A statewide analysis of specialized care for pediatric appendicitis

Putnam, Luke R.; Nguyen, Linh K.; Lally, Kevin P.; Franzini, Luisa; Tsao, KuoJen; Austin, Mary T.

doi:10.1016/j.surg.2015.05.010

Cited by 9 publications

(12 citation statements)

References 32 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Children in SPCs, however, are younger and more complex, 5,6,37e40 and the benefits seen when treated in such a centre were lost once age and hospital volume were adjusted for. 5,6,37,41,42 A similar relationship was seen when comparing urban with rural hospitals. 43e45 In complicated appendicitis, hospital stays are shorter in non-teaching hospitals than in teaching hospitals.…”

Section: Structural Measures: Appendectomy Cohortsupporting

confidence: 61%

“…37,42,55,57e60,76 Prolonged length of stay was frequently reported in PS cohorts, but these children were often younger and sicker. 37,51,53,57 Despite age and disease severity being independent risk factors for length of stay and complication rates, respectively, adverse events were similar in both groups. 51,53 However, the low incidence of serious complications in these children means studies may be underpowered.…”

Section: Perioperative Care Pathwaysmentioning

confidence: 88%

See 1 more Smart Citation

Quality metrics for emergency abdominal surgery in children: a systematic review

Sogbodjor

Singleton

Davenport

et al. 2022

British Journal of Anaesthesia

View full text Add to dashboard Cite

Section: Structural Measures: Appendectomy Cohortsupporting

confidence: 61%

Section: Perioperative Care Pathwaysmentioning

confidence: 88%

Quality metrics for emergency abdominal surgery in children: a systematic review

Sogbodjor

Singleton

Davenport

et al. 2022

British Journal of Anaesthesia

View full text Add to dashboard Cite

“…Of those, 1082 records were excluded after screening for inappropriate article type; only randomized control trials and review articles were included, and those reporting key outcomes; 675 full text articles were then assessed for eligibility and 598 were excluded due to data being either inadequate for data interpretation, relating to interval appendectomy or duplication of studies. 77 were found to meet the inclusion criteria, and 45 of these were included for analysis after applying the MINORS score cut off . The modified PRISMA flowchart for identification and inclusion of relevant papers is included as Appendix S1.…”

Section: Resultsmentioning

confidence: 99%

Meta‐analysis of unplanned readmission to hospital post‐appendectomy: an opportunity for a new benchmark

Bailey

Choynowski

Kabir

et al. 2019

ANZ Journal of Surgery

View full text Add to dashboard Cite

Background Appendicitis is the most common cause of acute abdominal pain requiring surgical intervention. While many studies report readmission, a meta‐analysis of readmission post‐appendectomy has not been published. This meta‐analysis was undertaken to determine rates and predictors of hospital readmission following appendectomy and to potentially provide a metric benchmark. Methods An ethically approved PROSPERO‐registered (ID CRD42017069040) meta‐analysis following Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines, using databases PubMed and Scopus, was undertaken for studies published between January 2012 and June 2017. Articles relating to outcomes and readmissions after appendectomy were identified. Those scoring >15 for comparative studies and >10 for non‐comparative studies, using Methodological Index for Non‐Randomized Studies criteria were included in the final analysis. The odds ratios (OR) using random‐effects, Mantel–Haenszel method with 95% confidence intervals (CI), were computed for each risk factor with RevMan5. Results A total of 1757 articles reviewed were reduced to 45 qualifying studies for a final analysis of 836 921 appendectomies. 4.3% (range 0.0–14.4%) of patients were readmitted within 30 days. Significant preoperative patient factors for increased readmission were diabetes mellitus (OR 1.93, CI 1.63–2.28, P < 0.00001), complicated appendicitis (OR 3.6, CI 2.43–5.34, P < 0.00001) and open surgical technique (OR 1.39, CI 1.08–1.79, P < 0.00001). Increased readmission was not associated with gender, obesity or paediatric versus general surgeons or centres. Conclusion This meta‐analysis identified that readmission is not uncommon post‐appendectomy, occurring in one in 25 cases. The mean readmission rate of 4.3% may act as a quality benchmark for improving emergency surgical care. Targeting high‐risk groups with diabetes or complicated appendicitis and increasing use of laparoscopic technique may help reduce readmission rates.

show abstract

“…(6)(7)(8)(9)(10) To perform an appendectomy, minimally invasive approaches to the abdominal cavity include minilaparotomy and video laparoscopy. (11)(12)(13)(14)(15) The leading indicator of a successful outcome of surgical intervention is generally recognized as an assessment of QL, which includes the physical, psychological, emotional and social functioning of a person. (7) Studying QL in patients after surgical interventions promotes the identification of positive and negative moments of those interventions in patients with various pathologies.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Quality of Life in Patients with Acute Appendicitis after a Minimally Invasive Approach

Чарышкин¹,

Yartsev²

2018

IJBM

View full text Add to dashboard Cite

The leading indicator of a successful outcome of surgical intervention is generally recognized as an assessment of QL, which includes the physical, psychological, emotional and social functioning of a person. The results of the QL study after 6 months and 1 year following the appendectomy showed significantly higher total physical and mental health indicators in patients after minilaparotomy by the proposed method. Long-term results 1 year after appendectomy in these patients demonstrate the stability of the restored clinical parameters. (International Journal of Biomedicine. 2018;8(2):139-141.)

show abstract

A statewide analysis of specialized care for pediatric appendicitis

Cited by 9 publications

References 32 publications

Quality metrics for emergency abdominal surgery in children: a systematic review

Quality metrics for emergency abdominal surgery in children: a systematic review

Meta‐analysis of unplanned readmission to hospital post‐appendectomy: an opportunity for a new benchmark

Assessment of Quality of Life in Patients with Acute Appendicitis after a Minimally Invasive Approach

Contact Info

Product

Resources

About