Physiological Complexity of Pediatric Surgery Between Types of Hospitals

NCT ID: NCT03144544

Last Updated: 2018-05-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

830830 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-05-02

Study Completion Date

2017-06-15

Brief Summary

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When considered from a provincial perspective, quantification of surgical procedures undertaken by different hospitals and healthcare networks is necessary for informing resource allocation and modelling of healthcare services. The investigators hypothesized that i) non-physiologically complex surgical procedures would account for most (\>1/2) of pediatric surgical procedures performed at both pediatric specialist hospitals and the other hospitals performing pediatric surgery, ii) surgical discharges for non-physiologically complex surgical procedures would account for most (\>1/2) in-hospital bed nights among pediatric surgical admissions at both pediatric specialist hospitals and the other hospitals performing pediatric surgery, and iii) the relative distributions of non-physiologically complex surgical procedures, but not physiologically complex procedures, would be at least moderately similar between pediatric specialist hospitals and the other hospitals performing pediatric surgery. To test these 3 hypotheses, the specific objectives of this study were to estimate i) the proportion (primary outcome) of non-physiologically complex pediatric surgical procedures, and ii) the similarity and diversity (secondary outcomes) of non-physiologically and physiologically complex surgical procedures between the pediatric specialist hospitals and the other hospitals performing pediatric surgery in Ontario, Canada.

Detailed Description

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Conditions

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Health Services

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Pediatric specialist hospitals

Free-standing hospitals providing tertiary pediatric referral services and performing pediatric surgical procedures

Pediatric surgical procedures

Intervention Type PROCEDURE

Eligible surgical procedures were identified using Canadian Classification of Health Interventions (CCI) therapeutic intervention codes.

Non-pediatric specialist hospitals

Other hospitals performing pediatric surgical procedures

Pediatric surgical procedures

Intervention Type PROCEDURE

Eligible surgical procedures were identified using Canadian Classification of Health Interventions (CCI) therapeutic intervention codes.

Interventions

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Pediatric surgical procedures

Eligible surgical procedures were identified using Canadian Classification of Health Interventions (CCI) therapeutic intervention codes.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* surgical procedures for individuals aged greater than 27 days and less than 18 years

Exclusion Criteria

* newborns (0 to 27 days of age)
* records lacking a patient identifier or age
* non-surgical healthcare interventions
Minimum Eligible Age

28 Days

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Hospital for Sick Children

OTHER

Sponsor Role lead

Responsible Party

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James O'Leary

Staff Anesthesiologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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James D O'Leary, MD

Role: PRINCIPAL_INVESTIGATOR

The Hospital for Sick Children

Locations

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The Hospital for Sick Children

Toronto, Ontario, Canada

Site Status

Countries

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Canada

References

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O'Leary JD, Dexter F, Faraoni D, Crawford MW. Incidence of non-physiologically complex surgical procedures performed in children: an Ontario population-based study of health administrative data. Can J Anaesth. 2018 Jan;65(1):23-33. doi: 10.1007/s12630-017-0993-y. Epub 2017 Nov 17.

Reference Type DERIVED
PMID: 29150783 (View on PubMed)

Other Identifiers

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1000053805

Identifier Type: -

Identifier Source: org_study_id

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