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Parental satisfaction with same-day discharge after laparoscopic appendectomy for uncomplicated appendicitis
Sandra Ngo1, Kristin Gee1, Lorrie Burkhalter2
1Division of Pediatric Surgery, Department of Surgery, University of Texas Southwestern, Dallas, Texas, USA.
Paediatrics & Child Health
|August 6, 2019
Summary
Parental satisfaction with same-day discharge after pediatric laparoscopic appendectomy is high, with 82% retrospectively approving. Key improvements include consistent provider communication and clear pain management instructions for same-day discharge.
Area of Science:
- Pediatric Surgery
- Surgical Outcomes
- Patient Satisfaction
Background:
- Same-day discharge is emerging as a safe option for pediatric laparoscopic procedures.
- It is increasingly utilized for uncomplicated appendicitis but not yet standard practice.
- Parental satisfaction is a critical factor in adopting this approach.
Purpose of the Study:
- To evaluate parental satisfaction with same-day discharge following laparoscopic appendectomy for uncomplicated appendicitis in pediatric patients.
- To identify parental concerns and areas for improvement in the same-day discharge process.
Main Methods:
- A prospective study involving 382 pediatric patients discharged on the same day after laparoscopic appendectomy for uncomplicated appendicitis.
- Post-discharge parental satisfaction surveys were conducted via telephone at the 2-week follow-up.
Main Results:
- Initial satisfaction with same-day discharge was reported by 65% of respondents (185 total responses).
- Concerns included nervousness (30%) and feeling unprepared to leave (5%).
- Retrospectively, 81.6% felt same-day discharge was appropriate, with only 7% unwilling to repeat the experience.
Conclusions:
- A significant majority of parents reported satisfaction with same-day discharge, increasing upon reflection.
- Areas for enhancement include unified provider communication regarding expectations and improved post-discharge pain management guidance.
- Addressing parental concerns can further optimize the implementation of same-day discharge for pediatric laparoscopic appendectomy.
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