{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:47:57Z","timestamp":1790837277161,"version":"4.1.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2013,9,1]],"date-time":"2013-09-01T00:00:00Z","timestamp":1377993600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Our study aimed to use national data to assess the perioperative outcomes of craniosynostosis surgical repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Data were obtained from the Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project Kids Inpatient Database from 1997, 2000, 2003, and 2006.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Community hospitals in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>The cohort was identified using the ICD-9-CM procedure codes for craniosynostosis surgical repair (2.01, 2.03, 2.04, 2.06).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures(s)<\/jats:title>\n                    <jats:p>We determined patient and hospital characteristics. We clustered patients by age group (7 months, 7 to 12 months, 1 to 3 years) and assessed mortality, comorbidities, mean length of stay (LOS), and total charge. We performed logistic regression with our dependent variable being longer average hospital stay: LOS &gt; 4.2 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We found 3426 patients. Average age at the time of surgery was 181 days (SD 84). Average length of stay was 4.2 days. The majority of the patients were boys (66%), white (71%), and insured (93%). Nearly all patients underwent surgery in a teaching hospital (98%) in urban centers (99%). Approximately 10% of patients experienced an acute complication, most commonly hemorrhages or hematomas and airway or respiratory failure. Patients ages 1 to 3 years had the highest rates of comorbidities and a longer LOS. Mortality rate was &lt;1%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Craniosynostosis surgery is safe with low rates of mortality and acute complications. LOS &gt;4.2 appears to be associated more with comorbidities than with complications. Higher rates of comorbidities and LOS &gt;4.2 days for patients age 1 to 3 years warrant addition research to assess potential barriers to care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/11-324","type":"journal-article","created":{"date-parts":[[2012,10,2]],"date-time":"2012-10-02T11:12:55Z","timestamp":1349176375000},"page":"555-560","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":47,"title":["A National Study on Craniosynostosis Surgical Repair"],"prefix":"10.1177","volume":"50","author":[{"given":"Christine","family":"Nguyen","sequence":"first","affiliation":[{"name":"Stanford University School of Medicine;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina","family":"Hernandez-Boussard","sequence":"additional","affiliation":[{"name":"Department of Surgery, Stanford University School of Medicine;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit K.","family":"Khosla","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Stanford University School of Medicine, and Staff Physician Palo Alto VA Hospital, Palo Alto, California."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine M.","family":"Curtin","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Stanford University School of Medicine, and Staff Physician Palo Alto VA Hospital, Palo Alto, California."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,9,1]]},"reference":[{"key":"bibr1-11-324","doi-asserted-by":"publisher","DOI":"10.1016\/j.coms.2004.06.001"},{"key":"bibr2-11-324","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318204649a"},{"key":"bibr3-11-324","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1998_035_0194_ipissc_2.3.co_2"},{"key":"bibr4-11-324","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02825.x"},{"key":"bibr5-11-324","volume-title":"Crossing the Quality Chasm: A New Health System for the 21st Century.","author":"Institute of Medicine","year":"2001"},{"key":"bibr6-11-324","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181f6c2fb"},{"key":"bibr7-11-324","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(94)90001-9"},{"key":"bibr8-11-324","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000056839.94034.47"},{"key":"bibr9-11-324","unstructured":"ShethR.D. IskandarB.J. HegerI.M. RoyS. RivielloJ.J. KaoA. Pediatric craniosynostosis. Available at http:\/\/emedicine.medscape.com\/article\/1175957-overview. Accessed December 3, 2011."},{"key":"bibr10-11-324","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1542\/peds.41.4.829","volume":"41","author":"Shillito J.","year":"1968","journal-title":"Pediatrics."},{"key":"bibr11-11-324","doi-asserted-by":"publisher","DOI":"10.1542\/peds.100.1.e2"},{"key":"bibr12-11-324","unstructured":"StalS. HollierL.H. ColeP. WeismanL.E. FirthH.V. TepasE. Overview of craniosynostosis. UpToDate. Available at http:\/\/www.uptodate.com\/contents\/overview-of-craniosynostosis. Accessed August 15, 2011."},{"key":"bibr13-11-324","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181ec6872"},{"key":"bibr14-11-324","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-004-1117-x"},{"key":"bibr15-11-324","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197908000-00011"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1597\/11-324","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1597\/11-324","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1597\/11-324","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:17:37Z","timestamp":1777393057000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1597\/11-324"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013,9]]}},"alternative-id":["10.1597\/11-324"],"URL":"https:\/\/doi.org\/10.1597\/11-324","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9]]}}}