NCT03144544

Physiological Complexity of Pediatric Surgery Between Types of Hospitals

Completed Last updated 14 May 2018

What this trial tests

trial testing Pediatric surgical procedures in Health Services in 830,830 participants. Completed in 15 June 2017.

Timeline

2 May 2016

Primary endpoint
27 October 2016

15 June 2017

Quick facts

Lead sponsor	The Hospital for Sick Children
Status	Completed
Study type	OBSERVATIONAL
Enrollment	830,830
Start date	2 May 2016
Primary completion	27 October 2016
Estimated completion	15 June 2017
Sites	1 location across Canada

Drugs / interventions tested

• Pediatric surgical procedures

Conditions studied

• Health Services — all drugs for Health Services →

Sponsor

The Hospital for Sick Children

Who can join

Adults 28 Days to 17, any sex, with Health Services. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

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.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

1. Incidence of non-physiologically complex surgical procedures performed in children: an Ontario population-based study of health administrative data.
   O'Leary JD, Dexter F, Faraoni D, Crawford MW. · · 2018 · cited 9× · PMID 29150783 · DOI 10.1007/s12630-017-0993-y