Risk factors in pediatric dermatologic surgery
Specific risk factors for complications in pediatric dermatologic surgery have not been studied in previous reports. Analyze complications of a cohort of children for anesthetic and surgical complications and determine specific risk factors for surgical complications. Retrospective collection of dat...
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| Veröffentlicht in: | Dermatology online journal 2009-09, Vol.15 (9), p.2-2 |
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| container_title | Dermatology online journal |
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| creator | Alfageme Roldan, Fernando Ciudad Blanco, Cristina Campos Dominguez, Minia Suárez Fernández, Ricardo Hernanz Hermosa, José Manuel Lázaro Ochaita, Pablo |
| description | Specific risk factors for complications in pediatric dermatologic surgery have not been studied in previous reports.
Analyze complications of a cohort of children for anesthetic and surgical complications and determine specific risk factors for surgical complications.
Retrospective collection of data from 210 consecutive children having operations over 6 years. Bivariate and logistic regression statistical analysis of complications and risk factors was conducted for single step interventions.
General anesthesia complications were observed in 10.07 percent of the cases: Agitation and stridor were the most common anesthetic complications. Surgical complications were observed in 22.63 percent of the cases. Scar stretching followed by infection were the most prevalent complications. Complication rates, both anesthetic (9.09%) and surgical (13.63%) of multiple step interventions were similar to single step surgery. Intradermal absorbable suture in upper closure (p=0.028) and in limb (p=0.014) location were independently associated with complications.
General anesthesia is safe in pediatric dermatology in the hands of experienced pediatric anesthetists. The most frequent surgical complication was scar stretching. Limb location and use of absorbable continuous intradermal suture in the upper closures should be taken into account as possible risk factors when informing parents and performing these procedures. |
| doi_str_mv | 10.5070/D33DR8710F |
| format | Article |
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Analyze complications of a cohort of children for anesthetic and surgical complications and determine specific risk factors for surgical complications.
Retrospective collection of data from 210 consecutive children having operations over 6 years. Bivariate and logistic regression statistical analysis of complications and risk factors was conducted for single step interventions.
General anesthesia complications were observed in 10.07 percent of the cases: Agitation and stridor were the most common anesthetic complications. Surgical complications were observed in 22.63 percent of the cases. Scar stretching followed by infection were the most prevalent complications. Complication rates, both anesthetic (9.09%) and surgical (13.63%) of multiple step interventions were similar to single step surgery. Intradermal absorbable suture in upper closure (p=0.028) and in limb (p=0.014) location were independently associated with complications.
General anesthesia is safe in pediatric dermatology in the hands of experienced pediatric anesthetists. The most frequent surgical complication was scar stretching. Limb location and use of absorbable continuous intradermal suture in the upper closures should be taken into account as possible risk factors when informing parents and performing these procedures.</description><identifier>ISSN: 1087-2108</identifier><identifier>EISSN: 1087-2108</identifier><identifier>DOI: 10.5070/D33DR8710F</identifier><identifier>PMID: 19930989</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Anesthesia, General - adverse effects ; Child ; Child, Preschool ; Cicatrix - epidemiology ; Dermatology - statistics & numerical data ; Esthetics ; Female ; Humans ; Infant ; Intraoperative Complications - epidemiology ; Keloid - epidemiology ; Male ; Pediatrics - statistics & numerical data ; Postoperative Complications - epidemiology ; Reoperation - statistics & numerical data ; Retrospective Studies ; Risk Factors ; Spain - epidemiology ; Surgical Wound Infection - epidemiology ; Sutures - adverse effects</subject><ispartof>Dermatology online journal, 2009-09, Vol.15 (9), p.2-2</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19930989$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alfageme Roldan, Fernando</creatorcontrib><creatorcontrib>Ciudad Blanco, Cristina</creatorcontrib><creatorcontrib>Campos Dominguez, Minia</creatorcontrib><creatorcontrib>Suárez Fernández, Ricardo</creatorcontrib><creatorcontrib>Hernanz Hermosa, José Manuel</creatorcontrib><creatorcontrib>Lázaro Ochaita, Pablo</creatorcontrib><title>Risk factors in pediatric dermatologic surgery</title><title>Dermatology online journal</title><addtitle>Dermatol Online J</addtitle><description>Specific risk factors for complications in pediatric dermatologic surgery have not been studied in previous reports.
Analyze complications of a cohort of children for anesthetic and surgical complications and determine specific risk factors for surgical complications.
Retrospective collection of data from 210 consecutive children having operations over 6 years. Bivariate and logistic regression statistical analysis of complications and risk factors was conducted for single step interventions.
General anesthesia complications were observed in 10.07 percent of the cases: Agitation and stridor were the most common anesthetic complications. Surgical complications were observed in 22.63 percent of the cases. Scar stretching followed by infection were the most prevalent complications. Complication rates, both anesthetic (9.09%) and surgical (13.63%) of multiple step interventions were similar to single step surgery. Intradermal absorbable suture in upper closure (p=0.028) and in limb (p=0.014) location were independently associated with complications.
