Application of the procedural consolidation concept to surgical treatment of children with epidermolysis bullosa: a retrospective analysis
2011

Surgical Treatment of Children with Epidermolysis Bullosa

Sample size: 53 publication Evidence: moderate

Author Information

Author(s): Karaman Ilić Maja, Kern Josipa, Babić Irena, Šimić Diana, Kljenak Antun, Majerić Kogler Višnja

Primary Institution: Children's Hospital of Zagreb

Hypothesis

Does the procedural consolidation concept (PCC) reduce the number of anesthesia sessions needed for treating children with epidermolysis bullosa (EB)?

Conclusion

PCC should be considered an option in the surgical treatment of children with EB.

Supporting Evidence

  • After introducing PCC, the median number of surgical procedures per session increased from 2 to 4.
  • The median number of complications per anesthesia session increased from 2 to 3 after PCC was introduced.
  • The number of hospitalization days per surgical procedure was significantly lower after PCC.

Takeaway

The study found that a new way of doing surgery for kids with a skin condition called EB can help them have fewer anesthesia sessions, which is better for them.

Methodology

Retrospective analysis of medical records of children treated at Children's Hospital of Zagreb between April 1999 and December 2007.

Potential Biases

Potential biases due to the retrospective nature of the study and lack of data on patient age and co-morbidities.

Limitations

The study design was retrospective and did not include long-term follow-up data.

Participant Demographics

The sample consisted of 53 children with EB, including 31 males and 22 females, aged 1 to 23 years.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3325/cmj.2011.52.520

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