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Fast-track concepts in routine pediatric surgery: a prospective study in 436 infants and children

Marc Reismann1, Jens Dingemann, Mathias Wolters

  • 1Department of Pediatric Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. reismann.marc@mh-hannover.de

Langenbeck'S Archives of Surgery
|December 4, 2008
PubMed

Insights

Fast-track surgery in pediatric patients is feasible, leading to shorter hospital stays and high satisfaction. This approach accelerates recovery for children undergoing routine surgery.

Area of Science:

  • Pediatric Surgery
  • Surgical Outcomes
  • Healthcare Management

Background:

  • Fast-track surgery aims to improve patient recovery and reduce hospital stays.
  • Implementing fast-track protocols in pediatric surgery requires careful planning and execution.

Purpose of the Study:

  • To investigate the feasibility and outcomes of fast-track concepts in routine pediatric surgery.
  • To evaluate patient and parent satisfaction with fast-track care.

Main Methods:

  • Prospective study of pediatric patients (up to 15 years) undergoing routine surgery.
  • Establishment of fast-track protocols for procedures requiring hospital admission.
  • Pain assessment using CHIPPS and Smiley/VAS scales; comparison with diagnosis-related group data.

Main Results:

  • 36% of eligible pediatric patients were treated using fast-track protocols.
  • Significantly shorter mean hospital stay for fast-track patients (4.6 days) compared to standard care (9.7 days).
  • High patient and parent satisfaction (95%) with fast-track care; minimal complications and readmissions.

Conclusions:

  • Fast-track concepts are applicable to approximately one-third of pediatric surgical patients.
  • Fast-track pediatric surgery promotes faster recovery, shorter hospitalizations, and excellent patient/parent satisfaction.
Abstract

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