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Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 3. Descriptive study of postoperative nursing care following first stage cleft closure.
J Plast Surg Hand Surg. 2017 Feb; 51(1):21-26.JP

Abstract

BACKGROUND

Cleft lip and palate is one of the most common congenital anomalies requiring surgical treatment in children, normally commenced in the first year of life. Following the initiation of a group of multicentre surgical trials of primary surgery, variations in postoperative recovery and management became apparent. An agreement was made for a nurse-led survey in eight surgical centres to document postoperative care and recovery.

MATERIALS AND METHODS

A postoperative recovery clinical report form was developed to capture relevant data for the children participating in the four arms of the trials. This included the age and weight at admission, the postoperative recovery setting, pain management, postoperative feeding, post-operative complications, and length of hospital stay.

RESULTS

Four hundred and three nursing forms from the first surgical procedure were returned for analysis. Differences in important aspects of care such as postoperative analgesia and postoperative feeding were evident. Postoperative care was influenced by local custom and practice, as little firm clinical evidence exists to guide optimal management.

CONCLUSION

Postoperative recovery may play a significant role in the future selection of surgical protocols, and future trials need to consider cross-study site training to familiarise nurses, prior to any changes in surgical methods.

TRIAL REGISTRATION

ISRCTN29932826.

Authors+Show Affiliations

a Dental School, University of Manchester , Manchester , UK.b Department of Plastic and Reconstructive Surgery , Oslo University Hospital, Rikshospitalet , Oslo , Norway.c Copenhagen Cleft Palate Center , University Hospital of Copenhagen , Copenhagen , Denmark.d Cleft Palate and Craniofacial Center , Helsinki University Central Hospital , Helsinki , Finland.e Division of Surgery and Clinical Neuroscience , Oslo University Hospital , Oslo , Norway.f Department of Plastic Surgery , Sahlgrenska Academy, University of Gothenburg , Sweden.g Maxillofacial Unit , University Hospital , Linköping , Sweden.h Royal Belfast Hospital for Sick Children , Belfast , Northern Ireland , UK.i Center for Cleft Lip and Palate , Haukeland University Hospital , Bergen , Norway.a Dental School, University of Manchester , Manchester , UK.a Dental School, University of Manchester , Manchester , UK. j Department of Plastic and Reconstructive Surgery , Oslo University of Hospital Rikshospitalet, and Statped, Sørøst , Oslo , Norway.

Pub Type(s)

Journal Article
Multicenter Study
Review

Language

eng

PubMed ID

28218561

Citation

Bannister, Patricia, et al. "Scandcleft Randomised Trials of Primary Surgery for Unilateral Cleft Lip and Palate: 3. Descriptive Study of Postoperative Nursing Care Following First Stage Cleft Closure." Journal of Plastic Surgery and Hand Surgery, vol. 51, no. 1, 2017, pp. 21-26.
Bannister P, Lindberg N, Jeppesen K, et al. Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 3. Descriptive study of postoperative nursing care following first stage cleft closure. J Plast Surg Hand Surg. 2017;51(1):21-26.
Bannister, P., Lindberg, N., Jeppesen, K., Elfving-Little, U., Semmingsen, A. M., Paganini, A., Gustavsson, A., Slevin, E., Jacobsen, G., Eyres, P., & Semb, G. (2017). Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 3. Descriptive study of postoperative nursing care following first stage cleft closure. Journal of Plastic Surgery and Hand Surgery, 51(1), 21-26. https://doi.org/10.1080/2000656X.2016.1269776
Bannister P, et al. Scandcleft Randomised Trials of Primary Surgery for Unilateral Cleft Lip and Palate: 3. Descriptive Study of Postoperative Nursing Care Following First Stage Cleft Closure. J Plast Surg Hand Surg. 2017;51(1):21-26. PubMed PMID: 28218561.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 3. Descriptive study of postoperative nursing care following first stage cleft closure. AU - Bannister,Patricia, AU - Lindberg,Nina, AU - Jeppesen,Karin, AU - Elfving-Little,Ulla, AU - Semmingsen,Ann-Margritt, AU - Paganini,Anna, AU - Gustavsson,Annica, AU - Slevin,Emma, AU - Jacobsen,Gry, AU - Eyres,Phil, AU - Semb,Gunvor, PY - 2017/2/21/entrez PY - 2017/2/22/pubmed PY - 2017/12/16/medline KW - Randomised controlled trials KW - Scandcleft KW - multicentre study KW - nursing care following primary surgery KW - unilateral cleft lip and palate SP - 21 EP - 26 JF - Journal of plastic surgery and hand surgery JO - J Plast Surg Hand Surg VL - 51 IS - 1 N2 - BACKGROUND: Cleft lip and palate is one of the most common congenital anomalies requiring surgical treatment in children, normally commenced in the first year of life. Following the initiation of a group of multicentre surgical trials of primary surgery, variations in postoperative recovery and management became apparent. An agreement was made for a nurse-led survey in eight surgical centres to document postoperative care and recovery. MATERIALS AND METHODS: A postoperative recovery clinical report form was developed to capture relevant data for the children participating in the four arms of the trials. This included the age and weight at admission, the postoperative recovery setting, pain management, postoperative feeding, post-operative complications, and length of hospital stay. RESULTS: Four hundred and three nursing forms from the first surgical procedure were returned for analysis. Differences in important aspects of care such as postoperative analgesia and postoperative feeding were evident. Postoperative care was influenced by local custom and practice, as little firm clinical evidence exists to guide optimal management. CONCLUSION: Postoperative recovery may play a significant role in the future selection of surgical protocols, and future trials need to consider cross-study site training to familiarise nurses, prior to any changes in surgical methods. TRIAL REGISTRATION: ISRCTN29932826. SN - 2000-6764 UR - https://www.unboundmedicine.com/medline/citation/28218561/Scandcleft_randomised_trials_of_primary_surgery_for_unilateral_cleft_lip_and_palate:_3__Descriptive_study_of_postoperative_nursing_care_following_first_stage_cleft_closure_ L2 - http://www.tandfonline.com/doi/full/10.1080/2000656X.2016.1269776 DB - PRIME DP - Unbound Medicine ER -