General anesthesia is safe in pediatric dermatology in the hands of experienced pediatric anesthetists. The most frequent surgical complication was scar stretching. Limb location and use of absorbable continuous intradermal suture in the upper closures should be taken into account as possible risk factors when informing parents and performing these procedures.</description><subject>Adolescent</subject><subject>Anesthesia, General - adverse effects</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cicatrix - epidemiology</subject><subject>Dermatology - statistics & numerical data</subject><subject>Esthetics</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Intraoperative Complications - epidemiology</subject><subject>Keloid - epidemiology</subject><subject>Male</subject><subject>Pediatrics - statistics & numerical data</subject><subject>Postoperative Complications - epidemiology</subject><subject>Reoperation - statistics & numerical data</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Spain - epidemiology</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Sutures - adverse effects</subject><issn>1087-2108</issn><issn>1087-2108</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkFFLwzAUhYMobk5f_AHSN0HovMlNmuRRNqfCQBj6XLI0GdV2rUn7sH9vZYX5cu658HEePkJuKcwFSHhcIi43SlJYnZEpBSVTNuT5vz4hVzF-ATDgAi_JhGqNoJWekvmmjN-JN7ZrQkzKfdK6ojRdKG1SuFCbrqma3fDEPuxcOFyTC2-q6G7GOyOfq-ePxWu6fn95WzytU8sQutSJDBmXBrgHxpxH9DrjmWFWZ0iRWsEzKqy0CrfMac_RoOVCZspwK6nGGbk_7rah-eld7PK6jNZVldm7po-5RE4FA6UG8uFI2tDEGJzP21DWJhxyCvmfnvykZ4Dvxtl-W7vihI4-8BedG11y</recordid><startdate>20090915</startdate><enddate>20090915</enddate><creator>Alfageme Roldan, Fernando</creator><creator>Ciudad Blanco, Cristina</creator><creator>Campos Dominguez, Minia</creator><creator>Suárez Fernández, Ricardo</creator><creator>Hernanz Hermosa, José Manuel</creator><creator>Lázaro Ochaita, Pablo</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090915</creationdate><title>Risk factors in pediatric dermatologic surgery</title><author>Alfageme Roldan, Fernando ; Ciudad Blanco, Cristina ; Campos Dominguez, Minia ; Suárez Fernández, Ricardo ; Hernanz Hermosa, José Manuel ; Lázaro Ochaita, Pablo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c230t-e563247a04f022ef33f9646a2c963131c54615c7c83b2e9f43a3c45768a4c7193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Anesthesia, General - adverse effects</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cicatrix - epidemiology</topic><topic>Dermatology - statistics & numerical data</topic><topic>Esthetics</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Intraoperative Complications - epidemiology</topic><topic>Keloid - epidemiology</topic><topic>Male</topic><topic>Pediatrics - statistics & numerical data</topic><topic>Postoperative Complications - epidemiology</topic><topic>Reoperation - statistics & numerical data</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Spain - epidemiology</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Sutures - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alfageme Roldan, Fernando</creatorcontrib><creatorcontrib>Ciudad Blanco, Cristina</creatorcontrib><creatorcontrib>Campos Dominguez, Minia</creatorcontrib><creatorcontrib>Suárez Fernández, Ricardo</creatorcontrib><creatorcontrib>Hernanz Hermosa, José Manuel</creatorcontrib><creatorcontrib>Lázaro Ochaita, Pablo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatology online journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alfageme Roldan, Fernando</au><au>Ciudad Blanco, Cristina</au><au>Campos Dominguez, Minia</au><au>Suárez Fernández, Ricardo</au><au>Hernanz Hermosa, José Manuel</au><au>Lázaro Ochaita, Pablo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors in pediatric dermatologic surgery</atitle><jtitle>Dermatology online journal</jtitle><addtitle>Dermatol Online J</addtitle><date>2009-09-15</date><risdate>2009</risdate><volume>15</volume><issue>9</issue><spage>2</spage><epage>2</epage><pages>2-2</pages><issn>1087-2108</issn><eissn>1087-2108</eissn><abstract>Specific risk factors for complications in pediatric dermatologic surgery have not been studied in previous reports.
Analyze complications of a cohort of children for anesthetic and surgical complications and determine specific risk factors for surgical complications.
Retrospective collection of data from 210 consecutive children having operations over 6 years. Bivariate and logistic regression statistical analysis of complications and risk factors was conducted for single step interventions.
General anesthesia complications were observed in 10.07 percent of the cases: Agitation and stridor were the most common anesthetic complications. Surgical complications were observed in 22.63 percent of the cases. Scar stretching followed by infection were the most prevalent complications. Complication rates, both anesthetic (9.09%) and surgical (13.63%) of multiple step interventions were similar to single step surgery. Intradermal absorbable suture in upper closure (p=0.028) and in limb (p=0.014) location were independently associated with complications.
General anesthesia is safe in pediatric dermatology in the hands of experienced pediatric anesthetists. The most frequent surgical complication was scar stretching. Limb location and use of absorbable continuous intradermal suture in the upper closures should be taken into account as possible risk factors when informing parents and performing these procedures.</abstract><cop>United States</cop><pmid>19930989</pmid><doi>10.5070/D33DR8710F</doi><tpages>1</tpages></addata></record> |
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| subjects | Adolescent Anesthesia, General - adverse effects Child Child, Preschool Cicatrix - epidemiology Dermatology - statistics & numerical data Esthetics Female Humans Infant Intraoperative Complications - epidemiology Keloid - epidemiology Male Pediatrics - statistics & numerical data Postoperative Complications - epidemiology Reoperation - statistics & numerical data Retrospective Studies Risk Factors Spain - epidemiology Surgical Wound Infection - epidemiology Sutures - adverse effects |
| title | Risk factors in pediatric dermatologic surgery |
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