Predicting postoperative complications in pediatric surgery: A novel pediatric comorbidity index.

ABSTRACT:

Introduction/background

Comorbidity-driven surgical risk assessment is essential for informed patient counseling, risk-stratification, and outcomes-based health-services research. Existing mortality-focused comorbidity indices have had mixed success at risk-adjustment in children.

Objective

To develop a new comorbidity-driven multispecialty surgical risk index predicting 30-day postoperative complications in children.

Study design

This retrospective cohort study investigated children undergoing surgical procedures across seven specialties in 2014-2015 using the MarketScan® Research databases. The risk index was derived separately for ambulatory and inpatient surgery patients using logistic regression with backward selection. The performance of the novel index in discr

SUBMITTER: Tejwani R 

PROVIDER: S-EPMC9233007 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature