AI Article Synopsis
- The study aimed to assess the intraoperative complication rates in pediatric neurosurgery to inform patients and parents for better consent and care improvement.
- Analyzed data from 1807 pediatric surgical procedures revealed a 3.5% complication rate, predominantly linked to neurosurgical interventions (78%).
- The findings highlight the importance of recognizing these complications, which can help enhance safety and outcomes in pediatric neurosurgical practices.
Article Abstract
OBJECTIVE Minimal literature exists on the intraoperative complication rate of pediatric neurosurgical procedures with respect to both surgical and anesthesiological complications. The aim of this study, therefore, was to establish intraoperative complication rates to provide patients and parents with information on which to base their informed consent and to establish a baseline for further targeted improvement of pediatric neurosurgical care. METHODS A clinical complication registration database comprising a consecutive cohort of all pediatric neurosurgical procedures carried out in a general neurosurgical department from January 1, 2004, until July 1, 2012, was analyzed. During the study period, 1807 procedures were performed on patients below the age of 17 years. RESULTS Sixty-four intraoperative complications occurred in 62 patients (3.5% of procedures). Intraoperative mortality was 0.17% (n = 3). Seventy-eight percent of the complications (n = 50) were related to the neurosurgical procedures, whereas 22% (n = 14) were due to anesthesiology. The highest intraoperative complication rates were for cerebrovascular surgery (7.7%) and tumor surgery (7.4%). The most frequently occurring complications were cerebrovascular complications (33%). CONCLUSIONS Intraoperative complications are not exceptional during pediatric neurosurgical procedures. Awareness of these complications is the first step in preventing them.
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| http://dx.doi.org/10.3171/2016.3.PEDS15679 | DOI Listing |
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