Urology
Volume 76, Issue 1 , Pages 3-8 , July 2010

Perioperative Risk Factors for Surgical Complications in Pediatric Urology: A Pilot Study in Preoperative Risk Assessment in Children

  • Drew A. Freilich

      Affiliations

    • Department of Urology, Children's Hospital Boston, Boston, Massachusetts
  • ,
  • Bartley G. Cilento Jr.

      Affiliations

    • Department of Urology, Children's Hospital Boston, Boston, Massachusetts
  • ,
  • Dionne Graham

      Affiliations

    • Clinical Research Program, Children's Hospital Boston, Boston, Massachusetts
  • ,
  • Jing Zhou

      Affiliations

    • Clinical Research Program, Children's Hospital Boston, Boston, Massachusetts
  • ,
  • Alan B. Retik

      Affiliations

    • Department of Urology, Children's Hospital Boston, Boston, Massachusetts
  • ,
  • Hiep T. Nguyen

      Affiliations

    • Department of Urology, Children's Hospital Boston, Boston, Massachusetts
    • Corresponding Author InformationReprint requests: Hiep T. Nguyen, M.D., Department of Urology, Children's Hospital Boston, 300 Longwood Avenue, HUN-353, Boston, MA 02115

Received 29 April 2009 ,Accepted 22 August 2009.

References 

  1. Burgoyne LL, Smeltzer MP, Pereiras LA, et al. How well do pediatric anesthesiologists agree when assigning ASA physical status classifications to their patients?. Paediatr Anaesth. 2007;17:956–962
  2. Han KR, Kim HL, Pantuck AJ, et al. Use of American Society of Anesthesiologists physical status classification to assess perioperative risk in patients undergoing radical nephrectomy for renal cell carcinoma. Urology. 2004;63:841–846Discussion: 846-847
  3. Wolters U, Wolf T, Stutzer H, et al. ASA classification and perioperative variables as predictors of postoperative outcome. Br J Anaesth. 1996;77:217–222
  4. Schouten O, Bax JJ, Poldermans D. Assessment of cardiac risk before non-cardiac general surgery. Heart. 2006;92:1866–1872
  5. Davenport DL, Henderson WG, Khuri SF, et al. Preoperative risk factors and surgical complexity are more predictive of costs than postoperative complications: a case study using the National Surgical Quality Improvement Program (NSQIP) database. Ann Surg. 2005;242:463–468Discussion:468-471
  6. Gawande AA, Kwaan MR, Regenbogen SE, et al. An Apgar score for surgery. J Am Coll Surg. 2007;204:201–208
  7. Miller MR, Zhan C. Pediatric patient safety in hospitals: a national picture in 2000. Pediatrics. 2004;113:1741–1746
  8. Forrest CB, Shipman SA, Dougherty D, et al. Outcomes research in pediatric settings: recent trends and future directions. Pediatrics. 2003;111:171–178
  9. Oguz M, Sayar A, Yalin R. Preoperative prediction of postoperative complications. Isr J Med Sci. 1990;26:147–149
  10. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240:205–213
  11. Wolters U, Wolf T, Stutzer H, et al. Risk factors, complications, and outcome in surgery: a multivariate analysis. Eur J Surg. 1997;163:563–568
  12. McGeady SJ. Immunocompetence and allergy. Pediatrics. 2004;113:1107–1113
  13. Regenbogen SE, Lancaster RT, Lipsitz SR, et al. Does the surgical Apgar score measure intraoperative performance?. Ann Surg. 2008;248:320–328
  14. Edomwonyi NP, Ekwere IT, Egbekun R, et al. Anesthesia-related complications in children. Middle East J Anesthesiol. 2006;18:915–927
  15. Sklar GE. Propofol and postoperative infections. Ann Pharmacother. 1997;31:1521–1523
  16. Baron MJ, Gunter J, White P. Is the pediatric preoperative hematocrit determination necessary?. South Med J. 1992;85:1187–1189
  17. Patel RI, DeWitt L, Hannallah RS. Preoperative laboratory testing in children undergoing elective surgery: analysis of current practice. J Clin Anesth. 1997;9:569–575
  18. Donovan BO, Boci M, Kropp BP, et al. Body mass index as a predictive value for complications associated with reconstructive surgery in patients with myelodysplasia. J Urol. 2009;181:2272–2275Discussion: 2276

PII: S0090-4295(09)02611-9

doi: 10.1016/j.urology.2009.08.079

Urology
Volume 76, Issue 1 , Pages 3-8 , July 2010