Parental satisfaction with same-day discharge after laparoscopic appendectomy for uncomplicated appendicitis

Ngo, Sandra; Gee, Kristin M.; Burkhalter, Lorrie S.; Beres, Alana L.

doi:10.1093/pch/pxy177

Cited by 6 publications

(13 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…At the time of the outpatient appointment, the highest parental satisfaction increased to 97.2%. In the literature to this point, data collection has been performed using questionnaires or a follow-up telephone call [ 12 , 19 , 20 , 28 ]. The critical part of the success of this type of treatment protocol depends on good parent education and reassurance [ 12 , 20 , 28 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…In the literature to this point, data collection has been performed using questionnaires or a follow-up telephone call [ 12 , 19 , 20 , 28 ]. The critical part of the success of this type of treatment protocol depends on good parent education and reassurance [ 12 , 20 , 28 , 31 ]. Ngo et al reported that 81.6% of the parents were satisfied with early discharge and only 7% of parents would not choose an early discharge again [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…The critical part of the success of this type of treatment protocol depends on good parent education and reassurance [ 12 , 20 , 28 , 31 ]. Ngo et al reported that 81.6% of the parents were satisfied with early discharge and only 7% of parents would not choose an early discharge again [ 20 ]. Alkhoury et al reported 87% of parents being satisfied postoperatively with the expeditious discharge.…”

Section: Discussionmentioning

confidence: 99%

“…For same-day-discharge laparoscopic appendectomy, Aguyao et al described three phases of consulting with parents: the first time, the moment a diagnosis of AA is on hand; the second time, in the preoperative holding area; and the last time, immediately postoperatively by the attending surgeon [ 18 ]. For home management, pain control using paracetamol alternating with scheduled ibuprofen was successfully shown in two studies investigating parental satisfaction [ 19 , 20 ]. Ngo et al additionally pointed out the need to educate parents about possible postoperative constipation of the child and how to prevent it [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…For home management, pain control using paracetamol alternating with scheduled ibuprofen was successfully shown in two studies investigating parental satisfaction [ 19 , 20 ]. Ngo et al additionally pointed out the need to educate parents about possible postoperative constipation of the child and how to prevent it [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Same-Day Discharge after Laparoscopic Appendectomy for Simple Appendicitis in Pediatric Patients—Is It Possible?

et al. 2022

View full text Add to dashboard Cite

(1) Background: One-day surgery has been widely adopted for many elective laparoscopic procedures in pediatric patients. Recently, the same protocol has been investigated for some emergency procedures, such as laparoscopic appendectomy. This study aimed to evaluate the safety and effectiveness of discharge from hospital within 24 h in pediatric patients who received laparoscopic appendectomy for uncomplicated acute appendicitis. (2) Methods: From 1 March 2021 to 1 May 2022, a total of 180 pediatric patients who were discharged from hospital within 24 h after laparoscopic appendectomy for uncomplicated appendicitis were included in this prospective single-center study. The primary outcome of this study was the safety of discharge from hospital within 24 h after laparoscopic appendectomy for uncomplicated appendicitis, as well as the parental satisfaction with this protocol. Secondary outcomes included the rate of readmission or unplanned return to the operating room, the complication rate and a cost-effectiveness analysis. For each patient, demographic data, preoperative evaluation (physical examination, laboratory data, imaging), duration of surgery, intraoperative and postoperative complications, length of hospital stay and pain levels, as well as parental satisfaction with this protocol, were recorded. (3) Results: The median age was 11 years (interquartile range (IQR) 10, 14). The majority of the patients (63.8%) were males. The median length of hospital stay after surgery was 15 h (IQR 12, 19). The highest level of satisfaction, at discharge, was recorded in most of the respondents (n = 155, 86.1%), while the remaining 25 (13.9%) expressed moderate levels of satisfaction. The median pain levels according to a visual analogue scale for all postoperative days were low (range 0–4). In four patients (2.2%), unplanned readmission before the seventh postoperative day because of postoperative intraabdominal abscess was recorded. All patients with abscess formation were treated conservatively. The majority of the parents (n = 175; 97.2%) expressed the highest level of satisfaction during the outpatient follow-up examination on the seventh postoperative day. (4) Conclusions: Same-day discharge after laparoscopic appendectomy for simple appendicitis in pediatric patients was safe and feasible. Parental satisfaction with this protocol was very high. With the right protocol and parent education, pediatric patients who underwent laparoscopic appendectomy because of non-complicated acute appendicitis may be successfully treated in this way.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Same-Day Discharge after Laparoscopic Appendectomy for Simple Appendicitis in Pediatric Patients—Is It Possible?

et al. 2022

View full text Add to dashboard Cite

show abstract

Day Surgery in Children Undergoing Retroperitoneal Robot-assisted Laparoscopic Pyeloplasty: Is It Safe and Feasible?

Broch¹,

Paye-Jaouen²,

Glenisson³

et al. 2023

European Urology Open Science

View full text Add to dashboard Cite

Trajectory of Pain, Functional Limitation, and Parental Coping Resources Following Pediatric Short-stay Surgery

Jaaniste

Wood

Johnson

et al. 2021

The Clinical Journal of Pain

View full text Add to dashboard Cite

Objectives: Although there are many benefits of short-stay hospital admissions for high volume, pediatric surgical procedures, this model of care places greater responsibility on parents for the management of children's pain. This study aimed to document the trajectory of child pain outcomes and a range of parent-reported functional outcomes following discharge from a short-stay surgical admission. Moreover, we aimed to document the trajectory of parental perceived personal coping resources. Second, we assessed whether parental dispositional factors, assessed before hospital discharge, predicted the child's pain intensity and parent-reported functional recovery.Methods: Participants included children (aged 4 to 14 y) admitted for a short-stay tonsillectomy or appendectomy, and their parents. Parents completed a questionnaire before discharge from hospital. Demographic and surgical information was recorded from medical records. Following discharge, daily assessments of pain and functioning were carried out over a 10-day period using iPods or mobile phones. Predischarge and postdischarge data were obtained for 55 child and parent dyads.Results: Pain intensity scores returned to low levels (2/10 or less) by day 5 for appendectomy and day 10 for tonsillectomy. Parents' perceived personal coping resources increased more slowly following tonsillectomy than appendectomy. Controlling for time since surgery and parental coping resources, parental pain-related catastrophizing was a significant predictor of child pain and functional recovery.Discussion: Short-stay surgery results in parents facing considerable burden in managing their child's pain and functional impairment over a 10-day period. The potential value of screening for parental pain-related catastrophizing before discharge from hospital warrants further consideration and may enable identification of children likely to experience poorer recovery.

show abstract

Parental satisfaction with same-day discharge after laparoscopic appendectomy for uncomplicated appendicitis

Cited by 6 publications

References 21 publications

Same-Day Discharge after Laparoscopic Appendectomy for Simple Appendicitis in Pediatric Patients—Is It Possible?

Same-Day Discharge after Laparoscopic Appendectomy for Simple Appendicitis in Pediatric Patients—Is It Possible?

Day Surgery in Children Undergoing Retroperitoneal Robot-assisted Laparoscopic Pyeloplasty: Is It Safe and Feasible?

Trajectory of Pain, Functional Limitation, and Parental Coping Resources Following Pediatric Short-stay Surgery

Contact Info

Product

Resources

About