Marianne de Beer, Lena Mårtensson
Feedback on students' clinical reasoning skills during fieldwork education
Australian occupational therapy journal
irrigation debridement id gold standard treatment pediatric septic arthritis hip index surgery fails subsequent surgery may required eradicate infection resulting substantial increases morbidity healthcare costs psychosocial burden purpose study identify incidence failed id pediatric septic arthritis hip defined need least one subsequent surgical intervention potential risk factors failed initial id kids inpatient database used extract data pediatric patients diagnosed septic arthritis hip 1997 2012 factors patient demographics preoperative comorbidities inpatient variables hospitals variables assessed associations successful versus failed ids period examined 3341 943 children successfully treated single id whereas 203 57 children required least one additional surgery hospitalization univariate analysis found anemia coagulopathy electrolyte disorders associated repeat surgery patients required multiple surgeries significantly longer lengths stay 113 vs 69 days higher likelihood discharged home health 39 vs 25 higher total overall inpatient costs 58 400 vs 31 900 basis results study nationwide incidence patients requiring multiple ids 57 patient preoperative comorbidities coagulopathy hospital characteristics government ownership teaching status significantly associated failed initial id septic arthritis hip believe data useful guiding future research efforts providing clearer anticipatory guidance patients guardians level evidence level iii retrospective comparative study