¶ Introduction
Hello, pediatric surgery family. I'm Emgody, a research fellow from Cincinnati Children's Hospital Medical Center. And today, our team is going to deliver the articles that you should know about. We have three papers today. Two of them are from the Journal of Pediatric Surgery, and the one in the middle is from Pediatric Critical Care Medicine. We don't have much time, so let's start.
¶ Novel index to estimate the cephalocaudal extent of the excavation in pectus excavatum: The Titanic index
Our first paper titled, Nowell Index to Estimate the Cephalocardial Extent of the Excavation in Pechtus Excavatum. The Titanic Index by Belio Monzon et al. This paper is summarized by Ellen Insisko. She was a research fellow at Cincinnati Children's, and as of July, she is back to being a general surgery resident at Mayo Clinic. In this article, the authors introduce a new index for patients with Pechtus Excavatum.
The indices that are currently primarily used are the Haller Index and the Correction Index, and they tell us about the severity of the deformity. This new index, or the Titanic Index as they're calling it, takes into account the extent of the deformity. Here's the calculation for how to calculate it, but essentially it's the percentage of the sternum that lies behind the anterior costal line as seen on CT scans.
So the authors did a retrospective review of patients at their institution in Argentina who had undergone minimally invasive repair of Pechtus Excavatum and calculated all these indices. They found a weak correlation between the Titanic Index and the other indices, but also they found the Titanic Index might be more helpful for helping determine how many bars a patient's going to need for repair.
The threshold they established here was 66.5%, meaning that patients with a higher Titanic Index than that probably needed more than two bars.
¶ Early Peritoneal Dialysis and Postoperative Outcomes in Infants After Pediatric Cardiac Surgery: A Systematic Review and Meta-Analysis
Awesome. Our second paper is Early Peritoneal Dialysis and Postoperative Outcomes in Infants After Pediatric Cardiac Surgery. A Systematic Review and Meta Analysis by Namatiyam et al. And this paper is summarized by Alex Halpern. He is one of our contributors here at Staker and MD and a general surgery resident at George Washington University. They ended up including five studies in their meta-analysis. And what did they find?
They found that early initiation of peritoneal dialysis was associated with a decreased post-op mortality. They also found that early initiation of peritoneal dialysis shortened duration of mechanical ventilation and shortened length of stay in the ICU. So it seems that early initiation of peritoneal dialysis may benefit infants after pediatric
¶ Pediatric button battery ingestion: A single center experience and risk score to predict severe outcomes
cardiac surgery. Now moving to the last paper of the day. Pediatric Button Bettering Ingestion, a single-center experience and risk score to predict severe outcomes by Skilles et al. This one is summarized by Cecilia Gihana. She is a research fellow at Cincinnati Children's. This is a retrospective study done in Boston Children's Hospital from 2008 to 2021. And their aim was to propose a risk score to predict severe outcomes in patients with a button bettering intestine. And what did they find?
They analyzed 143 patients. Of them, 24 had severe outcomes. And they found three independent predictors for severe outcomes. The first was the location of the button battery in the esophagus. Second, a button battery larger than 2 centimeters.
¶ Outro
And third, having symptoms at presentation. Thank you for listening. Please check the link in the description below to read each paper. We hope you liked this episode. Please follow Staker and MD on social media, give us a rating and subscribe to YouTube Channel. And don't forget to download the Staker and app on the App Store or Play Store for tons of content.