NCT03144544

Physiological Complexity of Pediatric Surgery Between Types of Hospitals

Incidences of Non-physiologically Complex Surgical Procedures Performed in Children and Their Similarity of Distribution Between Pediatric Specialist Hospitals and Other Hospitals Performing Pediatric Surgery

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 830,830 (actual)
• Sponsor: The Hospital for Sick Children · Academic / Other
• Sex: All
• Age: 28 Days – 17 Years
• Healthy volunteers: Not accepted

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

Interventions

Type	Name	Description
PROCEDURE	Pediatric surgical procedures	Eligible surgical procedures were identified using Canadian Classification of Health Interventions (CCI) therapeutic intervention codes.

Timeline

• Start date: 2016-05-02
• Primary completion: 2016-10-27
• Completion: 2017-06-15
• First posted: 2017-05-09
• Last updated: 2018-05-14

Locations

1 site across 1 country: Canada