Optimized Care Protocol for Pediatric Scoliosis Surgery
Author Information
Author(s): Naume Marie Mostue, Hoei-Hansen Christina Engel, Born Alfred Peter, Brekke Ghita, Høj Astrid, Nielsen Maja Risager, Borgwardt Lise, Vissing John, Dirks Jesper, Rye Anne Kathrine Stæhr, Møller Morten Hylander, Andersen Thomas Borbjerg, Ørngreen Mette Cathrine
Primary Institution: Copenhagen University Hospital, Rigshospitalet
Hypothesis
Using an optimized perioperative care protocol would decrease the rate of pneumonia and complications after scoliosis surgery.
Conclusion
The multidisciplinary care protocol is feasible, with a high compliance rate, but did not significantly reduce the pneumonia rate compared to standard care.
Supporting Evidence
- 73% of patients in the intervention group had optimized nutritional treatment.
- 9% of the intervention group developed pneumonia compared to 21% in the control group.
- The intervention group had a high compliance rate with study procedures.
- 82% of patients in the intervention group needed respiratory optimization before surgery.
- The median length of stay in hospital was similar for both groups.
Takeaway
Doctors tried a new way to take care of kids having spine surgery to help them get better faster, but it didn't make a big difference in how many got sick afterward.
Methodology
A prospective study with a multidisciplinary team developed a care protocol for non-ambulant children aged 6-18 undergoing scoliosis surgery, comparing outcomes with a retrospective control group.
Potential Biases
The control group may have received some optimized interventions, affecting the comparison.
Limitations
The study was single-center with a small sample size, limiting generalizability and statistical power.
Participant Demographics
Non-ambulant children aged 6-18 with neuromuscular scoliosis, including conditions like SMA and CP.
Statistical Information
P-Value
0.6
Confidence Interval
0.05–3.50
Statistical Significance
p=0.6
Digital Object Identifier (DOI)
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