E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research (Original Article) 


Comparing the post-operative complications in pediatric patients undergoing cardiovascular procedures at a single institute

Usman Younis Panni, Asra Wahid, Mohammad Qasim Mehdi, Arsal Tharwani, Muhammad Muneer Amanullah.

Abstract
Background: Post-operative complications (POC) contribute a significant burden on healthcare providers and patients. Quantification of POC using standard methods is important to make comparisons between different institutions and reduce POC. The aim of this study is to compare the currently used chart review system with a standardized system of recording complications i.e. NSQIP-P in pediatric patients who underwent corrective cardiac surgery at a tertiary care hospital in Pakistan.
Methodology: A total of 134 patients were included in this study. Data was retrospectively collected from medical records of the patients. Multiple variables were recorded including demographic factors, comorbidities, intraoperative and post-operative recovery variables. We then used NSQIP-P definitions to define post-operative complications. Data was analyzed using SPSS 20.
Results: Significant differences were found between the two methods on comparative analysis. AKI (p-value = 0.035), pneumonia (p-value = 0.0013) and sepsis (p-value = 0.004) were under-reported while CVA (p-value = 0.004) was over-reported on chart review when compared to NSQIP-P definitions.
Conclusion: Our results highlight the need for having a standard system of defining POC, which will allow the comparison of POC across different hospitals. For a healthcare system with limited resources like Pakistan, it is even more important to identify the areas that need improvement so post-operative outcomes can be improved.

Key words: Post-operative complications, morbidity, pediatric cardiovascular surgery, congenital heart disease, surgical outcome, quality improvement.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Usman Younis Panni
Articles by Asra Wahid
Articles by Mohammad Qasim Mehdi
Articles by Arsal Tharwani
Articles by Muhammad Muneer Amanullah
on Google
on Google Scholar
Article Statistics
 Viewed: 353
Downloaded: 24
Cited: 0


How to Cite this Article
Pubmed Style

Panni UY, Wahid A, Mehdi MQ, Tharwani A, Amanullah MM. Comparing the post-operative complications in pediatric patients undergoing cardiovascular procedures at a single institute. Int J Surg Med. 2019; 5(3): 144-148. doi:10.5455/ijsm.post-operative-complications-pediatric-cardiovascular-procedures


Web Style

Panni UY, Wahid A, Mehdi MQ, Tharwani A, Amanullah MM. Comparing the post-operative complications in pediatric patients undergoing cardiovascular procedures at a single institute. http://www.ejos.org/?mno=48069 [Access: September 17, 2019]. doi:10.5455/ijsm.post-operative-complications-pediatric-cardiovascular-procedures


AMA (American Medical Association) Style

Panni UY, Wahid A, Mehdi MQ, Tharwani A, Amanullah MM. Comparing the post-operative complications in pediatric patients undergoing cardiovascular procedures at a single institute. Int J Surg Med. 2019; 5(3): 144-148. doi:10.5455/ijsm.post-operative-complications-pediatric-cardiovascular-procedures



Vancouver/ICMJE Style

Panni UY, Wahid A, Mehdi MQ, Tharwani A, Amanullah MM. Comparing the post-operative complications in pediatric patients undergoing cardiovascular procedures at a single institute. Int J Surg Med. (2019), [cited September 17, 2019]; 5(3): 144-148. doi:10.5455/ijsm.post-operative-complications-pediatric-cardiovascular-procedures



Harvard Style

Panni, U. Y., Wahid, . A., Mehdi, . M. Q., Tharwani, . A. & Amanullah, . M. M. (2019) Comparing the post-operative complications in pediatric patients undergoing cardiovascular procedures at a single institute. Int J Surg Med, 5 (3), 144-148. doi:10.5455/ijsm.post-operative-complications-pediatric-cardiovascular-procedures



Turabian Style

Panni, Usman Younis, Asra Wahid, Mohammad Qasim Mehdi, Arsal Tharwani, and Muhammad Muneer Amanullah. 2019. Comparing the post-operative complications in pediatric patients undergoing cardiovascular procedures at a single institute. International Journal of Surgery and Medicine, 5 (3), 144-148. doi:10.5455/ijsm.post-operative-complications-pediatric-cardiovascular-procedures



Chicago Style

Panni, Usman Younis, Asra Wahid, Mohammad Qasim Mehdi, Arsal Tharwani, and Muhammad Muneer Amanullah. "Comparing the post-operative complications in pediatric patients undergoing cardiovascular procedures at a single institute." International Journal of Surgery and Medicine 5 (2019), 144-148. doi:10.5455/ijsm.post-operative-complications-pediatric-cardiovascular-procedures



MLA (The Modern Language Association) Style

Panni, Usman Younis, Asra Wahid, Mohammad Qasim Mehdi, Arsal Tharwani, and Muhammad Muneer Amanullah. "Comparing the post-operative complications in pediatric patients undergoing cardiovascular procedures at a single institute." International Journal of Surgery and Medicine 5.3 (2019), 144-148. Print. doi:10.5455/ijsm.post-operative-complications-pediatric-cardiovascular-procedures



APA (American Psychological Association) Style

Panni, U. Y., Wahid, . A., Mehdi, . M. Q., Tharwani, . A. & Amanullah, . M. M. (2019) Comparing the post-operative complications in pediatric patients undergoing cardiovascular procedures at a single institute. International Journal of Surgery and Medicine, 5 (3), 144-148. doi:10.5455/ijsm.post-operative-complications-pediatric-cardiovascular-procedures