Table 2 Elective surgery characteristics and resource utilization
Surgery characteristics | Pediatric patients (< = 18 years of age) N = 2792 | Adult patients (> = 19 years of age) N = 39,417 | Standardized difference |
|---|---|---|---|
Post-surgery resources | |||
Hospital length of stay (Mean, SD) | 5.58 (13.8) | 3.44 (4.63) | 0.208 * |
ICU admission (N, %) | 1020 (36.5%) | 5402 (13.7%) | 0.546* |
Required mechanical ventilation (N, %) | 241 (8.6%) | 1388 (3.5%) | 0.215* |
Procedure severity | |||
Minor | 181 (6.5%) | 1515 (3.8%) | 0.754* |
Moderate | 233 (8.3%) | 8251 (20.9%) | |
Major | 1012 (36.2%) | 22,500 (57.1%) | |
None | 1366 (48.9%) | 7151 (18.1%) | |
Top 10 Adult surgical procedures (by Primary CPT Code) | |||
Total knee arthroplasty (27,447) | 0 (0.0%) | 3539 (9.0%) | 0.932* |
Total hip arthroplasty (27,130) | 9 (0.3%) | 3254 (8.3%) | |
Total shoulder arthroplasty (23,472) | 1 (0.0%) | 1226 (3.1%) | |
Anterior arthrodesis incl. cervical discectomy below C2 (225,510) | 2 (0.1%) | 1160 (2.9%) | |
Microsurgical w/ microscope (69,990) | 191 (6.8%) | 921 (2.3%) | |
Lumbar arthrodesis w/ posterior technique (22,633) | 5 (0.2%) | 871 (2.2%) | |
Anterior interbody arthrodesis incl. minimal discectomy (22,558) | 2 (0.1%) | 780 (2.0%) | |
Autologous Blood Collection (86,891) | 28 (1.0%) | 747 (1.9%) | |
Laparoscopy w/ gastric bypass and roux-en-Y (43,644) | 4 (0.1%) | 736 (1.9%) | |
Intervertebral insertion of biomechanical device (22,853) | 0 (0.0%) | 651 (1.7%) | |
Other | 2550 (91.3%) | 25,532 (64.8%) | |
Top 10 pediatric surgical procedures (by primary CPT code) | |||
Microsurgical w/ microscope (69,990) | 191 (6.8%) | 921 (2.3%) | 0.836* |
Posterior arthrodesis for spinal deformity, 7–12 segments (22,802) | 190 (6.8%0 | 114 (0.3%) | |
Posterior spinal instrumentation, > 13 segments (22,844) | 118 (4.2%) | 121 (0.3%) | |
Fluoroscopy for placement of central venous access device (77,001) | 108 (3.9%) | 8 (0.0%) | |
Laparoscopic gastrostomy without construction of gastric tube (43,653) | 60 (2.1%) | 7 (0.0%) | |
Remove and replace cerebrospinal fluid shunt (62,258) | 58 (2.1%) | 24 (0.1%) | |
Negative pressure wound therapy (97,605) | 50 (1.8%) | 179 (0.5%) | |
Subtrochanteric osteotomy with internal fixation (27,165) | 43 (1.5%) | 3 (0.0%) | |
Other craniofacial/maxillofacial (21,299) | 42 (1.5%) | 0 (0.0%) | |
Reimplant single ureter (50,780) | 42 (1.5%) | 5 (0.0%) | |
Other | 1890 (67.7%) | 38,035 (96.5%) | |