Inpatients hypospadias care: Trends and outcomes from the American nationwide inpatient sample
Korean Journal of Urology
;
: 594-600, 2015.
Article
Dans Anglais
| WPRIM
| ID: wpr-189945
ABSTRACT
PURPOSE:
Hypospadias is the most common congenital penile anomaly. Information about current utilization patterns of inpatient hypospadias repair as well as complication rates remain poorly evaluated. MATERIALS ANDMETHODS:
The Nationwide Inpatient Sample was used to identify all patients undergoing inpatient hypospadias repair between 1998 and 2010. Patient and hospital characteristics were attained and outcomes of interest included intra- and immediate postoperative complications. Utilization was evaluated temporally and also according to patient and hospital characteristics. Predictors of complications and excess length of stay were evaluated by logistic regression models.RESULTS:
A weighted 10,201 patients underwent inpatient hypospadias repair between 1998 and 2010. Half were infants (52.2%), and were operated in urban and teaching hospitals. Trend analyses demonstrated a decline in incidence of inpatient hypospadias repair (estimated annual percentage change, -6.80%; range, -0.51% to -12.69%; p=0.037). Postoperative complication rate was 4.9% and most commonly wound-related. Hospital volume was inversely related to complication rates. Specifically, higher hospital volume (>31 cases annually) was the only variable associated with decreased postoperative complications.CONCLUSIONS:
Inpatient hypospadias repair have substantially decreased since the late 1990's. Older age groups and presumably more complex procedures constitute most of the inpatient procedures nowadays.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Complications postopératoires
/
États-Unis
/
Charge de travail
/
/
Répartition par âge
/
Hospitalisation
/
Hypospadias
/
Durée du séjour
Type d'étude:
Étude pronostique
Limites du sujet:
Adolescent
/
Adulte
/
Enfant
/
Enfant d'âge préscolaire
/
Humains
/
Bébé
/
Mâle
Pays comme sujet:
Amérique du Nord
langue:
Anglais
Texte intégral:
Korean Journal of Urology
Année:
2015
Type:
Article
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