Scott Seung W Choi, Jeong-Kyu Sakong, Hyo Ju Woo, Sang-Kyu Lee, Boung Chul Lee, Hyung-Jun Yoon, Jong-Chul Yang, Min Sohn
The association between adverse childhood experiences and self-harm among South Korean children and adolescents: a cross-sectional study
Child health nursing research
purpose study evaluate national differences inpatient outcomes predictors treatment type endoscopic versus open surgery craniosynostosis particular consideration racial socioeconomic geographic factors 2016 kids inpatient database queried identify patients aged 3 years younger underwent craniectomy craniosynostosis multivariable regression modeled treatment type based patientlevel gender race income comorbidities payer facilitylevel bed size region teaching status variables used assess outcomes weighted sample included 474 patients 819 n 388 patients underwent open repair 181 n 86 underwent endoscopic repair total 811 patients 1 year age 120 syndromic patients likely treated open older odds ratio 307 p 0005 syndromic 856 p 0029 patients underwent open repair likely receive transfusions 286 p 0021 longer lengths stay 102 p 0001 costly hospitalizations 522878 p 0018 complications significantly vary procedure type authors conclude united states national data confirm benefits endoscopic surgery including lower risk transfusion shorter hospital stay lower hospital costs without significant change rate inpatient complications racial socioeconomic geographic factors significantly associated treatment type perioperative surgical outcomes future studies needed investigate influence variables access craniofacial care