Pui CL,Tang ME,Annor AH,Ebersole GC,Frisella MM,Matthews BD,Deeken CR

    更新日期：2012-08-01 00:00:00

  • Overexpression of c-myc messenger RNA in primary and metastatic lesions of carcinoma of the stomach.

    abstract：BACKGROUND:Although c-myc expression in carcinoma of the stomach has been reported to be involved in progression of the disease, little is known about the mechanism or significance of its expression. STUDY DESIGN:We measured c-myc messenger RNA (mRNA) levels by Northern blot hybridization in 51 primary gastric carcino...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Onoda N,Maeda K,Chung YS,Yano Y,Matsui-Yuasa I,Otani S,Sowa M

    更新日期：1996-01-01 00:00:00

  • Thyroid and parathyroid operations in veterans affairs and selected university medical centers: results of the patient safety in surgery study.

    abstract：BACKGROUND:There is increasing interest in surgical outcomes. The Patient Safety in Surgery (PSS) Study database was examined about thyroid and parathyroid procedures to determine risk factors for adverse outcomes and outcomes rates. Relative outcomes performance for the Veterans Affairs (VA) and private-sector populat...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2007.02.073

    authors： Hall BL,Hirbe M,Yan Y,Khuri SF,Henderson WG,Hamilton BH

    更新日期：2007-06-01 00:00:00

  • Obesity as a risk factor for nosocomial infections in trauma patients.

    abstract：BACKGROUND:Obesity, like multiple trauma, is associated with an inflammatory condition that leads to an immunodeficient state. Obese trauma patients are thus thought to be at higher risk of infection compared to patients of normal body mass. Despite this risk, studies to date have not defined obesity as an independent ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2010.03.002

    authors： Serrano PE,Khuder SA,Fath JJ

    更新日期：2010-07-01 00:00:00

  • Effect of Surgeon and Hospital Volume on Emergency General Surgery Outcomes.

    abstract：BACKGROUND:Emergency general surgery (EGS) contributes to half of all surgical mortality nationwide, is associated with a 50% complication rate, and has a 15% readmission rate within 30 days. We assessed associations between surgeon and hospital EGS volume with these outcomes. STUDY DESIGN:Using Maryland's Health Serv...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jamcollsurg.2017.08.009

    authors： Mehta A,Efron DT,Canner JK,Dultz L,Xu T,Jones C,Haut ER,Higgins RSD,Sakran JV

    更新日期：2017-11-01 00:00:00

  • Impact of fatigue on neurophysiologic measures of surgical residents.

    abstract：BACKGROUND:To gain additional insight into the impact of fatigue on surgery resident proficiency, we set out to quantify its impact on behavioral and neurophysiologic measures. STUDY DESIGN:Simulations were first created using a visio-haptic joystick attached to a surgical instrument (tool) that allows realistic inter...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2011.03.028

    authors： Kahol K,Smith M,Brandenberger J,Ashby A,Ferrara JJ

    更新日期：2011-07-01 00:00:00

  • Prerequisite objectives for graduate surgical education: a study of the Graduate Medical Education Committee American College of Surgeons.

    abstract：BACKGROUND:Recent changes in the educational environment and in the content of specialty surgical education have highlighted limitations, both educational and logistic, of the current system of graduate surgical education. To address these issues, the Graduate Medical Education Committee of the American College of Surg...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(97)00130-0

    authors：

    更新日期：1998-01-01 00:00:00