A Methodology for Procedure Risk Factor Assessment in Pediatric Orthopaedics: Exploration of the National Surgical Quality Improvement Program Pediatric Database

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Title
A Methodology for Procedure Risk Factor Assessment in Pediatric Orthopaedics: Exploration of the National Surgical Quality Improvement Program Pediatric Database
Contributors
Christopher J. Lama, MS1,2; Kalpit N. Shah, MD3; Jack H. Ruddell, BS1,2; Indra N. Sarkar, PhD, MLIS1,2; Elizabeth S. Chen, PhD1,2 (Author)
Brown University. Alpert Medical School. Scholarly Concentration Program. Biomedical Informatics (research program)
Date Created
2018
Abstract
Multi-institutional databases like the American College of Surgeons – National Surgical Quality Improvement Program-Pediatric (NSQIPP) is a surgical outcomes-based database that is being used for quality improvement in pediatric surgery, but large databases like NSQIPP are often heterogeneous and require a great deal of data preprocessing. Tools in biomedical informatics can be leveraged to help reduce these inconsistencies. A generalizable algorithm was designed using the Julia programming language to reduce data cleaning and facilitate querying the NSQIPP database across multiple years. The algorithm was tested using two case studies in pediatric orthopaedics that looked at (1) combined supracondylar humeral and wrist/forearm fracture, and (2) upper versus lower extremity orthopaedic procedures and rates of compartment syndrome. Of the 16,030 patients with supracondylar humeral fractures, 227 of them had a combined wrist/forearm fracture. There were greater rates of fasciotomy complication in the lower extremity procedures group (0.08% vs. 3.9%), suggesting the risk for compartment syndrome may be greater. This algorithm can be used by clinical researchers as a data extraction tool to help facilitate future NSQIPP studies in other surgical subspecialties for quality improvement.
Keywords
Orthopedic surgery
Bioinformatics
Algorithms
Data mining
Notes
Scholarly concentration: Biomedical Informatics
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Citation

Christopher J. Lama, MS1,2; Kalpit N. Shah, MD3; Jack H. Ruddell, BS1,2; Indra N. Sarkar, PhD, MLIS1,2; Elizabeth S. Chen, PhD1,2, "A Methodology for Procedure Risk Factor Assessment in Pediatric Orthopaedics: Exploration of the National Surgical Quality Improvement Program Pediatric Database" (2018). Summer Research Showcase. Brown Digital Repository. Brown University Library. https://repository.library.brown.edu/studio/item/bdr:833863/

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    The Summer Research Showcase is an annual event at Warren Alpert Medical School of Brown University that provides Year II medical students a venue to present their summer research in a poster format. Participation in the Showcase is required for ...

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