Bedside vs Conventional Operating Room Surgery in Critically Ill Newborns: Systematic Review and Meta-Analysis
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- Bedside surgery in critically ill neonates is associated with significantly higher mortality compared to conventional operating room surgery.
- No significant differences were found in surgical site infections, length of stay, hypothermia, or operative time between bedside and OR surgery.
- Systematic review included 9 studies with 1,098 neonates comparing perioperative outcomes of bedside versus conventional OR surgery.
- Despite higher mortality, most perioperative outcomes remain similar between bedside and OR surgery groups in neonatal populations.
- Clinical decision-making should weigh mortality risk against logistical benefits when considering bedside surgery for critically ill newborns.
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What are the perioperative outcomes of bedside versus operative and surgery in neonates? I'm Alice Halfern, a research fellow from Children's National, and this is an article that you should know. Cassaroa at all performed a systematic review and meta-analysis to try and answer this question. They included nine studies encompassing a thousand and ninety-eight neonates. They found that mortality was significantly higher in the bedside surgery group. They did not find a significant difference in surgical site infections length of stay, post-operative hypothermia, or operative time between groups. So it seems like bedside surgeries associated with higher mortality than surgery in the OOR for neonates, but most outcomes are similar between groups. Does this information change your practice? Let us know what you think in the comments below.