Pediatric surgery international
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Pediatr. Surg. Int. · Jul 2012
ReviewThe timing of ostomy closure in infants with necrotizing enterocolitis: a systematic review.
The optimal timing of ostomy closure is a matter of debate. We performed a systematic review of outcomes of early ostomy closure (EC, within 8 weeks) and late ostomy closure (LC, after 8 weeks) in infants with necrotizing enterocolitis. ⋯ Evidence that supports early or late closure is scarce and the published articles are of poor quality. There is no significant difference between EC versus LC in the complication rate. This systematic review supports neither early nor late ostomy closure.
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Citation analysis within specific journals and subject areas has become a popular method to assess the impact of a journal, article or author. To date, only a few evaluations of citation reports have been published in the field of pediatric surgery. Twenty-six years after its inception, Pediatric Surgery International (PSI) is a firmly established journal in pediatric surgery. The aim of this study was to identify, analyze and categorize the characteristics of the 100 most-cited articles published in PSI since its founding in 1986. ⋯ The 100 most-cited articles published in PSI were predominately original articles from English-speaking countries dealing with clinical topics. This analysis may be of value to the editorial board and authors by providing some insights into what types of manuscripts appear to be of interest to the reading audience of PSI.
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Pediatr. Surg. Int. · Jun 2012
ReviewImproved outcomes in paediatric anaesthesia: contributing factors.
To discuss developments in paediatric anaesthesia and explore the factors which have contributed to improved anaesthetic-related patient outcomes. ⋯ Despite substantial progress, there is still much room for improvement in areas such as adverse-event reporting, anaesthetic-related risk and late neurocognitive outcomes. Systematic reviews comparing paediatric patient outcomes after neuroaxial block versus general anaesthesia are currently unavailable. The future of paediatric anaesthesia will most likely be influenced by much-needed large prospective studies, which can provide further insight into patient safety and service delivery.
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Pediatr. Surg. Int. · May 2012
Does necrotizing enterocolitis affect growth and neurodevelopmental outcome in very low birth weight infants?
To evaluate the effect of necrotizing enterocolitis (NEC) on growth and neurodevelopmental outcome. ⋯ Necrotizing enterocolitis has affected neurodevelopmental outcome but not growth in VLBW infants at 18-24 months of corrected age. Both those treated medically or requiring surgery need close neurodevelopmental follow-up for the first years of life.
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Pediatr. Surg. Int. · Apr 2012
Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.
The aim of this study was to evaluate the frequency of surgical and organizational events that occurred in the whole Department of Paediatric Surgery at Gaslini Children's Hospital through an incident-reporting system in order to identify the vulnerabilities of this system and improve it. ⋯ An electronic physician-reported event tracking system should be incorporated into all surgery departments to report more accurately adverse events and near misses. In this system, all definitions must be standardized and near misses should be considered as important as the other events, being a rich source of learning.