The incidence of unplanned reoperation and the related risk factors in pediatric surgery at a tertiary care center in Saudi Arabia
Year: 2025
Type: article
Study design: Observational Study
Abstract: ABSTRACT Objectives: To evaluate unplanned reoperation (URO) as a quality indicator and identify its rate and associated risk factors at our institution. Parental satisfaction and patient safety are crucial, necessitating an investigation into the factors influencing unplanned return to the operating room rates. Understanding the reasons behind UROs and how to prevent them is vital for improving surgical services. Methods: This study employs a retrospective cohort design to analyze existing patient data from King Abdullah Specialized Children’s Hospital in Riyadh, Saudi Arabia. It aims to evaluate clinical endpoints and factors associated with unplanned reoperations, which are defined as any secondary surgery occurring within 30 days of the initial procedure due to complications. Results: From February 2015 to August 2023, a total of 2551 patients underwent 2963 abdominal surgeries. Among these, 75 (2.94%) patients required re-surgeries, resulting in a total of 179 surgeries. Regression analysis revealed that females had 2.1 times higher odds of requiring a reoperation compared to males (CI: 0.8–5.1, p=0.04). Furthermore, patients with a history of previous abdominal surgeries had 2.7 times greater odds of requiring reoperation (CI: 1.05–6.9, p=0.038). Other demographic variables did not demonstrate significant associations. Conclusion: Monitoring URO rates is essential for enhancing pediatric surgical practices, improving preoperative counseling, and optimizing resource allocation.
Source: Saudi Medical Journal
Authors: Noura M. Almutairi, Mohammed K. Alnamshan, Suliman Mohammed Alaqeel
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4416439066
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