The Effect of Two Surgeons on Blood Loss and Operative Time in Cerebral Palsy (CP) Patients Undergoing Posterior Spinal Fusion
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 主要终点
- Complications due to PFS surgery
研究概览
简要总结
Background:
Posterior spinal fusion (PSF) in children with cerebral palsy (CP) carries a high risk of complications and mortality. Complication rates have been reported as high as 45%, and infection rates typically reported at 15%. Efforts to improve efficiency by reducing operative time and blood loss could decrease these risks. The purpose of this study is to investigate the impact of utilizing two attending surgeons on blood loss, operative time, and complications in this population.
Methods:
This is a prospective, matched cohort analysis with a consecutive series of patients with CP who underwent PSF, with two attending surgeons, in 2012. These are matched with a control group that had a single-surgeon team (operative dates 2008-2010), assisted by a resident, PA, or RN-FA. The groups are compared using paired Student T-tests and chi square tests (significance set a p<0.05).
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- — 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Cerebral palsy
- •neuromuscular scoliosis requiring posterior spinal fusion (>50 degree Cobb)
- •PSF from 2008-2012 at Phoenix Children's Hospital
- •GMFCS IV or V
排除标准
- •Diagnosis other than CP
- •GMFCS I-III
- •Previous spine deformity surgery
结局指标
主要结局
Complications due to PFS surgery
时间窗: Post-operative hospital stay (up to 12 days)
次要结局
- Surgical time(intraoperative)
- Estimated blood loss(intraoperative)
- Length of Stay(During hospitalization (up to 12 days))