Reducing Post-Operative Hospital Length of Stay following Uncomplicated Appendectomy in Pediatric Patients: A Prospective Clinical Study
An uncomplicated appendectomy in children is common. Safely minimizing the post-operative length of stay is desirable from hospital, patient, and parent perspectives. In response to an overly long mean length of stay following uncomplicated appendectomies in children of 2.5 days, we developed clinic...
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| Veröffentlicht in: | Healthcare (Basel) 2024-02, Vol.12 (4), p.474 |
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| creator | Jeski, Michelle A Stanger, Jennifer D Schafer, Melissa S Osten, Andrew W Conners, Gregory P |
| description | An uncomplicated appendectomy in children is common. Safely minimizing the post-operative length of stay is desirable from hospital, patient, and parent perspectives. In response to an overly long mean length of stay following uncomplicated appendectomies in children of 2.5 days, we developed clinical pathways with the goal of safely reducing this time to 2.0 or fewer days. The project was conducted in an urban, academic children's hospital. The pathways emphasized the use of oral, non-narcotic pain medications; the education of parents and caregivers about expectations regarding pain control, oral food intake, and mobility; and the avoidance of routine post-operative antibiotic use. A convenience sample of 46 patients aged 3-16 years old was included to evaluate the safety and efficacy of the intervention. The mean post-operative length of stay was successfully reduced by 80% to 0.5 days without appreciable complications associated with earlier discharge. The hospital length of stay following an uncomplicated appendectomy in children may be successfully and safely reduced through the use of carefully devised, well-defined, well-disseminated clinical pathways. |
| doi_str_mv | 10.3390/healthcare12040474 |
| format | Article |
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Safely minimizing the post-operative length of stay is desirable from hospital, patient, and parent perspectives. In response to an overly long mean length of stay following uncomplicated appendectomies in children of 2.5 days, we developed clinical pathways with the goal of safely reducing this time to 2.0 or fewer days. The project was conducted in an urban, academic children's hospital. The pathways emphasized the use of oral, non-narcotic pain medications; the education of parents and caregivers about expectations regarding pain control, oral food intake, and mobility; and the avoidance of routine post-operative antibiotic use. A convenience sample of 46 patients aged 3-16 years old was included to evaluate the safety and efficacy of the intervention. The mean post-operative length of stay was successfully reduced by 80% to 0.5 days without appreciable complications associated with earlier discharge. The hospital length of stay following an uncomplicated appendectomy in children may be successfully and safely reduced through the use of carefully devised, well-defined, well-disseminated clinical pathways.</description><identifier>ISSN: 2227-9032</identifier><identifier>EISSN: 2227-9032</identifier><identifier>DOI: 10.3390/healthcare12040474</identifier><identifier>PMID: 38391848</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Analgesics ; Appendectomy ; Appendicitis ; Appendix ; Children ; Clinical medicine ; Costs ; Emergency medical care ; Hospital utilization ; Hospitalization ; Hospitals ; Length of stay ; Medical research ; Medicine, Experimental ; Multisystem inflammatory syndrome in children ; Nonsteroidal anti-inflammatory drugs ; Nosocomial infections ; Patient care planning ; Patient outcomes ; Pediatrics ; Pharmacy ; Postoperative care ; Quality improvement ; Recovery (Medical) ; Surgeons ; Surgery</subject><ispartof>Healthcare (Basel), 2024-02, Vol.12 (4), p.474</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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Safely minimizing the post-operative length of stay is desirable from hospital, patient, and parent perspectives. In response to an overly long mean length of stay following uncomplicated appendectomies in children of 2.5 days, we developed clinical pathways with the goal of safely reducing this time to 2.0 or fewer days. The project was conducted in an urban, academic children's hospital. The pathways emphasized the use of oral, non-narcotic pain medications; the education of parents and caregivers about expectations regarding pain control, oral food intake, and mobility; and the avoidance of routine post-operative antibiotic use. A convenience sample of 46 patients aged 3-16 years old was included to evaluate the safety and efficacy of the intervention. The mean post-operative length of stay was successfully reduced by 80% to 0.5 days without appreciable complications associated with earlier discharge. The hospital length of stay following an uncomplicated appendectomy in children may be successfully and safely reduced through the use of carefully devised, well-defined, well-disseminated clinical pathways.</description><subject>Analgesics</subject><subject>Appendectomy</subject><subject>Appendicitis</subject><subject>Appendix</subject><subject>Children</subject><subject>Clinical medicine</subject><subject>Costs</subject><subject>Emergency medical care</subject><subject>Hospital utilization</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Length of stay</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Multisystem inflammatory syndrome in children</subject><subject>Nonsteroidal anti-inflammatory drugs</subject><subject>Nosocomial infections</subject><subject>Patient care planning</subject><subject>Patient outcomes</subject><subject>Pediatrics</subject><subject>Pharmacy</subject><subject>Postoperative care</subject><subject>Quality improvement</subject><subject>Recovery (Medical)</subject><subject>Surgeons</subject><subject>Surgery</subject><issn>2227-9032</issn><issn>2227-9032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkd1u1DAQhSMEolXpC3CBLHGdYnuycczdagUUaaWugF5Hjj3ZdeXYwXaK9g14bLxq-RPYF2ONznfGmlNVLxm9ApD0zQGVywetIjJOG9qI5kl1zjkXtaTAn_7xPqsuU7qj5UgGHayeV2elSNY13Xn1_ROaRVu_J7uQcn0zY1TZ3iO5Dmm2WTmyRb_PBxJG8jmrIxmDc-HbCbj1Okyzs1plNGQ9z-gN6hymI7Ge7NBYlaPVZFcM0ef0lqzJLhbbIjpN2DjrC-yK72KOL6pno3IJLx_rRXX7_t2XzXW9vfnwcbPe1hpammvWmda0oAUMAhSTSnIODKihmunVMDRCYDe0CK1oqB6QmkHyUXKjR2U61cJF9frBd47h64Ip93dhib6M7LkEKldCgvyt2iuHvfVjyFHpySbdr0XXUJCyg6K6-o-qXIOT1cHjaEv_L4A_ALrsIUUc-znaScVjz2h_irX_N9YCvXr88TJMaH4hP0OEH_-poQc</recordid><startdate>20240201</startdate><enddate>20240201</enddate><creator>Jeski, Michelle A</creator><creator>Stanger, Jennifer D</creator><creator>Schafer, Melissa S</creator><creator>Osten, Andrew W</creator><creator>Conners, Gregory P</creator><general>MDPI AG</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><orcidid>https://orcid.org/0000-0003-3179-5902</orcidid></search><sort><creationdate>20240201</creationdate><title>Reducing Post-Operative Hospital Length of Stay following Uncomplicated Appendectomy in Pediatric Patients: A Prospective Clinical Study</title><author>Jeski, Michelle A ; 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| subjects | Analgesics Appendectomy Appendicitis Appendix Children Clinical medicine Costs Emergency medical care Hospital utilization Hospitalization Hospitals Length of stay Medical research Medicine, Experimental Multisystem inflammatory syndrome in children Nonsteroidal anti-inflammatory drugs Nosocomial infections Patient care planning Patient outcomes Pediatrics Pharmacy Postoperative care Quality improvement Recovery (Medical) Surgeons Surgery |
| title | Reducing Post-Operative Hospital Length of Stay following Uncomplicated Appendectomy in Pediatric Patients: A Prospective Clinical Study |
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