medigraphic.com

2019, Number 3

<< Back Next >>

Cir Cir 2019; 87 (3)

Predictive value of the National Surgical Quality Improvement Program – Pediatrics risk calculator in neonatal patients. A retrospective correlational study

Gil-Vargas M, Pereira-Reyes D, Lira-Marcial E

Language: Spanish
References: 13
Page: 308-312
PDF size: 140.59 Kb.


ABSTRACT

Objective: To verify the predictive value of the American College of Surgeons National Surgical Quality Improvement Program- Pediatric calculator as a prognosis for complications in neonatal patients undergoing surgery. Method: An observational, retrospective, cross-sectional and correlational study was carried out. The files of the surgical neonates of the neonatology unit of the General Hospital of Puebla Dr. Eduardo Vázquez Navarro in the period between January 2014 and May 2017. The data was emptied into the platform yielding percentages of risk estimation. The patients were followed up through the files observing their evolution to determine which complications developed. The data obtained in the platform was correlated with the data obtained in the file and the predictive value of the scale was determined. Results: According to the classification of presence or absence of complication, they stand out for correlations without statistical significance. Presenting positive correlation in 78 cases (10.19%), negative correlation in 279 cases (36.47%) and null correlation in 408 cases (53.34%). Conclusion: It was shown that the scale has a low predictive value with a tendency to overestimate, however, its usefulness was corroborated as part of the informed consent process in surgical neonates.


REFERENCES

  1. Khuri SF, Daley J, Henderson W, Hur K, Demakis J, Aust JB, et al. The Department of Veterans Affairs’ NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. National VA Surgical Quality Improvement Program. Ann Surg. 1998;228:491-507.

  2. Dillon P, Hammermeister K, Morrato E, Kempe A, Oldham K, Moss L, et al. Developing a NSQIP module to measure outcomes in children’s surgical care: opportunity and challenge. Semin Pediatr Surg. 2008;17:131-40.

  3. Polites SF, Habermann EB, Zarroug AE, Wagie AE, Cima RR, Wiskerchen R, et al. A comparison of two quality measurement tools in pediatric surgery — The American College of Surgeons National Surgical Quality Improvement Program-Pediatric versus the Agency for Healthcare Research and Quality Pediatric Quality Indicators. J Pediatr Surg. 2015;50 586-90.

  4. Bucher BT, Duggan EM, Grubb PH, France DJ, Lally KP, Blakely ML. Does the American College of Surgeons National Surgical Quality Improvement Program Pediatric provide actionable quality improvement data for surgical neonates? J Pediatr Surg. 2016;51:1440-4.

  5. Langham MR, Walter A, Boswell TC, Beck R, Jones TL. Identifying children at risk of death within 30 days of surgery at an NSQIP pediatric hospital. Surgery. 2015;158:1481-91.

  6. Kraemer K, Cohen ME, Liu Y, Barnhart DC, Rangel SJ, Saito JM, et al. Development and evaluation of the American College of Surgeons NSQIP Pediatric surgical risk calculator. J Am Coll Surg. 2016;223:685-93.

  7. ACS Pediatric Risk Calculator - Home Page. (Consultado el 5 de junio de 2018.) Disponible en: http://riskcalculator facs.org/peds/PatientInfo.jsp .

  8. Calder BW, Sakran JV, Streck CJ, Cina RA. What happened to the complication? The importance of ACS NSQIP Pediatric in optimizing quality improvement initiatives for resident education. J Surg Educ. 2017; 74:431-6. Disponible en: http://dof.gob mx/nota_detalle_popup.php?codigo= 5272787.

  9. Skarsgard ED, Bedford J, Chan T, Whyte S, Afshar K. ACS National Surgical Quality Improvement Program: targeting quality improvement in Canadian pediatric surgery. J Pediatr Surg. 2014;49:682-7.

  10. Piatt JH. Thirty-day outcomes of cerebrospinal fluid shunt surgery: data from the National Surgical Quality Improvement Program-Pediatrics: clinical article. J Neurosurg Pediatr. 2014;14:179-83.

  11. Zhang JX, Song D, Bedford J, Bucevska M, Courtemanche DJ, Arneja JS. What is the best way to measure surgical quality? Comparing the American College of Surgeons National Surgical Quality Improvement Program versus Traditional Morbidity and Mortality Conferences. Plast Reconstr Surg. 2016;137:1242-50.

  12. Norma Oficial Mexicana NOM-004-SSA3-2012, del expediente clínico. 2012;(15):23.

  13. López IFD. Aspectos legales y éticos del consentimiento informado en la atención médica en México. Rev Mex Patol Clin. 2001;48:4.




2020     |     www.medigraphic.com