Fatores preditivos de complicações graves em cirurgia neonatal

Translated title of the contribution: Predictors of major postoperative complications in neonatal surgery

Dora Catré, Maria Francelina Lopes, Angel Madrigal, Bárbara Oliveiros, António Silvério Cabrita, Joaquim Silva Viana, José Farela Neves

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)

Abstract

Objective: To investigate the incidence and severity of early postoperative complications and to identify their risk factors in newborns undergoing surgery under general anesthesia. Methods: We conducted a retrospective analysis of data from 437 critically ill newborns undergoing surgery in a tertiary pediatric surgical center, between January 2000 and December 2010. Complications that occurred within the first 30 days after surgery were classified using the Clavien-Dindo system, for which grades III to V were considered severe. We used univariate and multivariate analysis to evaluate pre- and intraoperative variables potentially predictive of severe postoperative complications. Results: The incidence of at least one serious complication was 23%, with a median of one complication per patient 1:3. Altogether, there were 121 serious complications. Of these, 86 required surgical, endoscopic or radiological interventions (grade III), 25 endangered life, with uni or multiorgan failure (grade IV) and ten resulted in death (grade V). The most common complications were technical (25%), gastrointestinal (22%) and respiratory (21%). We identified four independent risk factors for severe postoperative complications: reoperation, operation for congenital diaphragmatic hernia, preterm birth less than 32 weeks of gestational age and abdominal surgery. Conclusion: The incidence of severe postoperative complications after neonatal surgeries under general anesthesia remains high. The conditions considered independent risk factors for those can guide interventions to improve results.
Translated title of the contributionPredictors of major postoperative complications in neonatal surgery
Original languagePortuguese
Pages (from-to)363-369
Number of pages7
JournalRevista do Colegio Brasileiro de Cirurgioes
Volume40
Issue number5
DOIs
Publication statusPublished - 2013
Externally publishedYes

Keywords

  • Morbidity
  • General surgery
  • Severity of illness index
  • Outcome assessment (health care)
  • Infant
  • Newborn

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