2013
DOI: 10.1016/j.jpedsurg.2013.03.044
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Decreased resource utilization since initiation of institutional clinical pathway for care of children with perforated appendicitis

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Cited by 31 publications
(23 citation statements)
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“…A significant reduction in LOS was achieved in eight studies (Table S4). Importantly, in all but one study these outcomes occurred with either comparable or improved rates of complication or readmission . Yousef et al and Willis et al notably reported reductions in intra‐abdominal abscess rate by approximately half.…”
Section: Resultsmentioning
confidence: 99%
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“…A significant reduction in LOS was achieved in eight studies (Table S4). Importantly, in all but one study these outcomes occurred with either comparable or improved rates of complication or readmission . Yousef et al and Willis et al notably reported reductions in intra‐abdominal abscess rate by approximately half.…”
Section: Resultsmentioning
confidence: 99%
“…The trend towards monotherapy in more recent studies is supported by favourable results for this strategy, although an intravenous broad‐spectrum cephalosporin (e.g. ceftriaxone) accompanied by metronidazole is also reported as safe and effective . Transition to oral antibiotics on completion of an IV regimen is common practice.…”
Section: Resultsmentioning
confidence: 99%
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“…Most notably, in lower gastrointestinal surgery, the development and use of ERAS guidelines has shown reduced LOS by 2.55 days ( P < 0.001) and complication rates reduced 53% ( P < 0.001) in patients after major open colorectal surgery . Other examples where clinical pathways have improved nutritional care include use of enteral feeding protocols, early nutrition initiation in intensive care units and prevention of unnecessary parenteral nutrition use after surgery . One limitation to this study was the difficulty of measuring via a telephone survey a direct link between actual patient outcomes and presence of a clinical pathway.…”
Section: Discussionmentioning
confidence: 99%
“…For uncomplicated appendicitis, characteristics of high volume and fairly narrow spectrum of disease severity lend themselves well to simple standardized post‐operative care protocols. Complicated appendicitis has a less predictable post‐operative recovery but studies are emerging that describe success for protocols that account for this more heterogeneous pathology …”
Section: Discussionmentioning
confidence: 99%