Variability in same-day discharge for pediatric appendicitis

Fast‐track surgery for uncomplicated appendicitis in children: a matched case–control study

“…Oyetunji et al interrogated the North American 2009 Kids Inpatient Database and identified that children who had a laparoscopic appendicectomy for uncomplicated appendicitis were twice as likely to be discharged within 24 h compared to those who underwent open appendicectomy. 27 There were 32.5% more children in our protocol group who had laparoscopic surgery. Prior to case matching that accounted for this potential confounder, there were 195 unmatched patients in our combined study and control groups who underwent a laparoscopic appendicectomy for uncomplicated appendicitis (195/245).…”

“…Terms such as ‘enhanced recovery’, ‘fast‐track’ and ‘same‐day’ surgery are used interchangeably to describe expedited care pathways initiatives, with the latter often somewhat confusingly considered as length of stay less than 24 h . The common factor with all of these initiatives is the core component of a protocol that standardizes the care pathway.…”

“…Oyetunji et al . interrogated the North American 2009 Kids Inpatient Database and identified that children who had a laparoscopic appendicectomy for uncomplicated appendicitis were twice as likely to be discharged within 24 h compared to those who underwent open appendicectomy . There were 32.5% more children in our protocol group who had laparoscopic surgery.…”

“…Terms such as 'enhanced recovery', 'fast-track' and 'same-day' surgery are used interchangeably to describe expedited care pathways initiatives, with the latter often somewhat confusingly considered as length of stay less than 24 h. 27 The common factor with all of these initiatives is the core component of a protocol that standardizes the care pathway. The most radical of published protocols describe mean post-operative length of stay less than 5 h with discharge directly from the day-stay recovery area or equivalent postanaesthesia care unit.…”

Association of Same-Day Discharge With Hospital Readmission After Appendectomy in Pediatric Patients

“…1,7 Early studies have shown SDD to be a feasible and acceptable pathway in pediatric appendicitis. 6,[8][9][10] To our knowledge, this study is the first to address patient-centered outcomes, including 30-day readmission rates and wound complications, for patients discharged on the same day as the surgery.…”