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Show OUTCOMES OF SURGICAL PROCEDURES IN CHILDREN WITH CEREBRAL PALSY Trisha Jorgensen Senior Psychology tjorg5@hotmail.com Faculty Sponsor: Nancy Murphy, M.D. Dept. of Pediatrics Nancy.Murphy@hsc.utah.edu Introduction: Children with cerebral palsy (CP) commonly have co-morbid conditions that may increase the risk of complications following surgical interventions. Current knowledge of surgical outcomes with CP is limited. Objectives: To define outcomes following the five most commonly performed surgical procedures in children with CP; to compare surgical outcomes in children with and without CP; to identify associations between patient characteristics and surgical outcomes. Methods: We completed an unweighted descriptive analysis of the Kids' Inpatient Database, a sampling of pediatric discharges from US hospitals in 1997. Results: The five surgeries most commonly performed in children with CP were gastrostomy tube placements, soft tissue mus- culoskeletal procedures, fundo-plications, spinal fusions with instrumentation, and bony hip surgeries. Children with CP vs. no CP who underwent spinal fusions had longer LOS (10 days vs. 6.7, p = <0.01), more secondary diagnoses of pneumonia (5.26% vs. 0.92%, p<0.01), more aspiration pneumonia (3.51 % vs. 0.11 % p<0.01), more failure to thrive (9.47% vs. 1.42%, p<0.01), and more UTIs (5.25% vs. 1.99%, p<0.01). Overall, the number of coded diagnoses correlated positively with LOS, total charges and number of procedures performed (p<0.01). Conclusions: With notable exceptions, children with CP encounter complications from surgical procedures more often than those without CP. 60 |