Physiological Complexity of Pediatric Surgery Between Types of Hospitals

NCT03144544 | Completed

• 1 other identifier: 1000053805
• Study Type: observational
• Target: 830,830
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Health Services

Keywords

Similarity; Diversity

Outcome Measures

Primary Outcomes (1)

• Incidence of non-physiologically complex surgery

  The proportion of non-physiologically complex pediatric surgical procedures

  April 1, 2007 to March 31, 2015

Secondary Outcomes (2)

• Similarity

  April 1, 2007 to March 31, 2015

• Diversity

  April 1, 2007 to March 31, 2015

Study Arms (2)

Pediatric specialist hospitals

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

Procedure: Pediatric surgical procedures

Non-pediatric specialist hospitals

Other hospitals performing pediatric surgical procedures

Procedure: Pediatric surgical procedures

Interventions

Pediatric surgical procedures PROCEDURE

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

Non-pediatric specialist hospitals; Pediatric specialist hospitals

Eligibility Criteria

• Age: 28 Days - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Pediatric surgical procedures

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• The Hospital for Sick Children: lead

Study Sites (1)

The Hospital for Sick Children

Toronto, Ontario, M5G1X8, Canada

Location

Related Publications (1)

• 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.

  PMID: 29150783 DERIVED

Study Officials

• James D O'Leary, MD

  The Hospital for Sick Children

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Staff Anesthesiologist

Study Record Dates

• First Submitted: May 4, 2017
• First Posted: May 9, 2017
• Study Start: May 2, 2016
• Primary Completion: October 27, 2016
• Study Completion: June 15, 2017
• Last Updated: May 14, 2018

Record last verified: 2018-05

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)