Journal article
Safety and feasibility of same-day discharge for uncomplicated appendicitis: A prospective cohort study
Journal of pediatric surgery, v 53(5), pp 988-990
May 2018
PMID: 29510871
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Appendicitis is the most common gastrointestinal pediatric surgical emergency. With the introduction of laparoscopic techniques in the 1990s, recovery, pain, and hospital stay after laparoscopic procedures have been significantly reduced. While many laparoscopic procedures are performed as outpatient surgeries, pediatric appendectomy patients continue to be hospitalized for postoperative observation. Our goal was to evaluate the safety and feasibility of same day discharge after laparoscopic appendectomy for uncomplicated appendicitis.
After IRB approval, all pediatric patients undergoing laparoscopic appendectomy during 2016 for noncomplicated appendicitis were eligible for the study. Decision for same day discharge was based on surgeon preference and parental agreement. Data regarding demographics, admission and discharge times, outcomes of complications, readmissions, return to the ED, and nonscheduled clinic visits were collected.
A total of 1321 appendectomies were performed during the study period, of which 849 were uncomplicated and 382 were discharged same day. There were 2 readmissions, 4 superficial surgical site infections, 10 patients with nausea or vomiting, and 33 patients with pain control issues, 9 of whom presented to the ED.
Same day discharge for laparoscopic noncomplicated appendectomy is a safe and feasible alternative to postoperative admission and observation. This has the potential to yield significant healthcare cost savings.
Level II, Prospective Cohort Study.
Metrics
Details
- Title
- Safety and feasibility of same-day discharge for uncomplicated appendicitis: A prospective cohort study
- Creators
- Kristin Gee - The University of Texas Southwestern Medical CenterSandra Ngo - The University of Texas Southwestern Medical CenterLorrie Burkhalter - The University of Texas Southwestern Medical CenterAlana L. Beres - The University of Texas Southwestern Medical Center
- Publication Details
- Journal of pediatric surgery, v 53(5), pp 988-990
- Publisher
- Elsevier
- Number of pages
- 3
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000432131000026
- Scopus ID
- 2-s2.0-85042651845
- Other Identifier
- 991021969586304721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Pediatrics
- Surgery