Key result
Over a 17-year period at a Mexican tertiary pediatric hospital, 37% of admissions involved surgery, with an overall surgical mortality rate of 5.5% and a perioperative mortality rate of 1.54%.
Why the study?
Although children's surgical burden is recognized to be increasing worldwide, changes in epidemiological profiles linked to global geographic heterogeneity are expected.
Cohort (n=104,578)
No
This 17-year epidemiological analysis of a Mexican tertiary pediatric hospital highlights a high volume of surgical activity with changing demographic trends and a perioperative mortality rate of 1.54%.
Benchmark for pediatric perioperative mortality in a middle-income tertiary setting; leaves open generalizability and impact of targeted interventions.
Background: Surgical care is an essential component to achieve universal health coverage. An increase in children's surgical burden is recognized worldwide, but changes in the epidemiological profile associated with global geographic heterogeneity are to be expected. The aims of this study are to analyse the prevalence and epidemiological changes of surgical activity in a tertiary center in Mexico. Methods: Ambispective cohort study. Institutional records were reviewed searching for children’s surgeries in the period comprising 2001-2017. The variables analyzed were age, sex, number of surgeries per subject, and mortality rate; regarding the interventions, kind of inward stay, kind of surgery (ICD 9 CM), ward or department responsible, and perioperative mortality rate (POMR). Results: Of the 104,578 institutional admissions, 37% were surgical procedures of preschool-aged children (30.2%), and infants (27.3%). These tended to decrease, while for adolescents to increase. A total of 84,859 surgeries were performed (1.36 per operating room/day), averaging 4.992 per year, with a marginal tendency to increase. 65.8% of procedures required hospitalization. The systems more frequently intervened were: musculoskeletal system (20.1%, tending to increase), digestive system (19.5%), and cardiovascular system (11.3%). The overall mortality rate of surgical admissions was 5.5%, with POMR of 1.54%. Conclusion: The institutional epidemiological profile has changed, and relevant trends were identified. We corroborated the presence of global geographic heterogeneity with analogous hospitals
No takes yet. Share an insight, caveat, or question.
Pizarro-Altamirano et al. (2020) conducted a cohort in Pediatric surgical conditions (n=104,578). Surgical interventions was evaluated on Prevalence and epidemiological changes of surgical activity, overall mortality, and perioperative mortality rate (POMR). Over a 17-year period at a Mexican tertiary pediatric hospital, 37% of admissions involved surgery, with an overall surgical mortality rate of 5.5% and a perioperative mortality rate of 1.54%.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: