PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

Comparison between selective and routine intensive care unit admission post-supraglottoplasty.

Abstract To compare major post-operative respiratory complications, post-operative disposition and duration of hospital admission before and after adopting a selective intensive care unit (ICU) admission care plan following supraglottoplasty (SGP).
PMID
Related Publications

Supraglottoplasty for laryngomalacia: who will benefit?

Intensive care unit admissions in Federal Medical Centre Umuahia south east Nigeria.

Recurrent croup and persistent laryngomalacia: Clinical resolution after supraglottoplasty.

Peri-operative complications after adenotonsillectomy in a UK pediatric tertiary referral centre.

Predictors of Intensive Care Unit Stay After Pediatric Supraglottoplasty.

Authors

Mayor MeshTerms
Keywords

Intensive care unit

Laryngomalacia

Pediatric airway

Supraglottoplasty

Journal Title international journal of pediatric otorhinolaryngology
Publication Year Start




PMID- 28688573
OWN - NLM
STAT- MEDLINE
DA  - 20170709
DCOM- 20170803
LR  - 20170803
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 99
DP  - 2017 Aug
TI  - Comparison between selective and routine intensive care unit admission
      post-supraglottoplasty.
PG  - 90-94
LID - S0165-5876(17)30244-6 [pii]
LID - 10.1016/j.ijporl.2017.06.001 [doi]
AB  - OBJECTIVE: To compare major post-operative respiratory complications,
      post-operative disposition and duration of hospital admission before and after
      adopting a selective intensive care unit (ICU) admission care plan following
      supraglottoplasty (SGP). METHODS: Retrospective case series set in a tertiary
      pediatric referral center. Eligible patients undergoing SGP between October 2003 
      and July 2015 were identified through a prospectively kept surgical database.
      Historical cohorts with routine admission to ICU and selective admission to ICU
      were identified based on a shift in surgeon practice. The cohorts were compared
      with respect to demographics, presenting features, endoscopic findings, baseline 
      sleep and swallowing study results, major respiratory complications (including
      repeat or unplanned ICU admission or intubation) and length of post-operative
      hospital admission. RESULTS: 141 eligible patients were identified with 35
      children in the routine ICU admission cohort and 106 in the selective ICU
      admission cohort. There were no significant differences between cohorts regarding
      major respiratory complications with only one patient in the selective ICU
      admission cohort requiring an unplanned admission to ICU (P = 1.00, Fisher's
      exact test). This gives a number needed to harm of 78 step-down unit admissions
      for 1 unplanned ICU admission. The rate of ICU admission was reduced from 71% to 
      26% with adoption of a selective ICU admission care plan (p < 0.01, chi2). Mean
      duration of post-operative hospitalization was reduced from 5.1 +/- 3.5 days to
      1.9 +/- 2.3 days (P < 0.01, Student's t-test). CONCLUSIONS: Selective
      post-operative ICU admission following SGP significantly reduces ICU utilization 
      and may reduce length of hospital stay without compromising safety and care. This
      has significant cost benefit implications.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Cooper, Timothy
AU  - Cooper T
AD  - Division of Otolaryngology-Head and Neck Surgery, Canada.
FAU - Harris, Bree
AU  - Harris B
AD  - Division of Otolaryngology-Head and Neck Surgery, Canada.
FAU - Mourad, Ahmed
AU  - Mourad A
AD  - Faculty of Medicine and Dentistry, Canada.
FAU - Garros, Daniel
AU  - Garros D
AD  - Division of Pediatric Critical Care, Canada; Department of Pediatrics, Canada.
FAU - El-Hakim, Hamdy
AU  - El-Hakim H
AD  - Department of Pediatrics, Canada; Divisions of Otolaryngology-Head and Neck
      Surgery and Pediatric Surgery, Canada; Department of Surgery, The Stollery
      Children's Hospital, University of Alberta, Edmonton, Alberta T6G 2B7, Canada.
      Electronic address: [email protected]
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20170605
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Cost-Benefit Analysis
MH  - Databases, Factual
MH  - Female
MH  - Glottis/*surgery
MH  - Hospitalization/statistics & numerical data
MH  - Humans
MH  - Infant
MH  - Intensive Care Units/*statistics & numerical data
MH  - Laryngomalacia/*surgery
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Patient Admission/*statistics & numerical data
MH  - Postoperative Complications/*epidemiology
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Intensive care unit
OT  - Laryngomalacia
OT  - Pediatric airway
OT  - Supraglottoplasty
EDAT- 2017/07/10 06:00
MHDA- 2017/08/05 06:00
CRDT- 2017/07/10 06:00
PHST- 2017/05/09 [received]
PHST- 2017/06/01 [accepted]
AID - S0165-5876(17)30244-6 [pii]
AID - 10.1016/j.ijporl.2017.06.001 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2017 Aug;99:90-94. doi:
      10.1016/j.ijporl.2017.06.001. Epub 2017 Jun 5.