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Routine same-day discharge after acute or interval appendectomy in children: a prospective study
Fuad Alkhoury1, Leopoldo Malvezzi, Colin G Knight
1Department of Pediatric Surgery, Miami Children’s Hospital, Florida International University College of Medicine, Miami, FL 33155, USA.
Archives of Surgery (Chicago, Ill. : 1960)
|July 13, 2012
Summary
Same-day discharge after pediatric laparoscopic appendectomy is safe and effective, with high parental satisfaction. This approach reduces hospital stay without increasing complications, supporting its routine use.
Area of Science:
- Pediatric Surgery
- Surgical Outcomes
- Patient Satisfaction
Background:
- Laparoscopic appendectomy is a common pediatric surgical procedure.
- The traditional approach involves overnight hospital admission post-surgery.
- Optimizing patient discharge pathways can improve efficiency and patient experience.
Purpose of the Study:
- To evaluate the safety and efficacy of same-day discharge following pediatric laparoscopic appendectomy.
- To assess parental satisfaction with same-day discharge compared to overnight admission.
- To determine if same-day discharge impacts complication rates or readmissions.
Main Methods:
- Prospective cohort study conducted at a tertiary care children's hospital.
- 207 children undergoing laparoscopic appendectomy were analyzed for same-day discharge versus overnight admission.
- Key outcomes included operative details, length of stay, adverse events, and parental satisfaction.
Main Results:
- 78.3% of children were discharged on the same day of surgery.
- Complication rates, urgent postoperative visits, and readmission rates were similar between same-day discharge and overnight admission groups.
- Same-day discharge significantly reduced postoperative length of stay (mean 5 hours vs. 16 hours).
- Parental satisfaction was high, with 87% happy with same-day discharge.
Conclusions:
- Routine same-day discharge after pediatric laparoscopic appendectomy is a safe and effective strategy.
- The procedure is associated with high parental satisfaction and reduced length of hospital stay.
- This pathway warrants consideration as the usual care for pediatric appendectomy patients.
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