Major Abdominal Surgery, Neurosurgery, Orthopedic Surgery in Children aged between 10 and 18 years and Postoperative Outcome

Abstract

BackgroundIn a previously conducted monocentric retrospective study, predictors of postoperative outcome in children included American Society of Anesthesiologists score, transfusion, emergency interventions, surgery and age. A study has been undertaken to describe postoperative outcome in patients aged between 10 and 18 years included in the initial study in abdominal surgery, neurosurgery and orthopedics.AimsTo describe postoperative outcome in children aged between 10 and 18 years.MethodsSecondary analysis of postoperative outcome in children aged between 10 and 18 years included retrospectively in the initial study of 594 patients. The study was approved by the Ethics Committee.ResultsThere were 221 children with a mean age of 165.5±24.3 months in abdominal surgery, neurosurgery and orthopedics.16.3% patients had intra-operative or postoperative complications. Intra-operatively, 3.2%had hemorrhagic shock, 0.45% anaphylaxis and 0.45% respiratory failure. Postoperatively,3.2% had neurologic failure, 2.3% respiratory failure, 0.45% cardio-circulatory failure, 0.45%endocrinal failure, 0.45% had hepatic failure, 0.45% multiple organ failure, and 0.45% had renal failure. In-hospital mortality rate was 0.45%.ConclusionThese results emphasize the importance of optimizing intra-operative management in critically ill patients in major surgery with goal directed therapies in order to improve postoperative outcome.