دورية أكاديمية

Centralization as the key survival benefit in acute neonatal surgery

التفاصيل البيبلوغرافية
العنوان: Centralization as the key survival benefit in acute neonatal surgery
المؤلفون: Manuel Besendörfer, Simone Günster, Katja Linz, Heiko Martin Reutter, Sonja Diez
المصدر: Frontiers in Pediatrics, Vol 12 (2024)
بيانات النشر: Frontiers Media S.A., 2024.
سنة النشر: 2024
المجموعة: LCC:Pediatrics
مصطلحات موضوعية: perinatal center, centralization, neonatal surgery, German medical system, neonatal emergency, Pediatrics, RJ1-570
الوصف: IntroductionCentralization of neonatal surgical care for congenital malformations is already under discussion. Acute care of neonatal emergencies in perinatal centers with affiliated hospitals is not uniformly regulated in Germany.Materials and methodsAnalyses are based on acute pediatric surgical care at four affiliated hospitals of a perinatal center. Epidemiologic data and outcome parameters “survival”, “intracerebral hemorrhage”, and “revision of surgical indication” are assessed. Comparison is made between patients receiving surgical treatment at affiliated hospitals (group A) and patients with transfer to the university center for therapy in case of surgical indication for gastrointestinal diseases (group B).Results17 group A-patients are compared to 40 group B-patients. Comparison of epidemiological data reveals no significant differences. There is a survival advantage with transfer to the university center (mortality of 29% in group A vs. 2% in group B, p = 0.007). Intracerebral hemorrhage occurred more frequently in externally treated patients (group A 24% vs. group B 2%, p = 0.024). Surgical indication was revised in 30% of group B at the university center (p = 0.011) with consecutive successful conservative treatment.ConclusionTransfer of patients at the beginning of the acute phase of gastrointestinal diseases is key to optimize the quality of neonatal surgical care. However, larger population studies should confirm the presented results, discuss restricting factors of real care structures and should rule out bias in triage of patients.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2296-2360
Relation: https://www.frontiersin.org/articles/10.3389/fped.2024.1382000/full; https://doaj.org/toc/2296-2360
DOI: 10.3389/fped.2024.1382000
URL الوصول: https://doaj.org/article/d9c9235a33e5489b99743bc1df1f2240
رقم الأكسشن: edsdoj.9c9235a33e5489b99743bc1df1f2240
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:22962360
DOI:10.3389/fped.2024.1382000