Race, Procedure Type Influence Morbidity in Pediatric Surgery Patients
Increased 30-day morbidity for black race, bladder and urinary diversion operations.
(HealthDay News) -- Race and procedure type impact 30-day morbidity in pediatric patients undergoing urologic procedures, according to a study published in Pediatrics.
David I. Chu, MD, from The Children's Hospital of Philadelphia, and colleagues conducted a cohort study involving children who underwent urologic surgery and were followed in the National Surgical Quality Improvement Program-Pediatrics. Data were included for 11,791 children who underwent pediatric urologic procedures; 40 unique operations were stratified into 6 clinically related groups: ureteral, testicular, renal, urinary diversion, penile and urethral, or bladder.
The researchers found that the overall 30-day complication rate was 5.9%; the rate was elevated for bladder and urinary diversion procedures. The odds of 30-day overall complications and 30-day hospital-acquired infection were increased for non-Hispanic black versus non-Hispanic white children (odds ratios, 1.34 and 1.54, respectively) on multivariate analyses. The odds of surgical morbidity were increased across all composite outcome measures for bladder and urinary diversion procedures relative to testicular procedures.
"Black race and bladder and urinary diversion operations were significantly associated with 30-day surgical morbidity," the authors write. "Future efforts should identify processes of care that decrease postoperative morbidity among children."