Abstract

The purpose of this study is to evaluate national differences in inpatient outcomes and predictors of treatment type for endoscopic versus open surgery for craniosynostosis, with particular consideration of racial, socioeconomic, and geographic factors. The 2016 Kids' Inpatient Database was queried to identify patients aged 3 years or younger who underwent craniectomy for craniosynostosis. Multivariable regression modeled treatment type based on patient-level (gender, race, income, comorbidities, payer) and facility-level (bed size, region, teaching status) variables, and was used to assess outcomes. The weighted sample included 474 patients, of whom 81.9% (N?=?388) of patients underwent open repair and 18.1% (N?=?86) underwent endoscopic repair. A total of 81.1% of patients were under 1 year of age and 12.0% were syndromic. Patients were more likely to be treated open if they were older (odds ratio [OR] 3.07, P?=?0.005) or syndromic (OR 8.56, P?=?0.029). Patients who underwent open repair were more likely to receive transfusions (OR 2.86, P?=?0.021), and have longer lengths of stay (OR 1.02, P?

View details for DOI 10.1097/SCS.0000000000007178

View details for PubMedID 33055558