A Protocol-Driven Approach to Improve Postoperative Laboratory Use for Craniosynostosis
<h2>Abstract</h2> A standardized postoperative craniofacial protocol was implemented to decrease laboratory draws and costs. Patients younger than 18 years who underwent open reconstruction for single-suture craniosynostosis were separated into preprotocol (n = 62) and postprotocol (n = 44) cohorts. The number of laboratory draws, costs, and postoperative complications were calculated. Mean laboratory draws and costs for per-patient laboratory draws significantly decreased by 43.0% (<i>P</i> < .001) and 40.5% (<i>P</i> < .001), respectively, across a patient's length of stay. There were no significant differences in outcomes or complications. Decreasing postoperative laboratory draws in pediatric patients undergoing surgery for craniosynostosis lowered overall costs without compromising care.
Authors
- Nicholas S. Szuflita
- E. Haley Vance
- Michael S. Golinko (ORCID: https://orcid.org/0000-0002-0715-1915)
- Ashwin Gupta (ORCID: https://orcid.org/0000-0003-2351-7443)
- Chen Chia Wang (ORCID: https://orcid.org/0009-0001-9491-7586)
- Geoff Wong (ORCID: https://orcid.org/0000-0002-5384-4157)
- Christopher M. Bonfield (ORCID: https://orcid.org/0000-0002-9338-7579)
Publication Details
- Journal
- The Journal for Nurse Practitioners
- Published
- 2025-08-20
- DOI
- https://doi.org/10.1016/j.nurpra.2025.105497
- Primary Topic
- Healthcare cost, quality, practices
- Type
- article
- Field-Weighted Citation Impact
- 0.00