Impact of an Outpatient Appendectomy Protocol on Clinical Outcomes and Cost: A Case-Control Study

Outpatient Laparoscopic Appendectomy: Feasible in a Public County Hospital?

“…In a similar study, Putnam and colleagues 22 reported 332 pediatric patients (58% outpatient) treated without an increase in complications, but they did report an increase in readmission rates (4.2% outpatient vs 1.2% admitted postoperatively). With regard to the adult population, DuBois and colleagues 13 report instituting an outpatient appendectomy protocol during a span of 161 patients (45% outpatient). They found a decreased length of stay and mean cost savings of $323.46 per patient without increase in complication rate or postoperative emergency department visits.…”

Variability in same-day discharge for pediatric appendicitis

“…In addition to safety, one study found that most parents of these patients are satisfied with an earlier discharge home [10]. Some of the literature even indicates that there is potential for cost savings with SDD [7,9]. Pathways for the standardization of the care of patients with uncomplicated appendicitis that include SDD have been implemented in some institutions and have met with success [9,11,14].…”

Multi-institutional practice patterns and outcomes in uncomplicated gastroschisis: A report from the University of California Fetal Consortium (UCfC)

“…Infants often remain hospitalized for more than 30 days [4, 12, 13], and the average hospital charge for an infant with gastroschisis has been reported to be over $180,000 [4]. Surgical literature demonstrates a significant benefit of clinical care pathways for improving quality of care [14–16], yet published protocols are lacking for treatment of gastroschisis [2]. This study aims to evaluate differences in practice patterns and outcomes for infants with gastroschisis in a multi-institutional setting in order to determine best–practice guidelines.…”