title: Enterocystoplasty 30-day outcomes from National Surgical Quality Improvement Program Pediatric 2012.
abstract: BACKGROUND
  Enterocystoplasty is an important procedure in the management of children with difficult neurogenic bladder. We report on short-term complications as captured by National Surgical Quality Improvement Program (NSQIP) Pediatric.
  
  
  METHODS
  We analyzed NSQIP Pediatric 30-day perioperative data on 114 patients who underwent enterocystoplasty in 2012 and compared those with and without complications.
  
  
  RESULTS
  Neurogenic bladder was the most common diagnosis. The proportion of the children who underwent two or more procedures was 71.9%, in addition to enterocystoplasty, most commonly appendicovesicostomy. Median length of hospital stay was 8 days (mean 9.7 days, range 2 to 46 days). Thirty-day complication rate was 33.3%, and the most common complications were urinary tract infections (9.6%), wound complications (8.7%), blood transfusions (6.1%), and sepsis (3.5%). Reoperation rate and readmission rate were 9.6% and 13.2%, respectively. No statistically significant differences in perioperative characteristics were found between children with and without postoperative complications. Addition of appendicovesicostomy or bladder neck continence procedures was not associated with significantly increased complications.
  
  
  CONCLUSIONS
  Enterocystoplasty is associated with significant perioperative morbidity, and reasonable expectations should be set during preoperative counseling.
authors.affiliation: Division of Urology, University of Utah, 30 North 1900 East Room 3b110, Salt Lake City, UT 84132, USA. Electronic address: Kefu.Du@hsc.utah.edu.
authors.forename: Kefu
authors.initials: K
authors.lastname: Du
authors.affiliation: Division of Urology, University of Utah, 30 North 1900 East Room 3b110, Salt Lake City, UT 84132, USA. Electronic address: elissa.mulroy@gmail.com.
authors.forename: Elisabeth E
authors.initials: EE
authors.lastname: Mulroy
authors.affiliation: Division of Urology, University of Utah, 30 North 1900 East Room 3b110, Salt Lake City, UT 84132, USA. Electronic address: Chad.Wallis@hsc.utah.edu.
authors.forename: M Chad
authors.initials: MC
authors.lastname: Wallis
authors.affiliation: Division of Epidemiology, University of Utah, Williams Building, 295 Chipeta Way, Salt Lake City, UT 84108, USA. Electronic address: Chong.Zhang@hsc.utah.edu.
authors.forename: Chong
authors.initials: C
authors.lastname: Zhang
authors.affiliation: Division of Epidemiology, University of Utah, Williams Building, 295 Chipeta Way, Salt Lake City, UT 84108, USA. Electronic address: Angela.Presson@hsc.utah.edu.
authors.forename: Angela P
authors.initials: AP
authors.lastname: Presson
authors.affiliation: Division of Urology, University of Utah, 30 North 1900 East Room 3b110, Salt Lake City, UT 84132, USA. Electronic address: Patrick.Cartwright@hsc.utah.edu.
authors.forename: Patrick C
authors.initials: PC
authors.lastname: Cartwright
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007422:Intestines / Q000637:transplantation*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D010359:Patient Readmission / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology; D058996:Quality Improvement; D012086:Reoperation / Q000706:statistics & numerical data; D016896:Treatment Outcome; D014481:United States; D001743:Urinary Bladder / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D013520:Urologic Surgical Procedures
keywords: Bladder augmentation; Enterocystoplasty; NSQIP pediatric; Neurogenic bladder; Perioperative complications