2020 Outcomes Report Portland Shriners Hospital

Clinical outcomes

Clinical outcomes

Surgical Site Infections:

Orthotics Outcomes Quality

Surgical site infections (SSIs) are associated with increased morbidity and mortality, poorer patient quality of life, and higher cost of medical care. Shriners Hospitals for Children — Portland is committed to delivering care that meets and outperforms industry benchmarks around SSIs.

Adolescent idiopathic scoliosis (AIS) is a very common spinal deformity treated at the Portland Shriners Hospital. Conservative treatment of this condition requires a brace called Thoracic Lumbar Sacral Orthosis (TLSO). The Pediatric Orthotics & Prothetics Services - Northwest (POPS) department produces around 200 TLSOs for AIS patients annually. A successful conservative treatment requires two important factors: initial in-brace correction and brace wear compliance. The gold standard for initial in-brace correction is 50%. On average, our patients’ average in-brace correction is 46%. Patients with a baseline curve of less than 30 degrees on average saw an initial in-brace correction of 48% with a maximum of 92% correction. Patients with a baseline curve of 30 degrees or greater on average saw an initial in-brace correction of 45% with a maximum of 80% correction. Over 80% of AIS patients saw an improvement in their pain interference, upper extremity function and mobility about one year post-operatively.

TLSO Average In-Brace Correction Quality For AIS Patients

In all wound clean-class 1 (non-contaminated) cases, the hospital performs well-below the literature benchmark of 1.8%. Note: These rates include spinal fusion cases (both idiopathic and non-idiopathic)

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Surgical Site Infections: All Clean Class 1 Cases

Adolescent Idiopathic Scoliosis: 11 months post-operative improvements as measured via PROMIS

Surgical Site infections : Spinal fusion (Adolescent non-idiopathic Scoliosis)

Surgical Site infections: Spinal Fusion (Adolescent Idiopathic Scoliosis)

Shriners Hospitals for Children — Portland 14

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2020 Annual Outcomes Report