Same-Day Discharge for Simple Pediatric Appendicitis: Sustainable Quality Improvement Requires Ongoing Surveillance

Putnam, Luke R.; Levy, Shauna; Johnson, Elizabeth; Williams, Karen; Taylor, Kimberlee; Lally, Kevin P.; Tsao, KuoJen

doi:10.1016/j.jss.2013.11.602

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies have demonstrated that it is safe to discharge patients home the same day after undergoing appendectomy without long-term consequences that help save healthcare cost [71][72][73] . An analysis of 154 institutional patients and 4973 patients from the American College of Surgeons, National Surgical Quality Improvement Program-Pediatric (NSQIP-P) database demonstrated that there were no significant differences in the superficial (p=0.02), deep (p=0.17) and organ/space surgical site infections (p=0.31) when pediatric uncomplicated appendicitis patients were managed either in the emergency department under observation status or were transferred to the perioperative area without the need for an inpatient hospital admission 74 .…”

Section: Outpatient Management After Appendectomymentioning

confidence: 99%

Implemented Interventions in Preventing Surgical Site Infection in Pediatric Appendicitis Patients: A Scoping Review

Hebballi,

Sutyak,

Broussard

et al. 2024

Preprint

View full text Add to dashboard Cite

Objective: Surgical site infections (SSIs), especially deep/organ-space SSIs, are common and serious complications following appendectomy. This review aimed to explore the interventions that have been implemented to reduce the risk of SSIs in pediatric appendicitis patients. Methods: A literature search was performed using PubMed, Cochrane, and Embase databases of studies in English published between January 01, 1973, and April 30, 2023. Studies on pediatric patients (≤ 18 years) with appendicitis that described any interventions aimed at reducing SSIs and reported SSIs as an outcome were included. Results: A total of 56 studies were included in the final scoping review. The interventions included antibiotic stewardship, clinical practice guidelines/pathways, different surgical approaches, timing of appendectomy, irrigation or lavage, use of peritoneal drains, timing of wound closure and management, parenteral nutrition, pain management, and outpatient management. Conclusion: A wide variety of interventions have been studied in pediatric appendicitis patients to reduce the SSI rates. Very few publications have studied low-cost, widely available intraoperative interventions to reduce deep/organ-space SSIs.

show abstract