Risk factors and outcomes for foreign body left during a procedure: Analysis of 413 incidents after 1 946 831 operations in children

Melissa Camp, David C. Chang, Yiyi Zhang, Kristin Chrouser, Paul Colombani, Fizan Abdullah

Research output: Contribution to journalArticle

Abstract

Objective: To determine risk factors and outcomes associated with a foreign body left during a procedure in a population of pediatric surgical patients. Design: Case-control study. Setting: The Nationwide Inpatient Sample and Kids' Inpatient Database were used to identify hospitalized pediatric surgical patients in the United States (aged 0-18 years) from 1988 to 2005. Patients: After data from 1 946 831 hospitalizations in children were linked to the Agency for Healthcare Research and Quality Pediatric Quality Indicator (PDI) software, 413 pediatric patients with foreign bodies left during a procedure (PDI 3) were identified. A 1:3 matched case-control design was implemented with 413 cases and 1227 controls. Cases and controls were stratified into procedure categories based on diagnosis related group procedure codes. Main Outcome Measures: To examine the relationship between PDI 3 and procedure category, as well as the outcomes of in-hospital mortality, length of stay, and total hospital charges. Results: Logistic regression analysis revealed a statistically significant higher odds of PDI 3 in the gynecology procedure category (odds ratio, 4.13; P=.01). Multivariable regression analysis revealed that patients with PDI 3 had an 8-day longer length of stay (95% confidence interval, 5.6-10.3 days; P

Original languageEnglish (US)
Pages (from-to)1085-1090
Number of pages6
JournalArchives of Surgery
Volume145
Issue number11
DOIs
StatePublished - Nov 2010

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Foreign Bodies
Pediatrics
Inpatients
Length of Stay
Regression Analysis
Hospital Charges
Diagnosis-Related Groups
Health Services Research
Hospital Mortality
Gynecology
Case-Control Studies
Hospitalization
Software
Logistic Models
Odds Ratio
Outcome Assessment (Health Care)
Databases
Confidence Intervals
Population

ASJC Scopus subject areas

  • Surgery

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Risk factors and outcomes for foreign body left during a procedure : Analysis of 413 incidents after 1 946 831 operations in children. / Camp, Melissa; Chang, David C.; Zhang, Yiyi; Chrouser, Kristin; Colombani, Paul; Abdullah, Fizan.

In: Archives of Surgery, Vol. 145, No. 11, 11.2010, p. 1085-1090.

Research output: Contribution to journalArticle

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