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

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
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article

A Protocol-Driven Approach to Improve Postoperative Laboratory Use for Craniosynostosis

Nicholas S. Szuflita, E. Haley Vance, Michael S. Golinko, Ashwin Gupta et al.
The Journal for Nurse Practitioners
Healthcare cost, quality, practices
article

A Protocol-Driven Approach to Improve Postoperative Laboratory Use for Craniosynostosis

Nicholas S. Szuflita, E. Haley Vance, Michael S. Golinko, Ashwin Gupta, Chen Chia Wang, Geoff Wong, Christopher M. Bonfield
article en

Abstract

<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.

The Journal for Nurse PractitionersVol. 21(9)
Openalex Percentile: Top 66%
Healthcare cost, quality, practices
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A Protocol-Driven Approach to Improve Postoperative Laboratory Use for Craniosynostosis — Nicholas S. Szuflita, E. Haley Vance, et al. · The Journal for Nurse Practitioners (2025) | TGRS Research Map | TGRS