Evidence map›Paper›PMID 35534638›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023

Evaluating the association between pulmonary abnormalities and complications following pediatric hip dysplasia surgery.

Jordan Pizzarro, Theodore Quan, Joseph E Manzi, Frank R Chen, Alex Gu, Sean Tabaie

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Jordan PizzarroDepartment of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA.
Theodore QuanDepartment of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA. teddyquan@gwu.edu.
Joseph E ManziWeill Cornell Medical College, 1300 York Avenue, New York, NY, 10021, USA.
Frank R ChenDepartment of Anesthesiology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Alex GuDepartment of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA.
Sean TabaieDepartment of Orthopaedic Surgery, Children's National Health System, Washington, DC, USA.
George Washington University · USChildren's National · USCornell University · USHospital of the University of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDevelopmental dysplasia of the hip (DDH) encompasses a wide range of abnormal hip development and is a common condition in the pediatric population. Congenital pulmonary abnormalities are typically mild in the pediatric population but can be associated with severe comorbid conditions. The purpose of this study was to analyze the effect of structural pulmonary/airway abnormalities on the incidence of postoperative complications following surgical management of DDH.

methodsFrom 2012 to 2019, the National Surgical Quality Improvement Program-Pediatric database was utilized to identify pediatric patients undergoing surgical treatment for hip dysplasia. Patients were stratified into two groups: patients with a structural pulmonary/airway abnormality and patients without a pulmonary abnormality. Patient demographics, comorbidities, and postoperative complications were compared between the two cohorts with the use of various statistical analyses, including bivariate and multivariate analyses.

resultsOf the 10,853 patients who underwent surgical treatment for hip dysplasia, 10,157 patients (93.6%) did not have a structural pulmonary/airway abnormality whereas 696 (6.4%) had an airway abnormality. Following adjustment on multivariate analysis, patients with a structural pulmonary abnormality had an increased risk of cardiac arrest requiring cardiopulmonary resuscitation (OR 2.342; p = 0.045).

conclusionThe results indicated that patients with a structural pulmonary abnormality had an increased risk of cardiac arrest requiring cardiopulmonary resuscitation compared to those without a pulmonary abnormality. Ensuring appropriate preoperative evaluation with a multidisciplinary team and close monitoring postoperatively is important to prevent the risk of severe outcomes in this vulnerable patient population.

Indexed as

Hip DislocationHip Dislocation, CongenitalChildDatabases, FactualHumansPostoperative ComplicationsRetrospective StudiesThoraxAirway abnormalityComplicationsHip dysplasiaStructural pulmonary abnormalitySurgical treatment

Identifiers

PMID35534638
OpenAlexW4229453867

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.