Doctors call for better tracking of cases where children don’t get timely emergency surgery.
A study at BC Children’s Hospital found almost half of emergency surgeries for high-risk infants were delayed, with dire consequences for children.
The researchers found that nearly half of these high-risk surgeries, which needed to be completed within an hour of diagnosis, had been delayed. These delays, they found, contributed to an unintended loss of organ, limb or function in 24.5 per cent of cases and were a factor in the death of 28 children.
This analysis led them to find that a delayed surgery increased chances of limb, organ function loss or death by 85 per cent. “Although overall the numbers were improved, what we found was that patients who needed stat surgery, needed to be in the OR within an hour, were still the most likely group to get delayed,” Butterworth said, compared with those who needed emergency surgery within four or 72 hours. The most common reason for these delays was the lack of an available operating room.
Elective surgeries At BC Children’s Hospital, like hospitals across the country, there is a major backlog of postponed elective pediatric surgeries. But it’s not clear how many. BC Children’s Hospital former pediatric surgeon and chief of cardiac surgery Dr. Sanjiv Gandhi quit his position to join the BC Green Party earlier this year, over concerns about mismanagement at the Provincial Health Services Authority and BC Children’s.
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